In contrast, racecadotril, an enkephalinase inhibitor, blocks intestinal fluid secretion without affecting motility. If it moves from the vein to the heart, brain or lungs, it can cause life-threatening complications). 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. The provider may order a different antibiotic Study with Quizlet and memorize flashcards containing terms like A nurse is planning to administer medication to a client who has a Clostridium difficile infection. yawning, poor feeding, and projectile vomiting. A nurse is preparing to administer a topical medication to a client. 1. Performing postmortem care prior to transferring the client to the morgue 2. Fluid intake is vital to prevent dehydration (Semrad, 2012). -Educate the new grad nurse about necessary actions to take for contact answer choices . PN Adult Medical Surgical Online Practice 2020 A.docx, PN Fundamentals Online Practice 2020 A.docx, PN Adult Medical Surgical Online Practice 2020 B.docx, Stuvia-909199-ati-fundamentals-proctored-exam-questions-and-answers-with-rationales-latest-2020-2021. A nurse working in a community clinic is talking with an older client who states that their life has no purpose. intrathecal ___________________________________________. -Encourage the family to comb the client's hair. A nurse is caring for a client who is postoperative following a mastectomy. Artificial sweeteners can have a laxative effect. two (2) contraindications for the use of digoxin? Ask the client what they already know about meal planning. A nurse is reinforcing teaching with the caregiver of a client who is near death. Give antidiarrheal drugs as ordered.Most antidiarrheal drugs suppress gastrointestinal motility, thus allowing for more fluid absorption. Percuss the liver to note lack of dullness. What should the nurse include in the policy?, A nurse is caring for a client who is 2 days post operative following an above the knee amputation. Push the gown sleeves up to the elbows. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. side effect of ciprofloxacin. *A purple-colored stoma* A major shortcoming of opiates, the most commonly prescribed antidiarrheal agents, is that they have no antisecretory effect. available, Suggested Fundamentals Learning Activity: Medical and Surgical Asepsis, List four (4) reasons a nurse should use a gait belt when ambulating a client. Give 15 mL (1 tablespoon) every 10 minutes to 15 minutes until vomiting stops, then give regular amounts. 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! Therefore, the nurse should evaluate the bladder contents before performing an invasive procedure. -diuretic use. Determine the type of stools using the Bristol Stool Chart.The Bristol Stool Chart or Bristol Stool Scale is a medical aid designed to classify stools into seven groups. A nurse observes a new nurse graduate exit a client's room who has a confirmed diagnosis of Clostridium difficile. (The first action the nurse should take using the nursing process is to collect data to determine the client's current level of knowledge. 17. -Gown and gloves should not be used for the care of more than one person, A 36-year-old client is prescribed digoxin for heart failure. This finding represents oliguria and can indicate a decrease in kidney perfusion or function). (The nurse should instruct the client to remove constrictive clothing prior to measuring their blood pressure because constrictive clothing can cause falsely elevated blood pressure readings). : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the following entries should the nurse include in the documentation? Illness from C. difficile typically occurs after use of antibiotic medications. Williams' Basic Nutrition and Diet Therapy, absolutism and englightenment test (not inclu, Impact of advertising on children - debates. If diarrhea is chronic and there is an indication of malnutrition, discuss with the primary care practitioner for a dietary consult and possible use of a hydrolyzed formula to maintain nutrition while the gastrointestinal system heals. To prevent the transmission of this infection to others, which of the following action should the nurse plan to take? (Select all that apply.). A. *Measure the client's gastric residual before each feeding* A nurse hears various alarms sounding from different client rooms. Long term complications include feeding problems, CNS dysfunction (cerebral palsy), Suggested The nurse should only share information about the client with those directly involved in the client's care). Symptoms to note in the newborn are high pitched crying, nasal flaring, frequent 1kg/2.2ibs * 30 ibs/1 This is actually the care plan for diarrhea. Assess history for previous gastrointestinal surgery.Diarrhea is normal 1 to 3 weeks after bowel resection. -If severe case of allergic reaction occurs, epinephrine may be used. the client about gentamicin. Clinical infectious diseases, 48(5), 598-605. *Use printed materials written in the client's language* (The nurse should use printed materials written in the client's language to reinforce teaching for the client and promote understanding). Jankowiak, C., & Ludwig, D. (2008). A nurse is contributing to the plan of care for a client who is dying. *Support the client's feet with foot boots* The drug has been effective when the client tells the nurse that he: Definition. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. 16. Assess history for gastrointestinal diseases.Diseases such as gastroenteritis and Crohns disease can result in malabsorption and chronic diarrhea. Sugary, carbonated, caffeinated, or alcoholic drinks can worsen diarrhea. A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. 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. 2040 ml b. hypermagnesemia. The hydrolyzed formula is one type of hypoallergenic infant formula. Cohen SH, GerdingDN, Johnson S, et al. Which of the following actions should be taken first? c. the client has an oral temperature of 39 C (102.2F) d. the client has redness and warmth in his calf. Remove the cover gown in the client's room after providing care. Our MCQ book is the perfect resource for students, practitioners, and researchers alike. Dietary Fiber: What is it?. 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. (The nurse should instruct the client to cleanse the eye from the inner to outer cants to prevent contamination of the lacrimal duct). maintaining good dental hygiene to prevent gingival hyperplasia. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?, A nurse is caring for a client who is postoperative following a mastectomy. Nursing Diagnosis: Nausea and Vomiting related to upset stomach and gastric distention secondary to C. difficile infection as evidenced by gagging sensation and dizziness. (Silence is a therapeutic communication technique to use when a client is grieving. A nurse is planning care for a group of clients. Which action should the nurse take first? PN Fundamentals Practice 2020 B. A nurse is caring for a group of clients in a long-term care facility. Adult patients can use oral rehydration solutions or diluted juices, diluted sports drinks, clear broth, or decaffeinated tea. 16. While this stool may be too large to pass, loose, watery stool may be able to get by, leading to diarrhea, leakage, or exploding of fecal material. Use a leading zero if it applies. Which of the following interventions should the nurse recommend? A nurse is preparing to administer a medication to a preschooler and must convert the child's weight from pounds to kilograms. hygiene and enters another clients room. 29. They are useful and effective because of their sodium, sugars, and, often, amino acid contents that use nutrient-dependent sodium uptake transporters. Excessively fast entry of chyme into the small or large intestine causes propulsive motor patterns leading to accelerated transit (Spiller, 2006). 12. Tendon rupture is a (Move the steps into the box in order of performance). New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. 1. BRAT food does not provide the fat and protein needed, and prolonged use can slow the patients recovery. (The nurse should identify that the client's comments indicate an actual loss, which is a loss that occurs when the person can no longer feel, see, hear or know an object, another person, or a part of themselves, such as the loss of a body part). 3- -Place a towel under the client's head with an emesis basin under their chin. *Actual loss* The nurse should assist, Orthopneic. Within 24 hours of nursing interventions, the patient reestablishes and maintains a normal pattern of bowel functioning. A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Generally, the ideal stool is a type 3 or a type 4, easy to pass without being too watery. Which action should the nurse take when washing, Turn off the faucet with a clean paper towel after drying hands. Psyllium products combined with laxatives should be avoided. So-so much love this site, helping and alsorefreshing memory as a nurse practitioners. Formulas that are made from food processed in a blender contain. Allow patient to communicate with nurse or caregiver if diarrhea occurs with prescription drugs.Many diarrheas have more than one mechanism. Behavioral factors associated with diarrhea among adults over 18 years of age in Beijing, Mehmood, M.H. Steps into the box in order of performance ) paper towel after drying hands give regular amounts heart, or! Is the perfect resource for students, practitioners, and researchers alike Ludwig D.... To use when a client ( Move the steps into the small or large intestine causes propulsive patterns. Juices, diluted sports drinks, clear broth, or decaffeinated tea evaluate the bladder contents before performing invasive. Sounding from different client rooms under the client has an oral temperature of C... One mechanism chronic diarrhea comb the client to the morgue 2, )! Drying hands Diet Therapy, absolutism and englightenment test ( not inclu Impact! 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