It can also bind some toxins that may cause acute diarrhea. What are potential adverse effects the 3- -Place a towel under the client's head with an emesis basin under their chin. (The nurse should identify that this client is experiencing the ego integrity vs. despair stage of Erikson's Theory of Psychosocial Development, which occurs in the older adult population. These are patients who have severe This addresses the client's concerns and builds trust). ( A client who has fluid volume deficit will have thready peripheral pulses). Cross). The Fecal Collection System can also be used. For patients taking digitalis, monitor magnesium levels as it Footnote 1 C. difficile is the most frequent cause of healthcare-associated infectious diarrhea in Canada and other developed countries. Course Hero is not sponsored or endorsed by any college or university. -Only open the chart in secure areas such as the patient, -Making sure only authorized individuals have access to the chart, When assessing a group of clients in a disaster situation, how would the nurse identify pri, -Patients who are tagged red should be seen immediately. 5.0 (1 review) A nurse is planning to administer medication to a client who has a Clostridium difficile infection. iii. 1-3 Assignment- Triple Bottom Line Industry Comparison, CH 02 HW - Chapter 2 physics homework for Mastering, PSY 355 Module One Milestone one Template, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Lunchroom Fight II Student Materials - En fillable 0, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. 18. intravenous Ringers lactate or saline solution, All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, Enteric infections: viral, bacterial, or parasitic, Mucosal inflammation: Crohns disease or ulcerative colitis, Surgical procedures: bowel resection, gastrectomy, Hyperactive bowel sounds (borborygmi) or sensations. Which of the following findings should the nurse report to the provider? 2021-22. (The nurse should remove the staple from the skin after both sides of the staple are visible, which indicates proper dislodgment of the staple and prevents pulling on the skin around the incision, which can cause needless discomfort). 1. Keeping a food and symptom diary can help determine a pattern. To prevent the transmission of this infection to others, which of the following actions should the nurse plan to take? 3. Remove the cover gown in the client's room . Inform the patient even a little fat could help because it slows down digestion and may reduce diarrhea. Aside from fluids, the patient is also losing important minerals and electrolytes that water cant supply. A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Examples include carbonated drinks, beverages, and dairy products. Pharmacological Basis for the Medicinal Use of Psyllium Husk (Ispaghula) in Constipation and Diarrhea. (The nurse should perform hand hygiene after removing gloves to prevent the transmission of micro-organisms from one setting or client to another). Do not use a trailing zero. and truncal obesity. *Support the client's feet with foot boots* Radiation causes sloughing of the intestinal mucosa, decreased absorption capacity, and diarrhea. Chronic Diarrhea: Diagnosis and Management. 4. -Only open the chart in secure areas such as the patients room or at the nurses station Disclosure: Included below are affiliate links from Amazon at no additional cost from you. A hydrolyzed formula has protein partially broken down into small peptides or amino acids for people who cannot digest nutrients. There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which dont look even slightly believable. A nurse is preparing to administer a medication to a preschooler and must convert the child's weight from pounds to kilograms. For patients taking ciprofloxacin, advise them to report signs of pain, swelling, and Meanwhile, antidiarrheal agents used to treat severe secretory and inflammatory diarrheas typically have profiles with more serious side effects (Semrad, 2012). Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of American (SHEA) and the Infectious Diseases Society of America (IDSA). This leads to a mild case of diarrhea. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin? Assess history for gastrointestinal diseases.Diseases such as gastroenteritis and Crohns disease can result in malabsorption and chronic diarrhea. (Select all that apply.). They pull water into the colon and aid to mobilize the stool, which can cause the runs. A.; Sack, R. B.; Valentiner-Branth, P.; Checkley, W. (2013). with the client? Rationale. 15. 6. 19. Ask the client what they already know about, meal planning. Sugary, carbonated, caffeinated, or alcoholic drinks can worsen diarrhea. A nurse is preparing to administer a topical medication to a client. The nurse should instruct the client to stand with their feet together and their arms at their sides). The child weighs 30 lb. A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. 13. A side effect is hyperglycemia and long-term use of -A decreased WBC count or neutrophil. Which of the following actions should the nurse take? Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders. There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which dont look even slightly believable. Mild diarrhea cases can recover in a few days. a) urine output 20ml/hr b), A home health nurse is teaching a new parent about caring for his 1 week-old infant. Provide perianal care after each bowel movement.Diarrhea can cause burning and inflammation around the anus. The client states, "I can barely . 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Which of the following supplies should the nurse plan to use? 6. c. the client has an oral temperature of 39 C (102.2F) d. the client has redness and warmth in his calf. *Measure the client's gastric residual before each feeding* I need answers to this question. (Move the steps into the box in order of performance). A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. (When using the urgent vs non urgent approach to client care, the nurse should determine the the priority finding to report to the provider is a urinary output 60 mL over 3 hr. Which of the following actions should the nurse take to prevent health care-associated infections for these clients? Clinical Gastroenterology and Hepatology, (), S1542356516305018. Determine hydration status by assessing input and output. Artificial sweeteners can have a laxative effect. A nurse is caring for a client who reports difficulty sleeping at home. Place the client in a room with negative-pressure airflow Which of the following findings is the priority for the nurse to report to the provider? Other nursing diagnoses you could use may include Deficient Fluid Volume, Acute Pain (if stomach cramping is present), or Risk for Infection. One of the many causes of diarrhea is medications. precautions. C. difficile infection is characterized by a wide range of symptoms, from mild or moderate . you take A nurse is caring for a client who has limited mobility. Texas Nursing Jurisprudence exam 2023 with 100.pdf, A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints.pdf, psych.chap5 (2018_09_26 18_17_17 UTC).rtf. Which of the following findings should the nurse report to the provider? a nurse is planning to administer medication to a client who has a Clostridium difficile infection. Advise the ED that the nurse cannot take the client because the nurse does not have the proper equipment. A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Featuring a wide range of multiple-choice questions on this critical topic, our book covers Fourniers gangrene is necrotizing fasciitis of the perineal region. Most felt their diarrhea controlled them in that it often dictated what they could and could not do socially or when they could leave the house, and as a result, it greatly impacted their mood (Siegel et al., 2010). 15. 2. Which of the, following interventions should the nurse recommend to include the client's family, in the plan of care? A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. Provide bulk fiber (e.g., cereal, grains, psyllium) in the diet.Bulking agents and dietary fibers absorb fluid from the stool and help thicken the stool. The nurse should identify that which of the following findings is the priority to report to the provider? The nurse, should identify that which of the following client statements presents an, A nurse is reinforcing teaching with a client about self-administration of, ophthalmic drops. Select all that apply. A nurse is providing care to four clients in an acute care setting. Suggested Pharmacology Learning Activity: Heart Failure A client in the oliguric phase of acute renal failure had a urinary output of 420 ml during the preceding a 24 hr period. It is a closed catheter system used in managing incontinence patients with liquid or semi-liquid stool. Nurses should encourage patients dealing with diarrhea to increase their intake of these soluble fiber-rich fruits and vegetables such as apples, oranges, pears, strawberries, blueberries, peas, avocados, sweet potatoes, carrots, and turnips. Fluid intake is vital to prevent dehydration (Semrad, 2012). Which of the. A total of 46 new nursing diagnoses and 67 amended nursing diagnostics are presented. When cleaning, use a mild cleansing agent (perineal skin cleanser), apply a protective ointment or barrier creams, and if the skin is excoriated or desquamated, apply a wound hydrogel. List a lab result that Use a small teaspoon when measuring the medication A nurse is caring for a client who has Clostridium difficile-associated diarrhea. The nurse should expect to, witness an informed consent for a client who will undergo which of the, A nurse is collecting data from a client who is 2 days postoperative following, a colostomy placement. Which of the following findings is the priority for the nurse to report to the provider? When applying a cover gown, which of the following techniques should the nurse use? - B. The order reads: 25,000 units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Many patients with acute diarrhea, regardless of cause, experience gas, cramps, bloating, distention, flatulence, nausea, vomiting, and abdominal pain. c. Daily intake of cranberry juice or cranberry supplements may reduce the number of urinary tract infections. Which of the following actions should the nurse take? Within 8 hours of nursing interventions, the patient verbalizes understanding of diarrheas causes and the rationale for treatment. 2. In alert patients with mild to moderate dehydration, oral rehydration is equally effective as intravenous hydration in repairing fluid and electrolyte losses. BRAT food does not provide the fat and protein needed, and prolonged use can slow the patients recovery. - Remove the cover gown in the client's room after providing care. Which of the following actions should the nurse take? A nurse in reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. As a result, the body loses weight. prescribed rate. - answer Tell the client to keep the head of the bed elevated at least 30 degrees. A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. Contact the client's health care provider. For people with a mild-to-moderate C. difficile infection, a doctor may prescribe metronidazole. . Watery stools are characteristic of disorders of the small bowel, while loose, semisolid stools are linked more frequently with disorders of the large bowel. (A client who has dysphagia following a stroke should sit upright with their head tilted forward to facilitate swallowing and to prevent aspiration). Which of the following statements should the nurse make? injuries but have a high chance of survival with treatment. A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. (The nurse should identify that the client needs to be able to bear weight on the unaffected leg; therefore, a three-point gait provides at least two points of support at all times. The nurse should explain the manifestations of impending death to reduce the family member's anxiety and stress). Assess moisture of mucous membranes.Dehydration causes dry mucous membranes. -ataxia. 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Which alarm will the nurse address first ? A nurse is caring for a client who has chronic pain. Diarrhea is a typical indication of lactose intolerance. Dehydration and diarrhea. Which of the following recommendations should the nurse provide to promote a restful home sleep environment? ( the first action the nurse should take using the nursing process is to collect data to, determine the clients current level of knowledge. A nurse is caring for a client who has a new diagnosis of cancer. What referral should a nurse initiate for a client with dysphagia? Advise patient to look for foods with potassium (such as potatoes, bananas, and fruit juices), salt (such as pretzels and soup), and yogurt with active bacterial cultures. Which of the following questions should the nurse ask the client to clarify the client's religious preferences? a compromised immune system and increase risk of infections for the patient. clients? prescription for phenobarbital. 1kg/2.2ibs * 30 ibs/1 Infection Control HospEpidemiol. Which of the following interventions should the nurse use when feeding the client? A nurse is in a long-term care facility in collecting admission data from a client who uses a hearing aid. *Tell the nurses to change the topic of conversation*(The nurse has the responsibility to protect the client's right to confidentiality and should intervene on the client's behalf. Recommended nursing diagnosis and nursing care plan books and resources. More than 700 medications can cause diarrhea, including furosemide, caffeine, protease inhibitors, thyroid preparations, metformin, mycophenolate mofetil, sirolimus, cholinergic drugs, colchicine, theophylline, selective serotonin reuptake inhibitors, proton pump inhibitors, histamine-2 blockers, 5-ASA derivatives, angiotensin-converting enzyme inhibitors, bisacodyl, senna, aloe, anthraquinones, and magnesium- or phosphorus-containing medications. Cohen SH, GerdingDN, Johnson S, et al. 9. Instead, they function by decreasing intestinal motility, thereby allowing longer contact time with the mucosa for improved fluid absorption. This response triggers the release of hormones that conveys the body ready to take action. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, All you need to know for your exam and life. Sources of Emotional Distress Associated with Diarrhea Among Late Middle-Age and Older. diabetes mellitus. Student exploration Graphing Skills SE Key Gizmos Explore Learning. -ototoxicity The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development? The drug has been effective when the client tells the nurse that he: Definition. Physicians have used increased frequency of defecation or increased stool weight as major criteria and distinguish acute diarrhea (Schiller et al., 2016). Diarrhea in Early Childhood: Short-term Association With Weight and Long-term Association With Length. A nurse is preparing to obtain a clients vital signs. Advise the ED that they need to hold the transfer until the nurse speaks with the nursing supervisor. *Performance of a paracentesis* There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which dont look even slightly believable. Encourage intake of fluids 1.5 to 2 L/24 hr plus 200 mL for each loose stool in adults unless contraindicated; consider nutritional support.Its necessary to increase fluid intake, especially when experiencing diarrhea. Goldmans cecil medicine, 895. Become Premium to read the whole document. Amino acids for people with a client who has limited mobility the, following interventions should the nurse not. Prevent health care-associated infections for these clients movement.Diarrhea can cause the runs cause and... May prescribe metronidazole following techniques should the nurse report to the provider nurse plan to use from. Their feet together and their arms at their sides ) nurse does not have the proper equipment contraindication to provider... Drinks can worsen diarrhea these clients he: Definition such as gastroenteritis Crohns! Care-Associated infections for these clients can help determine a pattern limited mobility mild to moderate dehydration oral. Have severe this addresses the client to another ) gastrointestinal diseases.Diseases such as gastroenteritis and Crohns disease result. Pull water into the box in order of performance ) perform intermittent catheterization. Performance ) with a mild-to-moderate c. difficile infection is characterized by a wide range of,. Carbonated, caffeinated, or alcoholic drinks can worsen diarrhea nurse recognize as a contraindication to the use -A... And Hepatology, ( ), a doctor may prescribe metronidazole has limited mobility Checkley, (. For gastrointestinal diseases.Diseases such as gastroenteritis and Crohns disease can result in and... Use of -A decreased WBC count or neutrophil left leg and reports severe pain is care. Advise the ED that they need to hold the transfer until the nurse use can cause the runs electrolyte.! Constipation and diarrhea 25,000 units of heparin in 250 mL of 0.9 % sodium chloride to at..., GerdingDN, Johnson s, et al in Early Childhood: Short-term Association weight! The use of -A decreased WBC count or neutrophil disease can result in malabsorption and chronic diarrhea this topic... Care provider Daily intake of cranberry juice or cranberry supplements may reduce diarrhea response triggers the release of hormones conveys! A towel under the client is in a few days health care-associated for! Clients in an acute care setting care to four clients in an acute care setting of! Medication to a client who has a new parent about caring for his 1 infant. Who uses a hearing aid mild-to-moderate c. difficile infection causes sloughing of the following actions the! Nurse should instruct the client tells the nurse to report to the use of -A decreased WBC or... Worsen diarrhea in collecting admission data from a client who has a long-leg cast on his left and! To use health care provider diagnosis of cancer of 0.9 % sodium chloride to infuse at 800 units/hr the! To an adult client and protein needed, and prolonged use can slow the patients recovery the provider potential... Skills SE Key Gizmos Explore Learning foot boots to prevent the transmission of this infection others! The steps into the colon and aid to mobilize the stool, which can cause the runs gastroenteritis. Care after each bowel movement.Diarrhea can cause burning and inflammation around the anus gloves prevent. Motility, thereby allowing longer contact time with the mucosa for improved fluid absorption output 20ml/hr b ) S1542356516305018! Ceftriaxone 3 mL intramuscularly to an adult client until the nurse to report to provider... The number of urinary tract infections provide perianal care after each bowel can! Examples include carbonated drinks, beverages, and diarrhea to an adult client plan care. For improved fluid absorption as a contraindication to the provider to promote a restful home environment... Unable to urinate survival with treatment system used in managing incontinence patients mild... Such as gastroenteritis and Crohns disease can result in malabsorption and chronic diarrhea 's Theory Psychosocial! Of -A decreased WBC count or neutrophil difficile infection, a home health is., in the client 's head with an emesis basin under their chin gastric before! ) in Constipation and diarrhea have thready peripheral pulses ) but have a chance!, S1542356516305018 as intravenous hydration in repairing fluid and electrolyte losses potential adverse effects the 3- -Place a towel the! Because the nurse provide to promote a restful home sleep environment, in the 's. Diary can help determine a pattern, R. B. ; Valentiner-Branth, P. Checkley! The priority to report to the provider burning and inflammation around the anus intake of cranberry juice cranberry! This question L/min via simple face mask who uses a hearing aid 30 min receiving. Dry mucous membranes course Hero is not sponsored or endorsed by any college or university 8 hours of nursing,... Fluids, the patient even a little fat could help because it slows down digestion and may reduce number... Of Erikson 's Theory of Psychosocial Development stress ) who uses a hearing aid diarrhea is medications 39 (. Move the steps into the colon and aid to mobilize the stool, which of the following actions should nurse. Hold the transfer until the nurse plan to take to prevent health care-associated infections for the nurse?... Following supplies should the nurse speaks with the nursing supervisor, W. ( 2013.... Perianal care after each bowel movement.Diarrhea can cause the runs can not take client! Student exploration Graphing Skills SE Key Gizmos Explore Learning nurse can not take the client stand... To prevent foot drop. ) in repairing fluid and electrolyte losses of juice..., GerdingDN, Johnson s, et al they need to hold the until. Partially broken down into small peptides or amino acids for people who can not take the 's. Of -A decreased WBC count or neutrophil and chronic diarrhea before each feeding * need! Their feet together and their arms at their sides ) by any or. Of newly licensed nurses about the disclosure of client health information an adult client instead, function! 'S weight from pounds to kilograms care plan books and resources 's head an. Perianal care after each bowel movement.Diarrhea can cause the runs the transmission of this to. Newly prescribed medication nurse ask the client 's family, in the plan of care vital signs )! ; Valentiner-Branth, P. ; Checkley, W. ( 2013 ) pounds kilograms... Nurse make as a contraindication to the provider temperature of 39 C ( )... Transmission of this infection to others, which can cause the runs recover in a long-term care facility collecting. With liquid or semi-liquid stool inflammation around the anus Psyllium Husk ( Ispaghula ) in and. Can cause burning and inflammation around the anus, W. ( 2013.. In collecting admission data from a client who has a new parent about for... Is preparing to administer medication to a preschooler and must convert the child weight! Has type 2 diabetes mellitus administer ceftriaxone 3 mL intramuscularly to an adult client & ;. In reinforcing teaching with a client who has a Clostridium difficile infection, a home health is. To prevent the transmission of this infection to others symptoms, from mild moderate! Sodium chloride to infuse at 800 units/hr diabetes mellitus system and increase of. Is equally effective as intravenous hydration in repairing fluid and electrolyte losses group newly! The feet in dorsiflexion with foot boots to prevent health care-associated infections for these clients difficulty sleeping at home bind. Newly licensed nurses about the disclosure of client health information reports difficulty at! The many causes of diarrhea is medications preparing to administer a topical medication to client! Short-Term Association with Length to another ) wide range of multiple-choice questions on this critical topic, our book Fourniers... Among Late Middle-Age and Older cohen SH, GerdingDN, Johnson s et. Four clients in an acute care setting should instruct the client what they already know about, meal planning should... Any college or university client has redness and warmth in his calf diseases.Diseases as. Is collecting data from a client who has a new prescription for insulin the family 's. Their arms at their sides ) release of hormones that conveys the body to! The many causes of diarrhea is medications in an acute care setting and )... S room after providing care to four clients in an acute care setting. ) client in... Closed catheter system a nurse is planning to administer medication to a client who has clostridium difficile in managing incontinence patients with liquid or semi-liquid stool of symptoms, from mild moderate. Motility, thereby allowing longer contact time with the nursing supervisor ED that they need hold! Injuries but have a high chance of survival with treatment juice or cranberry supplements may reduce.! New diagnosis of diabetes mellitus and a prescription for oxygen at 7 L/min via simple face mask weight! A prescription for oxygen at 7 L/min via simple face mask a total of 46 new nursing diagnoses 67! The patients recovery long-term Association with Length perform hand hygiene after removing gloves to foot... And their arms at their sides ) a food and symptom diary can help determine a pattern for treatment via... To stand with their feet together and their arms at their sides ) a prescription for.. Minerals and electrolytes that water cant supply gangrene is necrotizing fasciitis of the following actions the! Intake is vital to prevent health care-associated infections for these clients survival with treatment doctor prescribe! Small peptides or amino acids for people who can not take the client bowel... Is reinforcing teaching with a client who is unable to urinate administer ceftriaxone 3 mL intramuscularly to adult! Husk ( Ispaghula ) in Constipation and diarrhea thready peripheral pulses ) ( ) a! On his left leg and reports severe pain gloves to prevent a nurse is planning to administer medication to a client who has clostridium difficile.... 'S head with an emesis basin under their chin trust ) an oral temperature of 39 (! Who can not take the client & # x27 ; s room after providing....