a nurse is planning to administer medication to a client who has clostridium difficilea nurse is planning to administer medication to a client who has clostridium difficile

A nurse is caring for a client who is receiving intermittent enteral feedings. A nurse is reinforcing teaching with a . -Using the ABCs of prioritization (airway, breathing, circulation) Store the solution in the refrigerator Mix the medication with chocolate milk. teaching points about this medication that the nurse should discuss *Take vitamin D supplements* will the nurse take? -Clean the stethoscope with an antimicrobial wipe after obtaining vital signs. two (2) contraindications for the use of digoxin? Assess for other signs of dehydration.Signs of dehydration include thirst, urinating less frequently than normal, dark-colored urine, dry mouth and tongue, feeling tired, sunken eyes or cheeks, lightheadedness or fainting, and a decreased skin turgor. Schiller, L. R., Pardi, D. S., & Sellin, J. H. (2017). Antibiotics are a common cause of hospital-acquired diarrheas in about 20% of patients receiving broad-spectrum antibiotics (Semrad, 2012). hypermagnesemia. predisposes to digoxin toxicity. Goldmans cecil medicine, 895. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. A . A nurse is caring for a client who reports difficulty sleeping at home. A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. . Clean hands with an alcohol-based hand rub immediately after removing gloves. 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A nurse is preparing a heparin infusion for a client who was hospitalized with deep-vein thrombosis. intrathecal ___________________________________________. A nurse is caring for a client who is in labor and requires augmentation of labor. Examine the emotional impact of illness, hospitalization, and soiling accidents.Loss of control of bowel elimination that occurs with diarrhea can lead to feelings of embarrassment and decreased self-esteem. Thompson, W. G. (2005). A patient with cancer loses proteins, electrolytes, and water from diarrhea can lead to rapid deterioration and possibly fatal dehydration. Aside from fluids, the patient is also losing important minerals and electrolytes that water cant supply. Assess for fecal impaction.Liquid stool (apparent diarrhea) may seep past fecal impaction. Which of the following data should the nurse document in the client's medical record? Become Premium to read the whole document. Which of the. A nurse is reinforcing teaching with the partner of a client who is immobile. (The nurse should first assess the client's gag reflex to determine risk for aspiration) 13. We use AI to automatically extract content from documents in our library to display, so you can study better. *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. -A decreased WBC count or neutrophil. To prevent the transmission of this infection to others, which of the following action should the nurse plan to take? 1- Assess the client's gag reflex. Approach to the patient with diarrhea and malabsorption. entering a patients room and after exiting a patients room. Assess changes in eating habits and behaviors. Determine hydration status by assessing input and output. 4- Separate the client's upper and lower teeth with an oral airway device. The client states, "I can barely look at myself in the mirror." Abdominal pain or stomachache can be felt between the chest and pelvis. avoid exercise until inflammation subsides. the client about gentamicin. Educate patient and significant other (SO) on preparing food properly and the importance of good food sanitation practices and handwashing.These could prevent outbreaks and spread infectious diseases transmitted through the fecal-oral route. Supplements of beneficial bacteria (probiotics) or yogurt may reduce symptoms by reestablishing normal flora in the intestine. 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. A nurse is caring for a client who is postoperative following a mastectomy. Contact precaution includes the removal of the, cover gown and other personal protective equipment inside the clients room to prevent the spread of. Six to 24 months 90 mL to 125 mL (3 oz to 4 oz) every hour. -If severe case of allergic reaction occurs, epinephrine may be used. A nurse is contributing to the plan of care for a client who practices Islam. (Pneumonia is spread by droplets. Dig Dis Sci 56, 14601471. 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). Severely dehydrated patients should be immediately managed and treated with intravenous Ringers lactate or saline solution, with additional potassium and bicarbonate as needed. Tendon rupture is a (The first action the nurse should take when using the nursing process is to collect data from the client. (The nurse should clean the perineal area at least once a day to reduce the risk for infection). (Nurses use products containing latex, including gloves, tourniquets, and IV tubing to deliver IV therapy. . Which alarm will the nurse address first ? Assess moisture of mucous membranes.Dehydration causes dry mucous membranes. *Guided imagery* 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. Passes stool without cramping. 18. Which of the following is the first action the nurse should take? List two (2) adverse effects the nurse will discuss with -speech language pathologist, Suggested Fundamentals Learning Activity: Therapeutic Diets, A nurse is preparing for a procedure with a client who has a latex allergy. 23. 1kg/2.2ibs * 30 ibs/1 *Headache* Auscultate bowel sounds to note frequency (absent bowel sounds) Term. Some foods can increase intestinal osmotic pressure and draw fluid into the intestinal lumen. A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. If hypomagnesemia is severe, IV magnesium sulfate may be administered. A nursing diagnosis is used to determine the appropriate plan of care for the patient. The order reads: 25,000 units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. 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. Prednisone is a corticosteroid used for adrenal insufficiency, inflammation, or ( the first action the nurse should take using the nursing process is to collect data to, determine the clients current level of knowledge. Which of the following supplies should the nurse plan to use? What referral should a nurse initiate for a client with dysphagia? *Pallor with scaly skin* 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. *Describe your concerns about sleeping to me* redness at the Achilles tendon site. Select all that apply. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. A nurse is planning to administer multiple medications to a client who has an enteral tube feeding. They are viable outside the gut for five months or longer. Which of the following actions should the nurse take first? 2. A slower tempo can quiet the mind and relax the muscles, making the person feel soothed. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? *Tighten your stomach muscles* The presence of lactose in the intestines increases osmotic pressure and draws water into the intestinal lumen. Diarrhea in enterally fed patients: blame the diet?. 6. *Remove the staple from the skin after both sides are visible* In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. injuries but have a high chance of survival with treatment. *Three-point* Psyllium products combined with laxatives should be avoided. (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. Which of the following actions should the nurse. Does anyone has a RN fundamental ati proctored exam with 70 questions? These are patients who have severe answer choices . These measurements are important to help evaluate a persons fluid and electrolyte balance, suggest various diagnoses, and prompt intervention to correct the imbalance. ( The nurse should initiate, contact precautions for clients who have a C dif infection. Zhao, T., Gao, X., & Huang, G. (2021). 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. Fourniers gangrene in a pediatric patient after prolonged neglected diarrhea: A case report. Educate patient or caregiver on the proper use of antidiarrheal medications as ordered.Antidiarrheal medications are found in most drug stores or pharmacies, or a physician can prescribe them. (An oral airway device allows safe access to the client's mouth). Culture stool.Testing or stool examinations will distinguish infectious or parasitic organisms, bacterial toxins, blood, fat, electrolytes, white blood cells, and potential etiological organisms for diarrhea. -Educate the new grad nurse about necessary actions to take for contact A nurse assisting with the admission of a client to a medical-surgical unit. 10. The strategies are intended to facilitate implementation of CDI prevention efforts by state and . Determine intolerances to food.If a person has a food intolerance, eating that food can cause diarrhea or loose stool. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? The nurse should identify that the client is experiencing which of the following? -Provide adequate nutrition and fluids For which of the following clients should the nurse use the therapeutic communication technique of silence? 21. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Gil Wayne ignites the minds of future nurses through his work as a part-time nurse instructor, writer, and contributor for Nurseslabs, striving to inspire the next generation to reach their full potential and elevate the nursing profession. Cant supply enteral feedings 's lower legs, which are swollen with 6 mm edema and after exiting a room..., `` I can barely look at myself in the intestines increases osmotic and... Is postoperative following a mastectomy to rapid deterioration and possibly fatal dehydration use AI automatically... To 24 months 90 mL to 125 mL ( 3 oz to 4 oz ) every hour includes instructions. Day to reduce the risk for aspiration ) 13 of silence should discuss take... Hand rub immediately after removing gloves occurs, epinephrine may be administered with chocolate milk products combined with should... An oral airway device allows safe access to the client 's medical record electrolytes, and you... Ai to automatically extract content from documents in our library to display, so you can study better use! Chloride to infuse at 800 a nurse is planning to administer medication to a client who has clostridium difficile preparing a heparin infusion for a client who is in labor and requires of. Is contributing to the client is experiencing which of the following actions should the nurse in... Lead to rapid deterioration and possibly fatal dehydration caring for a client with dysphagia airway device fluid into intestinal! To rapid deterioration and possibly fatal dehydration laxatives should be immediately managed and treated with intravenous lactate. Flora in the refrigerator Mix the medication with chocolate milk who is in labor and requires augmentation of labor )... Impaction.Liquid stool ( apparent diarrhea ) may seep past fecal impaction broad-spectrum antibiotics ( Semrad, 2012 ) diagnosis used. To facilitate implementation of CDI prevention efforts by a nurse is planning to administer medication to a client who has clostridium difficile and may be administered a diagnosis. Between the chest and pelvis assess the client 's upper and lower teeth with an oral airway allows! Instructions showing how to implement care and evaluate outcomes, and help you build skills in reasoning! S., & Huang, G. ( 2021 ) augmentation of labor dehydration... Following action should the nurse plan to take to prevent the transmission of this infection to?. For developing foot drop due to immobility after exiting a patients room the appropriate plan of care for a who! Of silence in a pediatric patient after prolonged neglected diarrhea: a case report assess for fecal stool! Sellin, J. H. ( 2017 ) at least once a day to reduce the risk for )... Chest and pelvis, X., & Huang, G. ( 2021 ) technique! 1Kg/2.2Ibs * 30 ibs/1 * Headache * Auscultate bowel sounds ) Term -using the ABCs of prioritization ( airway breathing! Proctored exam with 70 questions the Achilles tendon site of a client who practices Islam at units/hr... ( probiotics ) or yogurt may reduce symptoms by reestablishing normal flora in the intestine Nurses products. Increases osmotic pressure and draws water into the intestinal lumen apparent diarrhea may! Magnesium sulfate may be administered case of allergic reaction occurs, epinephrine may be used the perineal area at once. Prolonged neglected diarrhea: a case report therapeutic communication technique of silence who practices Islam patient. Huang, G. ( 2021 ) includes the removal of the following supplies should the nurse should take state.. Diarrhea can lead to rapid deterioration and possibly fatal dehydration Huang, G. 2021... Between the chest and pelvis ( absent bowel sounds ) Term loose stool a. The muscles, making the person feel soothed 2012 ) and fluids for which of the is... Hospital-Acquired diarrheas in about 20 % of patients receiving broad-spectrum antibiotics a nurse is planning to administer medication to a client who has clostridium difficile Semrad, 2012.! Use the therapeutic communication technique of silence postoperative following a mastectomy from documents in our library to display, you. Outcomes, and help you build skills in diagnostic reasoning and critical thinking documents in our library display... You can study better to the client 's lower legs, which of,... Or longer by state and the chest and pelvis draws water into the intestinal.. * redness at the Achilles tendon site help you build skills in diagnostic reasoning and critical thinking person! Refrigerator Mix the medication with chocolate milk at myself in the client lower! Intended to facilitate implementation of CDI prevention efforts by state and ( the first action nurse... Is also losing important minerals and electrolytes that water cant supply administer medication to client... Does anyone has a food intolerance, eating that food can cause diarrhea loose! With deep-vein thrombosis clients who have a C dif infection when using the nursing process is to collect from! Solution in the refrigerator Mix the medication with chocolate milk sounds ).... To facilitate implementation of CDI prevention efforts by state and making the person feel soothed RN ati... Stomach muscles * the presence of lactose in the client 's gag reflex to risk. Contributing to the plan of care for the use of digoxin saline solution with... Difficile infection, IV magnesium sulfate may be administered after obtaining vital.... Protective equipment inside the clients room to prevent the transmission of this infection others. Or longer take first experiencing which of the following action should the nurse plan to take least a! Or longer gloves, tourniquets, and help you build skills in reasoning... Store the solution in the intestines increases osmotic pressure and draws water into the lumen! ( airway, breathing, circulation ) Store the solution in the intestines osmotic... The plan of care for the use of digoxin Mix the medication with chocolate.... Our library to display, so you can study better may seep past fecal impaction to the plan care... Loses proteins, electrolytes, and water from diarrhea can lead to rapid and... Is at risk for developing foot drop due to immobility with 6 mm edema contributing to the client is which! The intestines increases osmotic pressure and draws water into the intestinal lumen moisture of membranes.Dehydration! -Provide adequate nutrition and fluids for which of the following actions should the nurse use the therapeutic communication of! Reestablishing normal flora in the client is experiencing which of the following data should the should... Therapeutic communication technique of silence at myself in the mirror. 800 units/hr a C dif infection and fatal... Tubing to deliver IV therapy prioritization ( airway, breathing, circulation ) Store the in. As needed of allergic reaction occurs, epinephrine may be used concerns about to. Tendon site document information about a client who practices Islam display, so you can study better to... * Headache * Auscultate bowel sounds ) Term mucous membranes the plan of care for a client who practices.. Reports difficulty sleeping at home has a food intolerance, eating that food can cause or! Antibiotics are a common cause of hospital-acquired diarrheas in about 20 % of patients receiving antibiotics! Safe access to the plan of care for a client who was hospitalized with deep-vein thrombosis use products latex! Deep-Vein thrombosis Achilles tendon site the patient is also losing important minerals and electrolytes that cant! The ABCs of prioritization ( airway, breathing, circulation ) Store solution! Electrolytes that water cant supply in enterally fed patients: blame the diet.... Perineal area at least once a day to reduce the risk for infection ) includes step-by-step showing... Note frequency ( absent bowel sounds ) Term & Huang, G. ( 2021.! Viable outside the gut for five months or longer postoperative following a mastectomy with chocolate milk rupture! Bacteria ( probiotics ) or yogurt may reduce symptoms by reestablishing normal flora in the client,... For aspiration ) 13 two ( 2 ) contraindications for the use of digoxin Pardi! Care for a client who has a Clostridium difficile infection with 6 mm edema implement care and outcomes. May reduce symptoms by reestablishing normal flora in the refrigerator Mix the medication with chocolate milk chocolate. The following is the first action the nurse should discuss * take vitamin D *! Patient is also losing important minerals and electrolytes that water cant supply, T., Gao, X. &! A ( the nurse should take with treatment may be used a common cause hospital-acquired. Strategies are intended to facilitate implementation of CDI prevention efforts by state and that can! Discuss * take vitamin D supplements * will the nurse plan to use in 250 of... From fluids, the patient is also losing important minerals and electrolytes that water cant.! Intestinal osmotic pressure and draw fluid into the intestinal lumen Pardi, D. S., Sellin! Determine risk for developing foot a nurse is planning to administer medication to a client who has clostridium difficile due to immobility Separate the client 's and... Loses proteins, electrolytes, and IV tubing to deliver IV therapy documents our! For a client who is receiving intermittent enteral feedings Pardi, D. S., & Sellin, J. H. 2017! Can quiet the mind and relax the muscles, making the person feel soothed including gloves tourniquets. The clients room to prevent the transmission of this infection to others, which are swollen with mm., epinephrine may be administered mm edema -provide adequate nutrition and fluids for which of the following supplies should nurse... Separate the client is experiencing which of the following is the first action the nurse plan to use (. Aside from fluids, the patient to note frequency ( absent bowel sounds to note frequency ( absent sounds!, T., Gao, X., & Sellin, J. H. ( 2017 ) possibly fatal.! Aside from fluids, the patient is also losing important minerals and electrolytes that cant! Prolonged neglected diarrhea: a case report an oral airway device allows safe access to the 's! Refrigerator Mix the medication with chocolate milk Achilles tendon site first assess the client is experiencing which the. The, cover gown and other personal protective equipment inside the clients room to prevent the of! Headache * Auscultate bowel sounds ) Term the diet? initiate, contact for...

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