Done Lower Gastrointestinal Disorders (7)

Question 1

Pre-operative care for a client with an Appendicitis

Keep?
Apply?
Position?
Administer?
sign what?

Answer 1

Keep NPO

Apply ICE not heat

Position patient supine with HOB elevated

Administer IV fluid

Informed consent before giving meds or anesthesia and before surgery!!!!

Question 2

Priority Nursing Diagnosis for a client with Gastroenteritis

What is the priority diagnosis?

Answer 2

Fluid and electrolyte imbalance!!!!!!!!!!!!!!!!!
(PRIORITY DIAGNOSIS)

Diarrhea
Acute pain
Dysfunctional gastric motility

Question 3

Gastroenteritis

What is used to diagnose?
What does it indicate?
Client will have elavated?
loss of?

Answer 3

Stool culture (fecal leukocytes)

Mucus or blood in the stool almost always indicates bacterial or parasitic infection

ELEVATED WBC
FLUID AND ELECTROLYTE LOSS

Question 4

Therapeutic Communication with a client with Crohn’s disease

Answer 4

Encourage the patient to engage in mealtimes with family

patients often isolate themselves from the rest of the family

EXPRESS FEELINGS

Question 5

Ulcerative colitis: Appropriate Diet Choices

Answer 5

Low fiber diet

LOW RESIDUE DIET IS GOOD TO BE PLACED ON IF LOTS OF LOOSE STOOL

broiled, grilled, roasted, baked MEATS

Question 6

Caring for a client with a Small Bowel Obstruction (SBO)

changes in?
Strict?
Maintain?
Frequent?

Metabolic alkalosis?
Metabolic acidosis?

Answer 6

changes in VS
changes in bowel sounds
decreased urine output
increased distention and pain

Strict I & O; including NGT drainage and hourly urine output with urinary catheter

Maintain NPO
Frequent mouth care!!!!!!!!

Metabolic alkalosis - high obstruction
oMetabolic acidosis - low obstruction

Question 7

Prioritizing care for clients with lower GI disorders

three

Answer 7

Pain
Impaired GI function
Fluid and electrolyte imbalance!!!!!!!