NURS 172 EXAM 5
A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that the nurse's teaching about skin integrity has been effective?
a. The patient uses incontinence briefs t...
NURS 172 EXAM 5
A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20
stools daily and has excoriated perianal skin. Which patient behavior indicates that
the nurse's teaching about skin integrity has been effective?
a. The patient uses incontinence briefs to contain loose stools.
b. The patient uses witch hazel compresses to soothe irritation.
c. The patient asks for antidiarrheal medication after each stool.
d. The patient cleans the perianal area with soap after each stool. - Answer-
Feedback
b. The patient uses witch hazel compresses to soothe irritation.
Witch hazel compresses are suggested to reduce anal irritation and discomfort.
Incontinence briefs may trap diarrhea and increase the incidence of skin breakdown.
Antidiarrheal medications cannot be given 15 to 20 times a day. The perianal area
should be washed with plain water or pH balanced cleanser after each stool.
Listen
A patient calls the clinic reporting diarrhea for 24 hours. Which action would the
nurse take first?
a. Inform the patient that testing of blood and stools will be needed.
b. Suggest that the patient drink clear liquid fluids with electrolytes.
c. Ask the patient to describe the stools and any associated symptoms.
d. Advise the patient to use over-the-counter antidiarrheal medication. - Answer- c.
Ask the patient to describe the stools and any associated symptoms.
Feedback
The initial response by the nurse should be further assessment of the patient. The
other responses may be appropriate, depending on what is learned in the
assessment.
A patient in the emergency department has just been diagnosed with peritonitis from
a ruptured diverticulum. Which prescribed intervention will the nurse implement first?
a. Send the patient for a CT scan.
b. Insert a urinary catheter to drainage.
c. Infuse metronidazole (Flagyl) 500 mg IV.
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