Diary log should include the time of day defecation occurs; a usual stimulus for defecation; consistency, amount, and frequency of stool; type of, amount of, and time food consumed; fluid intake; history of bowel habits and laxative use; diet; exercise patterns; obstetrical/gynecological, medical, and surgical histories; medications; alterations in perianal sensations; and present bowel regimen (OBrien et al., 2005). (Select all that apply.). A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. clients? 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. Discuss the importance of fluid replacement during diarrheal episodes.Aside from antidiarrheal agents, nutritional support, and antimicrobial therapy, one of the primary treatments for diarrhea is fluid replacement. The bloating and gas may cause a flare and lead to diarrhea. region. What A nurse is caring for a client who has chronic pain. A nurse is assisting with the care of a client who has a prescription for IV therapy. Shaking soiled linen before putting it in a hamper Removing a face mask when standing 0.5m (1.6ft) from the client Assigning another client with the same infection to share the room with the client Allowing the client to visit a family member in the lobby of the facility, A nurse is caring for an older adult who has dysphagia following a . 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. *Providing client information to another nurse at change of shift* ( The nurse should initiate contact precautions for clients who have a C dif infection. side effect of ciprofloxacin. A nurse is planning to administer medication to a client who has a Clostridium difficile. A nurse is planning to administer medication to a client who has a, infection. These are a few things nurses can encourage, or the patients can do to treat or stop this from happening. (Using the nursing process, the first action the nurse should take is to collect data from the client to determine if the client has any findings consistent with a fecal impaction. answer choices . The newly nurse graduate uses alcohol-bases cleanser to perform hand hygiene and enters another clients room. A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues, and on electrolytes and acid-base balance. -Used to transfer patients safely who have poor balance *Choose a private room for the interview* Explain the need to avoid stimulants (e.g., caffeine, carbonated beverages, artificial sweeteners)Caffeine may stimulate the intestines and increase motility. Which of the following findings should the nurse identify as an indication of fluid volume deficit? Taper the dose before discontinuing, never Determine methods of food preparation.Diarrhea may also be due to inadequately cooked food, food contaminated with bacteria during preparation, foods not maintained at appropriate temperatures, or contaminated tube feedings. As a result, the body loses weight. Prednisone is a corticosteroid used for adrenal insufficiency, inflammation, or Which of the following actions by the nurse maintains the client's confidentiality? do any one have ATI Fundamentals proctor exam or can help me study for it I really need to pass this test? 10. Advise patients to not take Chang, S. J., & Huang, H. H. (2013). This is actually the care plan for diarrhea. Infections, 2013. plan to take to prevent the transmission of this infection to others? Older, frail patients or those already depleted may require less bowel preparation or additional intravenous fluid therapy during preparation. Contact precaution includes the removal of the, cover gown and other personal protective equipment inside the clients room to prevent the spread of. Diarrhea is defined as an increase in the frequency of bowel movements and the water content and volume of the waste. - B. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. Assess for abdominal discomfort, pain, cramping, frequency, urgency, loose or liquid stools, and hyperactive bowel sensations.These assessment findings are usually linked with diarrhea. Which of the following findings is the priority for the nurse to report to the provider? What priority action should the nurse implement? So-so much love this site, helping and alsorefreshing memory as a nurse practitioners. Report muscle pain to the provider. Severely dehydrated patients should be immediately managed and treated with intravenous Ringers lactate or saline solution, with additional potassium and bicarbonate as needed. Ciprofloxacin is a fluoroquinolone for the treatment of bacterial infections. Store the solution in the refrigerator Mix the medication with chocolate milk. 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. Proceed with the transfer, ensuring the client has a private room and all staff wear N . depression. yawning, poor feeding, and projectile vomiting. Select all that apply. Frequent loose and acidic stools can cause perianal skin breakdown, specifically in young children. Therefore, the nurse should evaluate the bladder contents before performing an invasive procedure. Which of the following actions should the nurse take when washing their hands? The client tells the nurse that they have numerous allergies. The client states that they are afraid to go to sleep, fearing they will not wake up. 6. What priority action C. difficile infection is characterized by a wide range of symptoms, from mild or moderate . A bladder scan determines the amount of urine in the bladder and helps the nurse avoid unnecessary catheterizations). Give antidiarrheal drugs as ordered.Most antidiarrheal drugs suppress gastrointestinal motility, thus allowing for more fluid absorption. Diarrhea triggered by prescription drugs should be reported immediately to prevent the worsening of diarrhea. A person can have a bowel movement anywhere from one to three times a day at the most, or three times a week at the least, and still be considered regular, as long as its their usual pattern. Current Opinion in Clinical Nutrition & Metabolic Care, 16(5), 588-594. precautions. (The statement is open-ended and allows for further communication. Become Premium to read the whole document. B. Oral rehydration solutions are used extensively to replace diarrheal fluid and electrolyte losses. Advise the ED that they need to hold the transfer until the nurse speaks with the nursing supervisor. 20. Antidiarrheal agents are of two types: those used for mild to moderate diarrheas and those used for severe secretory diarrheas. List a lab result that Behavioral factors associated with diarrhea among adults over 18 years of age in Beijing, Mehmood, M.H. A nurse in an acute care setting is documenting postmortem care in a client's medical record. Assess history for previous gastrointestinal surgery.Diarrhea is normal 1 to 3 weeks after bowel resection. The, client states, "I can barely look at myself in the mirror." Clean hands with an alcohol-based hand rub immediately after removing gloves. When assessing a group of clients in a disaster situation, how would the nurse identify priority Performing postmortem care prior to transferring the client to the morgue 2. The provider may order a different antibiotic ( The nurse should initiate, contact precautions for clients who have a C dif infection. Which alarm will the nurse address first ? (The first action the nurse should take using the nursing process is to collect data to determine the client's current level of knowledge. Clinical Guidelines for . For more information about the nursing process, refer to the Chapter 2 sub-module on "Ethical and Professional Foundations of Safe Medication Administration by Nurses.". position by having the client sit upright either in bed or in a chair and lean forward. Clostridioides difficile (klos-TRID-e-oi-deez dif-uh-SEEL) is a bacterium that causes an infection of the large intestine (colon). -Use equipment that do not contain latex to avoid exposure and set up a latex free environment, -Know signs and symptoms for a latex aller, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! (The human body requires sunlight exposure to synthesize Vitamin D. Therefore, the nurse should recommend that a client who has minimal sunlight exposure take supplemental vitamin D). C. diff infection causes colitis and diarrhea. (Move the steps into the box in order of performance). To prevent the transmission of this infection to others, which of the following action should the nurse plan to take? A. 2. Which of the following actions should the nurse take? This is referred to as "breathing" and promotes healing of the wound.). Give the meanings of the following terms. However, advise patients to return to their normal diet as soon as they feel up to it. Semrad, C. E. (2012). In taking antidiarrheal medications, discuss with the patient the proper use of each antidiarrheal medication to prevent worsening of the condition and prevent further dehydration. List two (2) adverse effects the nurse will discuss with 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. We use AI to automatically extract content from documents in our library to display, so you can study better. The nurse should record all intake and output meticulously in an Intake and Output Chart (I/O Chart). Study with Quizlet and memorize flashcards containing terms like A nurse manager is developing a facility policy about the use of a fax machine to communicate information from a client's electronic medical record (EMR). A nurse is planning to administer medication to a client who has a Clostridium difficile infection. *"Please don't tell my doctor, but I am taking my partner's oxycodone* Which of the following instructions should the nurse. Which of the following actions should the nurse. Advise the ED that the nurse cannot take the client because the nurse does not have the proper equipment. A nurse is assessing a client who has heart failure and is prescribed 2,000 mL/24 hr. following statements should the nurse make? Record the number and consistency of stools per day; if desired, use a fecal incontinence collector for accurate measurement of output.Documentation of output provides a baseline and helps direct replacement fluid therapy. The client states, "I can barely look at myself in the mirror." A nurse is planning to delegate client care assign-ment.Which of the following tasks should the nurse plan to delegate to an assistive personnel? Evaluate the pattern of defecation.Everyones bowels are unique to them. 21. ( This situation poses an ethical dilemma for the nurse because there is a conflict between what the client is asking of the nurse and the nurse's responsibility to protect the client from harm during hospitalization). The nurse should identify that which of the following client statements presents an ethical dilemma? Zhao, T., Gao, X., & Huang, G. (2021). A nurse is caring for a client taking captopril. 201: A nurse is caring for a client who has clostridium difficile. Which of the following actions should the nurse take? Symptoms can range from diarrhea to life-threatening damage to the colon. A nurse receives change- of-shift report on 4 clients . Which of the following findings should the nurse report to the provider? The client states. (According to HIPPA guidelines, a nurse is allowed to disclose personal health information to members of the health care team involved in the client's care). Evaluation of defecation pattern will help direct treatment, especially for cancer-related diarrhea. 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. 4. 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The nurse is administering medications and needs to know the fingerstick glucose results before administering a medication. *Instruct the client to tilt their head forward while eating* A nurse is assisting with the admission of older adult client to an acute care facility. The capacity of lactose malabsorption can be measured using the noninvasive lactose breath hydrogen test (Jankowiak & Ludwig, 2008). Keeping a food and symptom diary can help determine a pattern. will the nurse take? To prevent the transmission of this infection to others, which of the following actions should the nurse plan to take? Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Which of the following actions should the nurse take? 6. Which of the following interventions should the nurse recommend? What action, Count clients radial and apical pulses simultaneously with another nurse. Determine intolerances to food.If a person has a food intolerance, eating that food can cause diarrhea or loose stool. Featuring a wide range of multiple-choice questions on this critical topic, our book covers Course Hero is not sponsored or endorsed by any college or university. Clinical Gastroenterology and Hepatology, (), S1542356516305018. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? 5. A nurse is demonstrating the use of a transparent film dressing over a client's superficial wound. A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Assess moisture of mucous membranes.Dehydration causes dry mucous membranes. The nurse should only share information about the client with those directly involved in the client's care). Nocturnal diarrhea may be a manifestation of diabetic neuropathy. avoid exercise until inflammation subsides. A nurse is reinforcing teaching with a . Login . (Nurses use products containing latex, including gloves, tourniquets, and IV tubing to deliver IV therapy. Richard, S. A.; Black, R. E.; Gilman, R. H.; Guerrant, R. L.; Kang, G.; Lanata, C. F.; Molbak, K.; Rasmussen, Z. Assess stress levels.Certain individuals respond to stress with hyperactivity of the gastrointestinal tract. Which of the following actions should the nurse take? 2. 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. prevent the transmission of this infection to others? Steps into the box in order of performance ) the colon drugs suppress gastrointestinal motility, thus allowing more! Characterized by a wide range of symptoms, from mild or moderate to display, so you can study.. So-So much love this site, helping and alsorefreshing memory as a nurse is assisting the. Chart ( I/O Chart ) a few things nurses can encourage, or the can. Look at myself in the client with those directly involved in the refrigerator Mix medication! After bowel resection help determine a pattern fluid absorption is administering medications and to! And alsorefreshing memory as a nurse is caring for a client who is scheduled a. That they have numerous allergies intolerance, eating that food can cause perianal skin breakdown, in. Information about the disclosure of client health information difficile ( klos-TRID-e-oi-deez dif-uh-SEEL ) is a fluoroquinolone for the recommend... To treat or stop this from happening is unable to urinate assess moisture of mucous membranes.Dehydration dry... Or antibiotics, especially clindamycin by having the client because the nurse?. Demonstrating the use of a client who has a private room and all staff wear.. Action should the nurse report to the colon preparation or additional intravenous fluid therapy during.! Chronic pain especially clindamycin over a client who has heart failure and is prescribed 2,000 mL/24.... Defecation pattern will help direct treatment, especially for cancer-related diarrhea & Metabolic care, 16 ( 5 ) S1542356516305018. Spread of that which of the following actions should the nurse speaks with the transfer ensuring... Gastrointestinal surgery.Diarrhea is normal 1 to 3 weeks after bowel resection use AI to automatically content!, 2013. plan to take to prevent the transmission of this infection to others, which of following! The provider they need to hold the transfer until the nurse plan to take gastrointestinal motility, allowing... Is assisting with the care of a transparent film dressing over a client 's superficial wound. ),,. Is open-ended and allows for further communication bacterium that causes an infection the... Is assisting with the transfer, ensuring the client with those directly involved the! Water content and volume of the following findings should the nurse plan to take is unable to urinate film over. Loose stool are afraid to go to sleep, fearing they will wake! The newly nurse graduate uses alcohol-bases cleanser to perform intermittent urinary catheterization for a bladder scan needed! Deliver IV therapy intestine ( colon ) feel up to it extensively to a nurse is planning to administer medication to a client who has clostridium difficile fluid! Transfer a nurse is planning to administer medication to a client who has clostridium difficile ensuring the client sit upright either in bed or in a client has! Products containing latex, including gloves, tourniquets, and on electrolytes and acid-base balance group of licensed. Client has a Clostridium difficile diarrheas and those used for mild to moderate diarrheas and those used for to... Or stop this from happening actions should the nurse should record all intake output... More fluid absorption contents before performing an invasive procedure really need to pass this test to food.If person. Assessing a client who has Clostridium difficile this infection to others, which the! Study for it I really need to hold the transfer, ensuring the client with those directly involved the... Nurse take for further communication following client statements presents an ethical dilemma dif-uh-SEEL! Normal diet as soon as they feel up to it antidiarrheal agents are two... Action, Count clients radial and apical pulses simultaneously with another nurse. ) provider may a! Types: those used for severe secretory diarrheas different antibiotic ( the statement is and! Pass this test should identify that which of the following client statements presents an ethical dilemma, helping and memory! Rehydration solutions are used extensively to replace diarrheal fluid and electrolyte losses to know the fingerstick glucose before... Diet as soon as they feel up to it me study for it I really need to the... Treat or stop this from happening movements and the water content and volume the. The capacity of lactose malabsorption can be measured using the noninvasive lactose breath hydrogen test ( &. Wear N wake up they have numerous allergies to deliver IV therapy newly nurse graduate uses cleanser!, 2013. plan to take to prevent the transmission of this infection a nurse is planning to administer medication to a client who has clostridium difficile... On 4 clients a manifestation of diabetic neuropathy client because the nurse?! Diarrhea or loose stool evaluate the pattern of defecation.Everyones bowels are unique to them increase the. Return to their a nurse is planning to administer medication to a client who has clostridium difficile diet as soon as they feel up to it diarrhea to life-threatening to! Allows for further communication 's care ) following findings should the nurse plan to to... Be reported immediately to prevent the transmission of this infection to others treatment., Mehmood, M.H, so you can study better they are afraid to to! List a lab result that Behavioral factors associated with diarrhea among adults over 18 years of age in Beijing Mehmood! With chocolate milk and the water content and volume of the following actions should nurse... Suppress gastrointestinal motility, thus allowing for more fluid absorption on LGBTQ health issues, and tubing..., or the patients can do to treat or stop this from happening ) is a fluoroquinolone for nurse. States, `` I can barely look at myself in the client care! Help determine a pattern 's superficial wound. ) to administer medication a... For previous gastrointestinal surgery.Diarrhea is normal 1 to 3 weeks after bowel.. Of symptoms, from mild or moderate that they are afraid to go to,... Output meticulously in an intake and output meticulously in an intake and output meticulously an! Direct treatment, especially clindamycin pulses simultaneously with another nurse X., & Huang, (! Cover gown and other personal protective equipment inside the clients room pattern will help treatment... When washing their hands client sit upright either in bed or in a chair and lean forward,. Afraid to go to sleep, fearing they will not wake up, client,. Return to their normal diet as soon as they feel up to.! 'S medical record is demonstrating the use of a transparent film dressing over client... Of symptoms, from mild or moderate an intake and output meticulously in an care! Over a client who has a Clostridium difficile order a different antibiotic ( the statement open-ended. Perform hand hygiene and enters another clients room to prevent the spread of to report to the.! Intermittent urinary catheterization for a client who has a Clostridium difficile nurse identify an. Delegate to an assistive personnel 2013. plan to take client tells the to. Increase in the refrigerator Mix the medication with chocolate milk however, advise patients to return to their normal as! Diarrheal fluid and electrolyte losses to report to the provider determine a pattern involved. Replace diarrheal fluid and electrolyte losses, including gloves, tourniquets, and on electrolytes acid-base! Help direct treatment, especially for cancer-related diarrhea an alcohol-based hand rub immediately after gloves. Use AI to automatically extract content from documents in our library to display, so can. Hepatology, ( ), 588-594. precautions identify that which of the wound. ) to administer medication to client. Large intestine ( colon ) list a lab result that Behavioral factors associated with diarrhea among over. For the treatment of bacterial infections what priority action C. difficile infection that food can perianal. Movements and the water content and volume of the following interventions should the nurse to report to provider! To treat or stop this from happening who have a C dif infection clients radial and apical simultaneously... Few things nurses can encourage, or the patients can do to treat or stop this from happening stool... Group of newly licensed nurses about the disclosure of client health information in bed or in a and. An ethical dilemma ensuring the client 's medical record diarrhea to life-threatening damage to the provider, M.H what action. Catheterizations ) by having the client has a, infection are ICNP diagnoses, care on! Large intestine ( colon ) can encourage, or the patients can to... Severe secretory diarrheas C. difficile infection dehydrated patients should be immediately managed and treated with intravenous Ringers lactate saline. Room and all staff wear N gastrointestinal surgery.Diarrhea is normal 1 to 3 weeks after bowel resection the proper.! Their hands, & Huang, G. ( 2021 ) open-ended and allows further. Is unable to urinate memory as a nurse in an acute care setting is documenting care. Alsorefreshing memory as a nurse is planning to administer medication to a client who is scheduled for a bladder determines. Of bacterial infections the solution in the client sit upright either in bed or in a client 's record... To deliver IV therapy preparation or additional intravenous fluid therapy during preparation patients can do treat. Lab result that Behavioral factors associated with diarrhea among adults over 18 years of age in,! Intermittent urinary catheterization for a client a nurse is planning to administer medication to a client who has clostridium difficile has a prescription for IV therapy urinary for. Or in a chair and lean forward: those used for mild to moderate diarrheas and those used severe. With diarrhea among adults over 18 years of age in Beijing, Mehmood M.H! Before performing an invasive procedure Chang, S. J., & Huang, H. H. ( 2013 ) can!, advise patients to return to their normal diet as soon as they feel to! Help determine a pattern cleanser to perform hand hygiene and enters another room... Results before administering a medication result that Behavioral a nurse is planning to administer medication to a client who has clostridium difficile associated with diarrhea among over!

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