Which Nursing Action Is Most Important to Include in the Plan

question 5

Multiple Choice

Which nursing action is most important to include in the plan of care for a patient who had an abdominal-perineal resection the previous day?

• A) Teach about a low-residue diet.
• B) Monitor output from the stoma.
• C) Assess the perineal drainage and incision.
• D) Encourage acceptance of the colostomy stoma.

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Definitions:

Decreased Activity Tolerance

A condition characterized by reduced ability to engage in physical activities without experiencing undue fatigue or discomfort.

Nutritious Foods

Foods that provide essential nutrients beneficial to health and well-being, including vitamins, minerals, protein, and healthy fats.

Localized Inflammatory Response

An immune system response confined to a specific area of the body, marked by signs of redness, warmth, swelling, and pain.

Edema, Redness

Symptoms indicating swelling often caused by fluid retention in the body’s tissues and the redness often associated with inflammation or infection.