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QUESTION
What is the nursing management in a pt who has a small Bowel Obstruction?
Answer:
Decompress the bowel via NG tube- can be tried for 3 days for partial obstruction.
Goal- rest bowel.
does not require surgery = maintain function of the NG, assessing and measuring the NG output,
assessing for fluid and electrolyte imbalance, monitoring nutritional status, and assessing for
manifestations consistent with resolution
. NPO bc high risk of fluid imbalance
Nursing care post surg repair of a small bowel obstruction is similar to that for other abdominal
surgeries
QUESTION
What should the nurse report to the provider in a pt w/ a SBO?
Answer:
discrepancies in I&O
worsening pain or abdominal distention
increased NG output.
If condition does not improve = prepares for surgery.
QUESTION
What are signs that a SBO (small bowel obstruction) has resolved?
,Answer:
return of normal bowel sounds
decreased abdominal distention
subjective improvement in abdominal pain and tenderness
passage of flatus or stool
,QUESTION
What should an RN teach a pt w/ GERD?
Answer:
avoid situations that decrease lower esophageal sphincter pressure or cause esophageal
irritation. eat a low-fat diet
avoid caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated
beverages
avoid eating or drinking 2 hours before bedtime
; maintain normal body weight
avoid tight-fitting clothes
elevate the head of the bed by at least 30 degrees
QUESTION
What should the rn monitor for Ulcerative Colitis w/ Diarrhea
Answer:
Identifying precipitating factors
the frequency of bowel movements & character, consistency
amount of stool passed is important.
QUESTION
What's the nursing management of a or w ulcerative colitis pt w/ diarrhea
Answer:
provides ready access to a bathroom, commode, or bedpan
keeps the environment clean
. Administer antidiarrheal medications as prescribed.
Loperamide may be prescribed 30 minutes before meals
The nurse should record the frequency and consistency of stools after therapy is initiated.
, QUESTION
What medication may be prescribed 30 mins before a meal to an ulcerative colitis pt w diarrhea