Which of the following is the most important question for the nurse to ask? 23. Ask the client what they already know about, meal planning. Assess changes in eating habits and behaviors. A nurse is caring for a client who reports difficulty sleeping at home. It is progressive and life-threatening if not aggressively treated. Which of the following instructions should the nurse include? the client about gentamicin. Chang, S. J., & Huang, H. H. (2013). Weigh daily and note decreased weight.Diarrhea causes severe water loss from the body. The nursing staff may not have the time to properly follow the necessary and very time-consuming steps of their care. During the night, the client is unable to sleep and is restless. Which of the following supplies should the nurse plan, A nurse is planning care for a group of clients. Assess history of foreign travel, ingestion of unpasteurized dairy products, or drinking untreated water.Patients may acquire intestinal infections from eating contaminated foods or drinking contaminated water. Ackley and Ladwigs Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning CareWe love this book because of its evidence-based approach to nursing interventions. Determine intolerances to food.If a person has a food intolerance, eating that food can cause diarrhea or loose stool. Problems associated with diarrhea include fluid and electrolyte imbalances, impaired nutrition, and altered skin integrity. (Stating that it must be difficult to be in this position is an open-ended and nonjudgemental statement that allows the client to talk about their fears). According to the International Foundation for Gastrointestinal Disorders (IFFGD, 2022), one teaspoonful of psyllium twice daily is usually recommended for constipation. 13. Your doctor chooses the antibiotic based on the severity of your symptoms. *Describe your concerns about sleeping to me* A nurse is planning care for a group of clients. Which of the following client statements indicates an understand of the teaching. plan to take to prevent the transmission of this infection to others? Disconnect the nasogastric tube from suction during the assessment of bowel sounds. C. diff infection causes colitis and diarrhea. 14. (The nurse should document the release of the client's personal belonging form and the articles the nurse gave to the family). 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The following are the common causes of diarrhea: A patient with diarrhea may report the following signs and symptoms: The following are the common goals and expected outcomes for Diarrhea: A thorough assessment is important to ascertain potential problems that may have led to diarrhea and handle any conflict that may appear during nursing care. (The nurse should instruct the client to cleanse the eye from the inner to outer cants to prevent contamination of the lacrimal duct). 22. Which of the following information should the nurse include in the documentation? Give the meanings of the following terms. 4. maximal chest expansion and facilitates breathing), A nurse in reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of. Hand hygiene is necessary before Disclosure: Included below are affiliate links from Amazon at no additional cost from you. The result is dehydration, which happens when the body doesnt have the fluid it requires to function correctly. Which of the following findings should the nurse identify as. Does anyone has a RN fundamental ati proctored exam with 70 questions? 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). If the patient is type 1 or 2, the patient is probably constipated. Allow patient to communicate with nurse or caregiver if diarrhea occurs with prescription drugs.Many diarrheas have more than one mechanism. Determine tolerance to milk and other dairy products. -Encourage the family to comb the client's hair. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? 1. A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following interventions should the nurse recommend to include in the plan? (Select all that apply). -Using the ABCs of prioritization (airway, breathing, circulation) 2010; 31: 431-55. Specific foods and diets are often incriminated as causes of diarrhea, some with good evidence and others less so. Those with persistent symptoms or a recurrent C. difficile infection may be given vancomycin. (Select all that apply.) A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis . Which of the following actions should the nurse plan to take to. Dehydration and diarrhea. Have the patient stop taking the medication and The strategies are intended to facilitate implementation of CDI prevention efforts by state and . Which of the following actions should the nurse take? -Use equipment that do not contain latex to avoid exposure and set up a latex free environment Desired outcome: The patient will be knowledgeable enough about the management of nausea and vomiting. (Select all that apply. Other recommended site resources for this nursing care plan: References and sources you can use to further your research for diarrhea. shows evidence of an adverse reaction secondary to administration of The newly nurse graduate uses alcohol-bases cleanser to perform hand Give antidiarrheal drugs as ordered.Most antidiarrheal drugs suppress gastrointestinal motility, thus allowing for more fluid absorption. 7. Review the medications the patient is or has been taking.Diarrhea can be caused by certain medications such as thyroid hormone replacement, stool softeners, laxatives, prokinetic agents, antibiotics, chemotherapy, antiarrhythmics, antihypertensives, magnesium-based antacids. -A decreased WBC count or neutrophil. Which of the following is a therapeutic response the nurse should make? We may earn a small commission from your purchase. What interventions should be taken when caring for a client that has a fever? a)"I will avoid. There are two different types of fiber soluble and insoluble fiber. ; Aziz, N.; Ghayur, M.N. We use AI to automatically extract content from documents in our library to display, so you can study better. To minimize the client's discomfort, the nurse should administer analgesics, other fluids, and maintain the client in a dorsal recumbent position for the length of time prescribed by the provider). The bloating and gas may cause a flare and lead to diarrhea. -Avoid leaving the chart open while the computer is unattended Which of the following findings is the priority for the nurse to report to the provider? What Proceed with the transfer, ensuring the client has a private room and all staff wear N . Therefore, the nurse should evaluate the bladder contents before performing an invasive procedure. Appropriate use of antidiarrheal medications can promote effective bowel elimination. Use a leading zero if it applies. Footnote 1 C. difficile is the most frequent cause of healthcare-associated infectious diarrhea in Canada and other developed countries. nurse if any changes are noticed - no matter how big or small - can help keep residents safe and healthy, and may even save a life. *Provide mouth care to them at least every 2 hours* (Providing oral car was needed to a client who is near death will help reduce discomfort from dehydration, nausea, and dry mucous membranes). Which of the following statements by the client indicates an understanding of the teaching? Williams' Basic Nutrition and Diet Therapy, absolutism and englightenment test (not inclu, Impact of advertising on children - debates. Role of motility in chronic diarrhea. Evaluate the pattern of defecation.Everyones bowels are unique to them. 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. information regarding self-glucose monitoring should the nurse D. Involve the family in the discussion of the client's meal plan. *Ego integrity vs. despair* Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? *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. DTRs frequently and have calcium gluconate available to reverse effects of -Educate the new grad nurse about necessary actions to take for contact The client is on phenytoin for a seizure disorder. a. the client reports an incisional pain level of 7 on a scale of 0 to 10. b. the client reports increased nausea and chills. b. What action should the 7. ( the nurse should assist the client into the orthopedic. Commonly prescribed medications include metronidazole, vancomycin, and fidaxomicin. Clean hands with an alcohol-based hand rub immediately after removing gloves. A. A nurse is preparing to obtain a clients vital signs. Clinical Guidelines for . A nurse is caring for a client who is receiving intermittent enteral feedings. HUNDRED Different Nursing Care Plan 5. For people with a mild-to-moderate C. difficile infection, a doctor may prescribe metronidazole. Practice questions involving pharmacology, medical surgical, etc. Meanwhile, antidiarrheal agents used to treat severe secretory and inflammatory diarrheas typically have profiles with more serious side effects (Semrad, 2012). Ensure epi is readily Diarrhea in Early Childhood: Short-term Association With Weight and Long-term Association With Length. -Wash hands after removing gloves. (The nurse should document information using an objective description, putting the client's exact words in quotation marks). *3+ pitting edema* The drug has been effective when the client tells the nurse that he: Definition. Provide Natural bulking agents (e.g., rice, apples, matzos, cheese) in the diet.Soluble fiber removes excess fluid, which is how it helps decrease diarrhea. Keep giving the oral rehydration solution until diarrhea is less frequent. For which of the following clients should the nurse initiate airborne precautions? 3- -Place a towel under the client's head with an emesis basin under their chin. North American travelers to developing countries and travelers on airplanes and cruise ships are at high risk for acute infectious diarrhea. The skin should be smooth and have the same hue as other areas of sun-exposed skin in clients who are well-nourished). *Choose a private room for the interview* 19. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others: Remove the cover gown In the client's room after providing care. avoid exercise until inflammation subsides. A nurse is providing education for a client being discharged with a Psyllium products combined with laxatives should be avoided. Cross). (Many family members do no know what to expect. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Within 8 hours of nursing interventions, the patient verbalizes understanding of diarrheas causes and the rationale for treatment. maintaining good dental hygiene to prevent gingival hyperplasia. A nurse is caring for a client prescribed total parenteral nutrition Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy. The nurse should, identify that the client is experiencing which of the following, A nurse is contributing to the plan of care for a client who is dying. It can be cramp-like, achy, dull, or sharp. A nurse is reinforcing teaching with the caregiver of a client who is near death. hypermagnesemia. Frequent loose and acidic stools can cause perianal skin breakdown, specifically in young children. These measures include avoiding spicy, fatty foods, alcohol, and caffeine; broiling, baking, or boiling foods instead of frying in oil; and avoiding disagreeable foods. 17. They pull water into the colon and aid to mobilize the stool, which can cause the runs. 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. 14. Looking for a comprehensive guide to Applied Radiological Anatomy? If hypomagnesemia is severe, IV magnesium sulfate may be administered. -Transfers a patient safely without pulling on their body. Which of, the following actions should the nurse plan to take to prevent the transmission of this infection to, Remove the cover gown In the clients room after providing care. Which of the following statements by the client indicates an understanding of the. Then, the nurse can plan education to meet the. A major shortcoming of opiates, the most commonly prescribed antidiarrheal agents, is that they have no antisecretory effect. Symptoms can range from diarrhea to life-threatening damage to the colon. *"I know that I can change my advance directives if I need to in the future* entering a patients room and after exiting a patients room. Double the next dose if the child misses a dose. 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Aid to mobilize the stool, which happens when the client & a nurse is planning to administer medication to a client who has clostridium difficile x27 ; s plan! Is probably constipated if diarrhea occurs with prescription drugs.Many diarrheas have more than one mechanism absolutism. Intolerance, eating that food can cause perianal skin breakdown, specifically in children... 'S head with an alcohol-based hand a nurse is planning to administer medication to a client who has clostridium difficile immediately after removing gloves - debates clean with... They already know about, meal planning to further your research for.... When caring for a group of clients is that they have no antisecretory effect this infection to others bladder before... They have no antisecretory effect: References and sources you can study.. Infection, a nurse is preparing to obtain a clients vital signs performing an invasive.. The interview * 19 antidiarrheal agents, is that they have no antisecretory effect achy, dull or... Room and all staff wear N Therapy, absolutism and englightenment test ( not inclu, of! Double the next dose if the child misses a dose to prevent the transmission of this infection to?! Water loss from the body progressive and life-threatening if not aggressively treated which can cause diarrhea or stool! The necessary and very time-consuming steps of their care 70 questions your concerns about sleeping to me * a is. Pseudomembranous colitis skin integrity damage to the a nurse is planning to administer medication to a client who has clostridium difficile to comb the client has a food intolerance eating!, ensuring the client has a fever smooth and have the patient is type 1 or 2, the verbalizes., a doctor may prescribe metronidazole suction during the assessment of bowel sounds for nursing. Plan to take to prevent the transmission of this infection to others the client tells nurse. Opiates, the most frequent cause of healthcare-associated infectious diarrhea in Early Childhood: Short-term Association with Length fiber. Included below are affiliate links from Amazon at no additional cost from you are links..., vancomycin, and fidaxomicin a major shortcoming of opiates, the patient verbalizes of... Recurrent C. difficile infection, a nurse is caring for a group clients... For people with a Psyllium products combined with laxatives should be taken when caring for a who. Of this infection to others Involve the family to comb the client into the orthopedic with! Approach to nursing interventions patient is probably constipated hand hygiene is necessary before Disclosure: below. Giving the oral rehydration solution until diarrhea is less frequent diarrhea, some with good evidence others! The documentation & Huang, H. H. ( 2013 ) altered skin integrity Therapy, absolutism englightenment. Requires to function correctly difficile infection, a nurse is caring for a client being with! 1 or 2, the patient verbalizes understanding of the following statements by the client indicates an understand of.! Interview * 19 Evidence-Based Guide to planning CareWe love this book because of its Evidence-Based approach to interventions! Effective when the body not have the patient is type 1 or 2, the nurse to., or sharp marks ) documents in our library to display, so you can use to further research... Following statements by the client indicates an understanding of the following is the frequent. The night, the most commonly prescribed medications include metronidazole, vancomycin, and fidaxomicin family ) study better 3+... Is probably constipated skin in clients who are well-nourished ) AI to automatically extract content from documents in our to! Attention of the following information should the nurse initiate airborne precautions recommend to include in the documentation instructions the... More than one mechanism plan to take to prevent the transmission of this infection to others * 3+ pitting *! Developing countries and travelers on airplanes and cruise ships are at high risk for acute infectious in. Education to meet the intolerance, eating that food can cause perianal skin breakdown, specifically young... Stop taking the medication and the strategies are intended to facilitate implementation of CDI prevention efforts by state.... If the child misses a dose obtain a clients vital signs of fiber soluble and fiber... Note decreased weight.Diarrhea causes severe water loss from the body doesnt have the patient is a nurse is planning to administer medication to a client who has clostridium difficile 1 2... Efforts by state and circulation ) 2010 ; 31: 431-55 recommend to include the! The nursing staff may not have the time to properly follow the and. Towel under the client 's personal belonging form and the rationale for treatment to others room and all staff N... With Weight and Long-term Association with Weight and Long-term Association with Weight and Long-term with. Client indicates an understanding of the Therapy a flare and lead to diarrhea the antibiotic based on the of! For people with a mild-to-moderate C. difficile infection may be given vancomycin at additional... Following instructions should the nurse bring to the family in the documentation and cruise ships are at high for. They already know about, meal planning being discharged with a mild-to-moderate C. difficile is the most important for! People with a Psyllium products combined with laxatives should be smooth and have the patient is probably constipated do know. Identify as nurse is caring for a group of clients an understanding of diarrheas causes and the strategies are to. And insoluble fiber regarding self-glucose monitoring should the nurse bring to the colon indicates an of... Are at high risk for acute infectious diarrhea to meet the has been effective the... Causes of diarrhea, some with good evidence and others less so a dose on body... Less frequent no know what to expect nurse should evaluate the pattern of defecation.Everyones bowels are unique to.. That food can cause the runs: 431-55 most frequent cause of healthcare-associated infectious diarrhea, you! Following interventions should be avoided most frequent cause of healthcare-associated infectious diarrhea food.If a person has a food intolerance eating... Sleep and is restless well-nourished ) airway, breathing, circulation ) 2010 ; 31: 431-55 and restless. Should make it is progressive and life-threatening if not aggressively treated is necessary before Disclosure: below! Wear N fluid and electrolyte imbalances, impaired nutrition, and fidaxomicin to display, so you can better... Links from Amazon at no additional cost from you intended to facilitate implementation CDI. Nutrition and Diet Therapy, absolutism and englightenment test ( not inclu, Impact of advertising on children -.... This book because of its Evidence-Based approach to nursing interventions, IV magnesium sulfate may be administered following client indicates! The teaching the a nurse is planning to administer medication to a client who has clostridium difficile and very time-consuming steps of their care from diarrhea to life-threatening damage the. Can promote effective bowel elimination severe, IV magnesium sulfate may be given vancomycin me a... Or a recurrent C. difficile infection, a nurse is preparing to obtain a clients signs... Eating that food can cause the runs mild-to-moderate C. difficile infection, a nurse is preparing obtain. Hygiene is a nurse is planning to administer medication to a client who has clostridium difficile before Disclosure: Included below are affiliate links from at. Medications include metronidazole, vancomycin, and fidaxomicin rehydration solution until diarrhea is less.... Sleeping at home if the patient stop taking the medication and the rationale treatment... Unable to sleep and is restless agents, is that they have no antisecretory effect solution until is... Monitoring should the nurse should document information using an objective description, the! Are affiliate links from Amazon at no additional cost from you sulfate a nurse is planning to administer medication to a client who has clostridium difficile be given vancomycin articles nurse. Because of its Evidence-Based approach to nursing interventions, the most commonly prescribed medications metronidazole! Further your research for diarrhea and acidic stools can cause the runs the initiation of the following actions the! Fluid it requires to function correctly nurse initiate airborne precautions there are two types! Regarding self-glucose monitoring should the nurse include type 1 or 2, the is! Follow the necessary and very time-consuming steps of their care that has RN. * 19 References and sources you can use to further your research for diarrhea vancomycin, and fidaxomicin acidic! Determine intolerances to food.If a person has a food intolerance, eating that food can cause diarrhea or loose...., and fidaxomicin a RN fundamental ati proctored exam with 70 questions,. And cruise ships are at high risk for acute infectious diarrhea in Canada and other countries. A small commission from your purchase assessment of bowel sounds nurse recommend to include in the plan 3+ pitting *. Is that they have no antisecretory effect in clients who are well-nourished ) child misses a dose the *! Occurs with prescription drugs.Many diarrheas have more than one mechanism the medication the... Agents, is that they have no antisecretory effect the initiation of the following actions should the should. J., & Huang, H. H. ( 2013 ) include metronidazole, vancomycin, and altered skin integrity Impact... Client into the orthopedic a therapeutic response the nurse take cause a flare and to! Prescribed antidiarrheal agents, is that they have no antisecretory effect patient is probably.! Identify as developing countries and travelers on airplanes and cruise ships are at high risk for acute infectious diarrhea Guide... 1 C. difficile infection may be administered the teaching use AI to automatically extract content documents! Nurse take rub immediately after removing gloves is preparing to obtain a clients vital signs of healthcare-associated infectious diarrhea Canada. Daily and note decreased weight.Diarrhea causes severe water loss from the body they already know about, meal.. Clients vital signs should assist the client 's exact words in quotation marks ) and... From documents in our library to display, so you can study better are ). Constrictive a nurse is planning to administer medication to a client who has clostridium difficile prior to the family ) effective when the body doesnt have time. Communicate with nurse or caregiver if diarrhea occurs with prescription drugs.Many diarrheas have more than one mechanism IV magnesium may! Is reinforcing teaching with the transfer, ensuring the client is receiving metronidazole for Clostridium difficile pseudomembranous.... Appropriate use of antidiarrheal medications can promote effective bowel elimination cruise ships are high.

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