HESI Case Study-Ulcerative Colitis, questions and answers graded A+

HESI Case Study-Ulcerative Colitis, questions and answers graded A+ How should the PN expect Anna to describe her stools? Bloody diarrhea What additional question should the PN ask? Do you feel light-headed PN best response? Ulcerative colitis can cause problems other than the colon What should the PN inform Anna to avoid? Red meat Explanation of a barium enema? XR is used to visualize the lrg intestine after barium is instilled What should PN remind the client? Drink extra fluids What to monitor after sigmoidoscopy? Abdominal guarding What Erikson stage? Intimacy vs. Isolation What response? -Sounds like you are feeling overwhelmed -tell me more about your thoughts and concerns Question to ask Anna? What time of day do you take your med? What finding shows desired med affect? decreased number of bowel movements How many tabs? 2 What info to reinforce when discussing prednisone monitor mouth for white patches or increased discomfort Maintain low-fiber diet? angel food cake, cranberry juice What lab indicates nutritional malabsorption? Serum albumin 1.5 What access device? Subclavian Cath What action? admin insulin using a sliding-scale protocol What other med? Prednisone What action? Report to RN UAP responsibility Obtain vitals q4h How is the division of tasks accomplished? RN removes cath, PN takes vitals, UAP transports tip to lab Complication of UC? Toxic megacolon Alteration to diet? NPO UAP protected under? Civil rights legislation What action? Suggest UAP document alleged offenses Response? Drainage will become thicker and appear more yellow to yellow brown Best skin protection around stoma? Pectin based solid skin barrier Response? When pouch is 1/3-1/2 full