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Transitions - Management
A nurse is contributing to the plan of care for a client who is newly admitted to a rehabilitation facility. Which of the following actions should the nurse take first? 1 - Ask the client to identify his goals for recovery. 2 - Select interventions to match the priority client needs. 3 - Reinforce information with the client about expected treatment outcomes. 4 - Recommend referrals to address the client's needs. - 1 - Ask the client to identify his goals for recovery. Rational 1 - The first action the nurse should take using the nursing process is to collect data from the client. By asking the client to identify his goals for recovery, the nurse helps ensure the plan of care reflects issues that are important to both the client and health care team. 2 - The nurse should select interventions to match the priority client needs to ensure nursing actions promote client recovery; however, there is another action the nurse should take first. 3 - The nurse should reinforce information with the client about expected treatment outcomes to promote client understanding of additional interventions that might be required; however, there is another action the nurse should take first. 4 - The nurse should recommend referrals to address the client's needs to promote interprofessional collaboration; however, there is another action the nurse should take first. A nurse is preparing to reinforce discharge teaching with a client who does not speak the same language as the nurse. Which of the following actions should the nurse plan to take? Select all 1 - Select an interpreter who is the same gender as the client. 2 - Ask the client's family members to interpret the information. 3 - Ensure interpreters provided by the facility have knowledge of medical terminology. 4 - Obtain informed consent from the client prior to requesting an interpreter. 5 - Choose an interpreter from the same ethnic background as the client. - 1 - Select an interpreter who is the same gender as the client. 3 - Ensure interpreters provided by the facility have knowledge of medical terminology. 5 - Choose an interpreter from the same ethnic background as the client. Rational
1 - Select an interpreter who is the same gender as the client is correct. The nurse should select an interpreter who is the same gender as the client to avoid embarrassment. 2 - Ask the client's family members to interpret the information is incorrect. Family members may not understand medical terminology and may not interpret the information completely or accurately. 3 - Ensure interpreters provided by the facility have knowledge of medical terminology is correct. To accurately relay medical information, interpreters should have specialized medical training. 4 - Obtain informed consent from the client prior to requesting an interpreter is incorrect. Informed consent is used for specific medical and surgical procedures. Obtaining the use of an interpreter would entail expressed or implied consent. 5 - Choose an interpreter from the same ethnic background as the client is correct. The nurse should select an interpreter that is from the same ethnic background as the client to prevent possible conflicts and differences in dialect. A nurse on a facility's performance improvement team is assisting to develop practice guidelines for performing bladder scans. Which of the following actions should the nurse take prior to developing a policy and procedure for this task? 1 - Review evidence-based practice data related to bladder scanner use. 2 - Compare the cost of indwelling urinary catheters with that of a bladder scanner. 3 - Conduct a chart audit to determine previous outcome trends in bladder scanner use. 4 - Gather a consensus of provider opinions about the use of bladder scanners at the facility - 1 - Review evidence-based practice data related to bladder scanner use Rational 1 - To facilitate the best client outcomes, the performance improvement team should review available evidence-based practice data related to this task. This should provide the most accurate and comprehensive information on which to base policy and procedure decisions. 2 - Due to the high incidence of infections among clients who have catheters, the cost of a bladder scanner should not be an influential factor in the development of a policy and procedure. 3 - A chart audit does not provide relevant data for developing a policy and procedure for this task. 4 - While the nurse should include the providers in the change process, their opinions do not provide relevant data for developing a nursing policy and procedure for this task. A charge nurse is talking with two assistive personnel (AP) who are angry about the way lunch breaks are scheduled on the unit. Which of the following statements by the charge nurse demonstrates the use of compromise? 1 - "You can take turns going to lunch first every other week." 2 - "Whoever has seniority should go to lunch first."
2 - An additional 15 wall-mounted hand sanitizers are installed on the unit. 3 - A new standardized form is developed for peer reviews facility-wide. 4 - The facility-wide fall injury rate for the previous quarter is 3%. - 4 - The facility-wide fall injury rate for the previous quarter is 3%. Rational 1 - This is a goal, rather than an outcome indicator that provides actual evidence of quality of care. 2 - This reflects resource management and is not an indicator that provides actual evidence of quality of care. 3 - This is an example of implementation of standards and is not an indicator that provides actual evidence of quality of care. 4 - This is a valid outcome indicator because it provides statistical evidence related to quality of care. A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative client. The nurse should recognize that the client's output is calculated and recored correctly when the AP perform which of the following actions? 1 - Includes 0.9% sodium chloride used to irrigate the catheter in the calculated output. 2 - Includes emesis and wound drainage in the total recorded output. 3 - Measures the urine using the markings on the drainage bag. 4 - Documents drainage in cubic centimeters (cc) on the intake and output form - 2 - Includes emesis and wound drainage in the total recorded output. Rational 1 - The AP should deduct the amount of 0.9% sodium chloride used to irrigate the catheter from the total output. 2 - The nurse should recognize that the AP understands the concept of calculating a client's intake and output when the AP includes emesis and wound drainage into the calculation of the client's total output. 3 - To obtain an accurate measurement of the client's urine output, the AP should empty the urine into a graduated measuring container. 4 - The AP should document the client's intake and output using milliliters (mL) instead of cubic centimeters. The abbreviation "cc" is included on the Joint Commission's official "Do Not Use" list because it can be misinterpreted as units (U). A charge nurse is asked by two staff nurses to assist in resolving a conflict about holiday scheduling. Which of the following actions should the charge nurse take? 1 - Negotiate with the two staff nurses at the nurses' station.
2 - Encourage each staff nurse to give up something as part of the negotiation. 3 - Explain to the staff nurses that the holiday schedule is non-negotiable. 4 - Resolve the conflict with a win-yield outcome. - 2 - Encourage each staff nurse to give up something as part of the negotiation. Rational 1 - The charge nurse should conduct the negotiation in a private setting where both nurses feel comfortable discussing the conflict. 2 - The charge nurse should encourage each staff nurse to give up something as part of the negotiation so that a compromise can be reached that is a win-win situation for each party. 3 - The charge nurse is displaying a win-lose negotiation approach in which nothing positive occurs for either of the staff nurses. This approach is detrimental to the morale of the unit. 4 - The charge nurse should attempt to resolve the conflict by negotiating for a win-win outcome for each party involved. A win-yield outcome discourages the staff nurses from attempting to resolve the conflict. A charge nurse in a long-term care facility is monitoring the activities of an assistive personnel (AP). Which of the following actions by the AP indicated that the charge nurse should intervene? 1 - Returns unopened supplies from a client's room to the storage room 2 - Obtains assistance when lifting an object that weighs 18.1 kg (40 lb) 3 - Double-bags a biohazard bag that is contaminated on the outside 4 - Stands with feet close together while transferring a client from the bed to a chair - 4 - Stands with feet close together while transferring a client from the bed to a chair Rational 1 - The AP should return unopened supplies from a client's room to the storage room to provide cost- effective care. 2 - The AP should obtain assistance from another staff member or use proper equipment to prevent injury when lifting more than 15.9 kg (35 lb). 3 - The AP should double-bag a biohazard bag that is contaminated on the outside to prevent the transmission of infection. 4 - The AP should stand with feet wide apart while transferring a client from the bed to a chair to increase stability and prevent self-injury. A nurse is reinforcing discharge teaching with a client who is 2 days postpartum. The client expresses concern about a lack of family support and limited financial resources. Which of the following responses should the nurse make?
1 - Clinical expertise of facility nurses 2 - Review of medical records 3- Facility performance indicators 4 - Peer-reviewed nursing journals - 4 - Peer-reviewed nursing journals Rational 1 - The nurse should include information from clinical experts because they have first-hand knowledge of interventions that help prevent falls. However, it is not the primary guideline the nurse should use. 2 - The nurse should include client data so that trends can be identified. However, it is not the primary guideline the nurse should use. 3 - The nurse should include facility performance indicators because this demonstrates the fall rate of clients, which can be compared to nationwide numbers. However, it is not the primary guideline the nurse should use. 4 - The nurse should collect data from peer-reviewed journals when contributing to the development of a new policy. This is the primary guideline the nurse should use because it is current, accurate, and research-based. A nurse is reinforcing teaching about home safety with an older adult client. Which of the following statements by the client indicates an understanding of the teaching? 1 - "I will run extension cords under area rugs." 2 - "I will place broken glass in a plastic bag for disposal." 3 - "I will paint the edge of each of my entry steps a different color." 4 - "I will keep my water heater set at 130 degrees Fahrenheit." - 3 - "I will paint the edge of each of my entry steps a different color." Rational 1 - This statement by the client does not indicate an understanding of the teaching. Extension cords and area rugs create a risk for falls and should not be used. 2 - This statement by the client does not indicate an understanding of the teaching. The client should place broken glass in a paper bag for disposal. 3 - This statement by the client indicates an understanding of the teaching. Painting the edge of each entry step a different color provides contrast, making it easier for the client to see. 4 - This statement by the client does not indicate an understanding of the teaching. Water heaters should be set below 48.9° C (120° F) to prevent burn injuries.
A nurse is assigned to care who is in isolation. Which of the following actions should the nurse take to manage time effectively while caring for this client? 1 - Assign an assistive personnel (AP) to apply a medicated ointment during perineal care. 2 - Store several sets of extra bed linens in the client's room. 3 - Organize care into groups that can be performed at one time. 4 - Schedule time at the end of the shift to document all client care - 3 - Organize care into groups that can be performed at one time Rational 1 - This action is outside the range of function of the AP. The nurse should apply medicated ointment. 2 - The nurse should not store extra linens in the client's room to prevent contamination of supplies. 3 - The nurse should implement this strategy to streamline the workflow by providing less fragmented care and reducing time spent traveling from area to area. 4 - The nurse should document information as soon as possible after providing client care. Delays can result in inaccurate and incomplete documentation. A charge nurse is evaluating the documentation of care for four clients by a newly licensed nurse. Which of the following entries requires intervention by the charge nurse? 1 - Client medicated with morphine 30 mg PO for report of right shoulder pain rated 7 on a scale of 0 to 10. 2 - Administered 10.0 u of insulin SQ to client for elevated glucose level. 3 - Reinforced to client to turn, cough, and deep breathe every 2 hr while awake. Client verbalized understanding. 4 - Reported client's oral temperature 39.7° C (103.5° F) to provider. - 2 - Administered 10.0 u of insulin SQ to client for elevated glucose level. Rational 1 - This entry represents accurate and complete documentation. 2 - This entry requires intervention by the charge nurse for the use of unapproved abbreviations (u, SQ), a trailing zero (10.0), and incomplete information including type of insulin, how it was administered, and glucose level. 3 - This entry represents accurate and complete documentation. 4 - This entry represents accurate and complete documentation. A nurse is assisting in the planning of in-home care for a client following a right hip arthroplasty. Which of the following interventions is the nurse's priority.
3 - Place the client on a fluid restriction. 4 - Place the client on strict bed rest. - 2 - Provide the client with a reduced-calorie diet. Rational 1 - The nurse should provide a warm environment for the client who has hypothyroidism. 2 - The nurse should provide the client who has hypothyroidism with a reduced-calorie diet. Hypothyroidism causes the client's metabolism to decrease, which can result in weight gain. A reduced-calorie diet will help the client keep weight gain to a minimum and contribute to weight loss. 3 - The nurse should increase the client's fluid intake to at least 2 L per day. 4 - The nurse should encourage activity and ambulation, alternating with rest periods, for the client who has hypothyroidism. A nurse arrives for her shift and is assigned more clients that she feels is safe. The charge nurse states there are no other options due to a shortage in nursing staff. Which of the following actions should the nurse take? 1 - Request to float to another unit. 2 - Refuse the assignment and leave the unit. 3 - File an incident report with the risk manager. 4 - Submit a written complaint to the nursing supervisor - 4 - Submit a written complaint to the nursing supervisor Rational 1 - The nurse who requests to float to another unit fails to address the issue of safety for client care and adds to the unit's shortage of nursing staff. 2 - The nurse who leaves the unit when there is a shortage of nursing staff fails to address the issue of safety for client care and can legally be considered committing client abandonment. 3 - The nurse should file an incident report when there is an occurrence that deviates from the standard of care. This report does not address the current situation regarding the client care assignment. 4 - The nurse should submit a written complaint to the nursing supervisor detailing her concern if she must accept an assignment for more clients than she feels is safe. This written complaint ensures that the facility is aware of the issue and indicates that the nurse made an attempt to address the situation. A nurse is caring for a client who received a skin tear during a routine dressing change. After completing an incident report, which of the following actions should the nurse take?
1 - Document the completion of the incident report in the client's medical record. 2 - Submit the incident report to the nurse manager for review. 3 - Mail a copy of the incident report to the facility's attorney. 4 - Obtain the client's signature on the incident report. - 2 - Submit the incident report to the nurse manager for review. Rational 1 - Incident reports are confidential health care facility documents and the nurse should avoid mentioning them in the client's medical record. 2 - The nurse should complete an incident report for unusual occurrences or variances in client care. The nurse manager should have the opportunity to review the information in order to begin the quality review process. 3 - The nurse should never photocopy an incident report or send it from the facility in the mail. This violates client confidentiality and increases the risk of the document being made public. 4 - The nurse should avoid obtaining the client's signature on the report, as this is not required. A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the following tasks should the nurse assign to an assistive personnel (AP)? 1 - Provide postmortem care. 2 - Insert a nasogastric tube. 3 - Obtain a specimen for a wound culture. 4 - Instruct a client on the use of an incentive spirometer. - 1 - Provide postmortem care. Rational 1 - The nurse should assign the AP to provide postmortem care because this task is within the AP's range of function. 2 - The nurse should not assign the AP to insert a nasogastric tube. This task is an invasive procedure and is outside the AP's range of function. 3 - The nurse should not assign the AP to obtain a specimen for a wound culture because this task is an invasive procedure which requires sterile technique. Therefore, this task is outside the AP's range of function. 4 - The nurse should not assign the AP to instruct a client on the use of an incentive spirometer because performing client education is outside the AP's range of function.
4 - The nurse should use a slide presentation to provide staff education; however, this action does not ensure that cost-effective care is provided. A nurse is participating on a committee that is revising the facility's policies and procedures for infection control. Which of the following statements should the nurse recommend to include in the facility's infection control manual? 1- Double-bag linens prior to removing them from the client's room. 2 - Place sterile objects within 1.3 cm (0.5 in) inside the edge of a sterile field. 3 - Apply a surgical mask to a client on contact isolation prior to transporting to radiology for an x-ray. 4 - Use a 1:10 bleach solution to clean blood spills. - 4 - Use a 1:10 bleach solution to clean blood spills. Rational 1 - Soiled linens should be placed in a single, impermeable bag before leaving the client's room. Double-bagging is not used unless the outside of the bag becomes contaminated. 2 - All sterile objects should be placed at least 2.5 cm (1 in) inside the edge of a sterile field. 3 - A surgical mask is used when the client who is on droplet precautions is transported. 4 - The nurse should recommend using a 1:10 bleach solution to decontaminate blood spills. A nurse in an outpatient clinic for a client who has schizophrenia. For which of the following client actions should the nurse recommend transfer to an acute care facility? 1 - The client develops command hallucinations. 2 - The client displays transference toward the nurse. 3 - The client reveals a family history of schizophrenia. 4 - The client expresses feelings of low self-esteem. - 1 - The client develops command hallucinations. Rational 1 - Command hallucinations involve hearing "voices" that direct the client to take specific actions. These actions can be directed at causing self-harm or injury to others. To provide for safety of the client and others, the nurse should recommend that the client be transferred to an acute care facility. 2 - The client's display of transference toward the nurse is not an indication the client should be transferred to an acute care facility. 3 - Although it is important that the client understand the etiology and family history of the condition, this is not an indication that the client should be transferred to an acute care facility.
4 - Feelings of low self-esteem are an expected finding in a client who has schizophrenia. Therefore, this does not indicate a need for the client to be transferred to an acute care facility. A nurse is caring for an adolescent client who requires a blood transfusion. The client's parents will not consent to the transfusion due to religious beliefs. Which of the following actions should the nurse take? 1- Contact the facility chaplain to speak with the family. 2 - Reinforce teaching with the parents about why the blood transfusion is necessary. 3 - Inform the charge nurse and recommend that social services be contacted. 4 - Ask the client if she will accept the blood transfusion. - 3 - Inform the charge nurse and recommend that social services be contacted. Rational 1 - The nurse should avoid contacting the facility chaplain to speak with the family because this might offend the parents. 2 - The nurse should avoid educating the parents about why the blood transfusion is necessary after they have not consented due to religious beliefs. 3 - The nurse has an obligation to act as an advocate for the client. The nurse should inform the charge nurse of the parents' decision and recommend that social services is contacted to further advocate for the client. 4 - The nurse should avoid asking the client if she will accept the blood transfusion because the client is a minor and cannot provide consent for a transfusion. A nurse in a long-term care facility is caring for a client who had a stroke 1 week ago. The client is experiencing left-side weakness, difficulty swallowing, drooping of the mouth, inarticulate speech, and memory loss. Which of the following referrals is the priority for the nurse to make? 1 - Physical therapy 2 - Speech therapy 3 - Cognitive therapy 4 - Occupational therapy - 2 - Speech therapy Rational 1 - The nurse should refer the client for physical therapy to reduce the risk for injury due to left-sided weakness; however, another referral is the priority. 2 - When using the airway, breathing, circulation approach to client care, the priority referral is to the speech therapist. Difficulty swallowing indicates that this client is at risk for aspiration; therefore, a referral for speech therapy is the priority.
3 - The nurse should document in the medical record that the client does not have an advance directive, and provide the client with information about completing an advance directive. However, this is not a variance to a critical pathway. 4 - A variance occurs when expected outcomes of the critical pathway are not met. The nurse should document that the client has a circular area of nonblanchable redness on her left heel as a variance because this indicates the initial stage of a pressure ulcer and is not an expected outcome. A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse plan to take? 1 - Include the client's vital sign record in the discharge instructions. 2 - Begin discharge planning 24 hr prior to the client's scheduled discharge date. 3 - Include community resource phone numbers with the client's discharge instructions. 4 - Obtain a 3-month supply of the client's prescribed medications. - 3 - Include community resource phone numbers with the client's discharge instructions. Rational 1 - The client's vital sign record is not necessary to include in the discharge instructions. The nurse should include the most recent vital signs in the change-of-shift report, or if the client is transferred to another unit. 2 - The nurse should begin discharge planning upon admission to ensure a timely, effective discharge. 3 - The nurse should provide the client with contact information for community resources, as well as the provider, to enhance care and provide easy access in the event of complications or questions. 4 - The nurse can recommend a referral to social services if the client expresses concerns about obtaining prescribed medications. The facility does not maintain the resources to provide each client with a 3-month supply of medication upon discharge. A nurse enters the room of a client who is sleeping and observes spark coming for a frayed bed plug in the client's electrical outlet. Which of the following actions should the nurse take first? 1 - Unplug the client's bed. 2 - Pull the fire alarm closest to the area. 3 - Evacuate the client. 4 - Call maintenance for assistance. - 3 - Evacuate the client. Rational 1 - The nurse should unplug any unsafe equipment to decrease the risk of a fire. However, another action is the priority.
2 - The nurse should activate the fire alarm closest to the problem area whenever smoke or fire is detected. However, another action is the priority. 3 - The greatest risk during a fire or a threat of fire is injury to the client or others; therefore, the first action is to evacuate the client from the room. This action is the first step of the Rescue, Alarm, Confine, and Extinguish (RACE) protocol. 4 - The nurse should notify maintenance of any unsafe equipment; however, another action is the priority. A nurse is assisting with the evacuation of clients who have been triaged following a mass casualty event. Which of the following clients should the nurse recommend for first transport to the health care facility? 1 - A client who has a penetrating head wound and has been assigned a black tag 2 - A client who has a compound fracture to the left arm and has been assigned a yellow tag 3 - A client who has multiple abrasions and bruising to the trunk and has been assigned a white tag 4 - A client who has paradoxical respirations and has been assigned a red tag - 4 - A client who has paradoxical respirations and has been assigned a red tag Rational 1 - The nurse should prepare to transport the client who has a penetrating head wound; however, the nurse should transport another client first. A client who has a penetrating head wound has minimal chance of survival, even with intervention. 2 - The nurse should prepare to transport the client who has a compound fracture; however, the nurse should transfer another client first. A client who has a compound fracture does not have an immediate threat to life and can be treated at a later time. 3 - The nurse should prepare to transport the client who has multiple abrasions and bruising; however, the nurse should transfer another client first. A client who has multiple abrasions and bruising does not have an immediate risk to life and can be treated at a later time. 4 - When using the airway, breathing, circulation approach to client care, the nurse should transport the client who has paradoxical respirations first. A client who has paradoxical respirations requires immediate intervention for survival, due to airway compromise. A nurse observes an assistive personnel (AP) taking a picture of a client who has not given consent. The nurse should identify the AP has committed which of the following torts? 1 - Invasion of privacy 2 - Negligence 3 - Defamation of character 4 - Battery -
2 - A client who has new onset atrial fibrillation and reports lightheadedness Rational 1 - Experiencing an aura prior to the development of a migraine headache is an expected occurrence and does not indicate the client is in any distress. Therefore, it is acceptable for the AP to measure this client's routine vital signs. 2 - Clients who have new onset atrial fibrillation often experience lightheadedness, tachycardia, and hypotension. Because the client's condition is unstable and might require nursing judgment, the nurse should plan to measure the client's vital signs since these tasks are outside the AP's range of function. 3 - Requiring a Doppler for pedal pulse measurement is an expected finding for a client who has poor circulation and does not indicate the client is in any distress. Therefore, it is acceptable for the AP to measure this client's routine vital signs. 4 - Requiring droplet isolation precautions can be part of routine management of pneumonia and does not indicate the client is in any distress. Therefore, it is acceptable for the AP to measure this client's routine vital signs while adhering to the isolation restrictions. A nurse is assisting with a presentation about nutrition for cancer prevention at a community center. Which of the following information should the nurse suggest including? 1 - Replace legumes with lean red meat. 2 - Eat three servings of fruits and vegetables daily. 3 - Consume fatty fish twice a week. 4 - Include different types of refined grains. - 3 - Consume fatty fish twice a week. Rational 1 - The nurse should inform the group to limit red meat intake and avoid processed meats such as smoked, cured, or charred meats as part of cancer prevention. 2 - The nurse should inform the group to consume five or more servings of fruits and vegetables daily, or at least 2.5 cups, as part of cancer prevention. 3 - Consuming fatty fish at least twice weekly helps to increases omega-3 intake as part of cancer prevention. Eating white meats such as chicken or fish is preferred to consuming red meats. 4 - The nurse should inform the group to include various types of whole grains as part of cancer prevention. Refined or processed grains and sweets increase cancer risk. A nurse is assisting with the care of a client who has terminal cancer and is receiving chemotherapy. The client tells the nurse that she is only continuing treatment for her family's sake. Which of the following responses should the nurse make? 1 - "Let's talk about your reasons for continuing treatment."
2 - "You should talk to a social worker about your situation." 3 - "I'll get the chaplain to come speak with you about your thoughts and feelings." 4 - "I know you are tired of this treatment, but you are right to think of your family first." - 1 - "Let's talk about your reasons for continuing treatment." Rational 1 - This response by the nurse is therapeutic because it focuses the conversation on the key components of the message and allows the client to discuss the treatment and any concerns she is having. The nurse also validates the client's feelings and thoughts, which enhances trust between the nurse and the client. 2 - This statement is dismissive of the client's concerns and is nontherapeutic. 3 - This statement is dismissive of the client's concerns and is nontherapeutic. 4 - This statement expresses the nurse's opinion regarding the client's decision and is nontherapeutic. A nurse is assisting with the discharge of a client who has a new permanent colostomy. The client expresses concern about learning to care of the appliance and obtaining supplies discretely. Which of the following actions should the nurse take? Select all 1 - Suggest that the client join an ostomy support group. 2 - Arrange a follow-up appointment with an enterostomal therapy nurse. 3 - Provide the client with the name and number of an ostomy supply delivery service. 4 - Recommend that the client's discharge be postponed until concerns are resolved. 5 - Request a social work referral for the client to discuss financial concerns - 1 - Suggest that the client join an ostomy support group. 2 - Arrange a follow-up appointment with an enterostomal therapy nurse. 3 - Provide the client with the name and number of an ostomy supply delivery service. 5 - Request a social work referral for the client to discuss financial concerns Rational 1 - Suggest that the client join an ostomy support group is correct. An ostomy support group, such as those affiliated with the United Ostomy Association, can provide helpful information for clients who have a new ostomy. 2 - Arrange a follow-up appointment with an enterostomal therapy nurse is correct. An enterostomal therapy nurse will follow up with the client regarding ostomy care.
