A Client with a New Colostomy Often Becomes Short and Sarcastic

question 4

Multiple Choice

A client with a new colostomy often becomes short and sarcastic when nurses attempt to teach him about the management of his new appliance. The nurse has consequently documented "Noncompliance related hostility" on the client's chart. What mistake has the nurse made when choosing and documenting this nursing diagnosis?

• A) Presuming to know the factors contributing to the problem
• B) Identifying a problem that cannot be changed
• C) Identifying a problem without corroborating evidence in the statement
• D) Neglecting to identify potential complications related to the problem

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Definitions:

Blood Turbulence

The chaotic, non-laminar flow of blood, which may produce audible sounds and is often detected in conditions of high blood flow velocity or anatomical abnormalities in the heart or blood vessels.

Valve Closure

The process of a valve within the body or a mechanical system shutting to prevent the backward flow of fluid.

Ventricles

The two lower chambers of the heart that receive blood from the atria above them and contract to push blood into the arteries.

Atrioventricular Bundle

The bundle of His, a collection of heart muscle cells specialized for electrical conduction that transmits the electrical impulses from the atria down to the ventricles.