This document provides information on the basic principles and interventions recommended for the prevention of Clostridioides (formerly known as Clostridium) difficile infection (CDI) in acute care facilities. a) urine output 20ml/hr b), A home health nurse is teaching a new parent about caring for his 1 week-old infant. -Keep the family updated about the client's status. Which of the following client statements indicates an understand of the teaching. Schiller, Lawrence R.; Pardi, Darrell S.; Sellin, Joseph H. (2016). a nurse is planning to administer medication to a client who has a Clostridium difficile infection. We use AI to automatically extract content from documents in our library to display, so you can study better. Which of the following supplies should the nurse plan to use? The nurse should explain the manifestations of impending death to reduce the family member's anxiety and stress). patients, advise them to monitor blood glucose carefully and to notify provider For people with a mild-to-moderate C. difficile infection, a doctor may prescribe metronidazole. *The client has tenderness and warmth in their calf* (When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority finding to report is tenderness and warmth in the client's calf, which can indicate the presence of a thrombus. The drug has been effective when the client tells the nurse that he: Definition. *Stand with your feet together and your arms at your sides* ( the nurse, should have another nurse count the radial pulse as they count the apical pulse. Do not use a trailing zero. Which of the following recommendations should the nurse provide to promote a restful home sleep environment? A nurse is documenting client care in a client's electronic health record. American Journal of Epidemiology, 178(7), 11291138. Which of the following actions should the nurse take? (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). Which of the following statements should the nurse make? Keep giving the oral rehydration solution until diarrhea is less frequent. Contact the client's health care provider. (The nurse should use a private room, which will minimize background noise so the client is able to hear what the nurse is saying). transplant surgery. Remove the cover gown in the client's room after providing care. client confidentiality during documentation? Agranulocytosis or neutropenia may nurse take regarding this allergy? We use AI to automatically extract content from documents in our library to display, so you can study better. Which of the following actions should the nurse take first? 18. Auscultate bowel sounds to note frequency (absent bowel sounds) Term. Which of, the following interventions should the nurse recommend to include the, A nurse is preparing to perform a wound irrigation for a client who has a, stage 3 pressure injury. Paediatrics & Child Health, 8(7), 459460. A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. The client is on phenytoin for a seizure disorder. A nurse is caring for a client who is in labor and is receiving oxytocin. which of the following findings indicates that the nurse should increase the rate infusion? (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). *Choose a private room for the interview* A nurse is caring for a client who is postoperative following a mastectomy. of this infection to others? Research confirms these personal experiences with music. 19. Which of the following information should the nurse document? Note that antidiarrheals are agents that may exacerbate toxic megacolon, such as opioids, antidepressants, nonsteroidal anti-inflammatories, and anticholinergics (Koo et al., 2009). -Wash hands after removing gloves. NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023The definitive guide to nursing diagnoses is reviewed and approved by NANDA International. In contrast, racecadotril, an enkephalinase inhibitor, blocks intestinal fluid secretion without affecting motility. Which of the following actions should the nurse take? A bladder scan determines the amount of urine in the bladder and helps the nurse avoid unnecessary catheterizations). Current Opinion in Clinical Nutrition & Metabolic Care, 16(5), 588-594. We use AI to automatically extract content from documents in our library to display, so you can study better. (Round the answer to the nearest, tenth. ; Aziz, N.; Ghayur, M.N. 30. 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Fourniers gangrene in a pediatric patient after prolonged neglected diarrhea: A case report. Proceed with the transfer, ensuring the client has a private room and all staff wear N . A nurse is planning to administer medication to a client who has a Clostridium difficile infection. It may arise from various factors, including malabsorption disorders, increased secretion of fluid by the intestinal mucosa, and hypermotility of the intestine. Which of the following findings should the nurse, A nurse is reinforcing teaching with a client who has pneumonia and a, productive cough. -Hypokalemia or hypomagnesemia 1. (Guided imagery is a technique that can produce physical changes in the body, such as decreasing pain levels, by concentrating on a visualization of a pleasurable memory). *Tighten your stomach muscles* A side effect is hyperglycemia and long-term use of Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. 3. (Many family members do no know what to expect. According to the International Foundation for Gastrointestinal Disorders (IFFGD, 2022), one teaspoonful of psyllium twice daily is usually recommended for constipation. One of the many causes of diarrhea is medications. Foods may trigger intestinal nerve fibers and cause increased peristalsis. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. For diabetic Discuss what might have triggered stress with the patient and plan ways to prevent them. Thompson, W. G. (2005). 4. It is designed for infants who have trouble digesting standard cows milk-based formulas and experience GI issues, reflux, colicky crying, and other symptoms when given these regular formulas. *A thready pulse* If hypomagnesemia is severe, IV magnesium sulfate may be administered. A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Clinical Gastroenterology and Hepatology, (), S1542356516305018. 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). Eisenberg, P. (1993). (TPN). A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. 11. A nurse is assessing a client who has heart failure and is prescribed 2,000 mL/24 hr. Which of the following instructions should the nurse include in the teaching? (2005). Approach to the patient with diarrhea and malabsorption. Decreased skin turgor and tenting of the skin occur in dehydration. ), -Keep the family updated about the client's, status. -Use equipment that do not contain latex to avoid exposure and set up a latex free environment Soluble fiber slows things down in the digestive tract, helping with diarrhea, while insoluble fiber can speed things up, alleviating constipation. Which of the, following interventions should the nurse recommend to include the client's family, in the plan of care? *Have you had small liquid stools? 1-3 Assignment- Triple Bottom Line Industry Comparison, CH 02 HW - Chapter 2 physics homework for Mastering, PSY 355 Module One Milestone one Template, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, Lunchroom Fight II Student Materials - En fillable 0, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. A nurse is preparing to administer a topical medication to a client. Increased fluid intake and liquid meal replacements can replenish fluid loss. 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. side effect of ciprofloxacin. The nurse should identify, A nurse is contributing to the plan of care for a client who is dying. (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). *You should cover your mouth with a tissue when you cough* A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. entering a patients room and after exiting a patients room. Stools may increase at first (one or two more each day). However, rectal Foley catheters can cause rectal necrosis, sphincter damage, or rupture. *Support the client's feet with foot boots* This is referred to as "breathing" and promotes healing of the wound.). contamination How many kilograms does the child weigh? Whats normal for one person may not be normal for another. Which of the following actions should the nurse take? 5. 1. Which of the following findings should the nurse report to the provider? 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. Advise patient to look for foods with potassium (such as potatoes, bananas, and fruit juices), salt (such as pretzels and soup), and yogurt with active bacterial cultures. -Used to transfer patients safely who have poor balance Ensure epi is readily 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. 24. IJCRI, 4(2), 135-137. Does anyone has a RN fundamental ati proctored exam with 70 questions? Why must the signal for each heartbeat slow down at the AV node? 10. D. Involve the family in the discussion of the client's meal plan. Ans: Tuck the glove cuffs under the gown sleeves. Hand hygiene is necessary before (The nurse can share information with other staff who are caring for the client because it is essential to maintaining continuity of care, and does not violate the client's confidentiality. Other manifestations include lower abdominal pain and cramping, low-grade fever, nausea, and anorexia [ 2,5 ]. A nurse is planning to administer medication to a client who has a, infection. compare the label of the medication container with the medication administration record three times. 7. 21. 4- Separate the client's upper and lower teeth with an oral airway device. Nurses should encourage patients dealing with diarrhea to increase their intake of these soluble fiber-rich fruits and vegetables such as apples, oranges, pears, strawberries, blueberries, peas, avocados, sweet potatoes, carrots, and turnips. 2. new antibiotic. available, Suggested Fundamentals Learning Activity: Medical and Surgical Asepsis, List four (4) reasons a nurse should use a gait belt when ambulating a client. A nurse observes a new nurse graduate exit a clients room who has a confirmed diagnosis of Specific foods and diets are often incriminated as causes of diarrhea, some with good evidence and others less so. A nurse is reinforcing teaching with a client about self-administration of opthalmic drops. 27. A nurse is contributing to the plan of care for four clients. *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). The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures? All possible causes of diarrhea should be considered first before discontinuing or reducing the amount of formula delivered. A nurse is caring for a client who has limited mobility. (The first action the nurse should take using the nursing process is to collect data to determine the client's current level of knowledge. 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Is dying under the gown sleeves you can study better Joseph H. ( 2016 ) patient and ways. Ways to prevent them member 's anxiety and stress ) ( absent bowel sounds ) Term is required keep... May trigger intestinal nerve fibers and cause increased peristalsis scan determines the amount of urine in client.