.
Appendicitis (Treatment & Interventions) - AnswerSurgical removal of the appendix.
Place the patient in semi-fowlers position on their right side to prevent spread of infection.
Apply cold packs for discomfort.
Do not administer laxatives.
True/False
Heat therapy is a beneficial way of managing pain in a patient with appendicitis. - AnswerFALSE
Heat stimulates vasodialation and allows for the spread of infection. COLD is the only therapy that
should be utilized.
Ulcerative Colitis - AnswerChronic inflammation of the colon.
Characterized by remissions and exacerbation.
Inflammation develops into abscesses that penetrate mucosa.
Ulcerative Colitis (S/S) - Answer10 or more liquid stools every day
Abdominal pain
Dehydration
Tachycardia
, Anemia
Abdominal distension
Complications of UC - AnswerHemorrhage
Abscess
Toxic mega colon
Absorption
Bowel obstruction
Bowel perforation
Ulcerative Colitis (Nursing Interventions) - AnswerIn severe cases the patient may be given TPN and have
an NPO order to promote bowel rest.
Teach patient to avoid trigger foods.
- Whole-grains, seeds, nuts, alcohol, caffeine, pepper.
Surgical interventions may be required.
- Ileostomy
The client who has ulcerative colitis is scheduled for an ileostomy. When the client asks the nurse what
to expect related to bowel function and care after surgery, what response should the nurse make?
a. "You will be able to have some control over your bowel movements."
b. "The stoma will require that you wear a collection device at all times."
c. "After the stoma heals, you can irrigate your bowel so you will not have to wear a pouch."
d. "The drainage will gradually become semisolid and formed." - AnswerAnswer: B; A client with an
ileostomy must wear a collection device all the time.
The nurse is caring for a client with a history of severe diarrhea. Which notation about acid-base
imbalance would the nurse expect to find in the medical record?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis