NUR 2392 Multidimensional Care II

MDC II - Final Exam - Rasmussen

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Modules 8, 9, 10

Appendicitis

- Inflammation of the appendix; if left untreated, appendix may rupture and

result in infection

Appendicitis

▪ Nursing Interventions

- ▪ Administer IV fluids

▪ Administer antibiotics

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▪ Monitor fluid and electrolytes

▪ Manage pain

▪ Post-operative care

▪ Discharge education for wound management

▪ No laxatives/enemas

▪ No heat

▪ Place in Semi-Fowler's position for comfort

Appendicitis

▪ Signs & Symptoms

- ▪ N/V

- ▪ Abdominal pain

- ▪ Epigastric pain

- ▪ Periumbilical pain

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If someone is bleeding out, whether it's GI bleed or trauma, what lab are you ordering?

- CBC to check the hemoglobin and hematocrit

Melena

- Black, tarry stool with occult blood indicates minimal bleeding from ulcers

Diverticular disease

- Herniation or outpouchings of the mucosa membrane of the bowel caused by

an increase of pressure within the colon

Diverticulitis

▪ Treatment

- ▪ Stool softeners

▪ Fiber

▪ Fluids

avoid: laxatives, enemas

Small Bowel Obstruction

▪ Nursing Interventions

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- ▪ Monitor vital signs (BP) to determine fluid volume status

- ▪ Monitor fluid and electrolytes

- ▪ Monitor intake and output

- ▪ Assess abdomen for bowel sounds, distention, flatus

- ▪ Manage nasogastric (NG) tube

- monitor drainage

- ensure tube patency

- check tube placement

- irrigate tube as prescribed

- ▪ Keep patient NPO

- ▪ Provide frequent oral and nares care

- ▪ Ambulate patient

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- ▪ Semi-fowler's position

- ▪ Administer medication for pain

Malabsorption syndrome

- The small intestine is unable to absorb nutrients

Malabsorption Syndrome

▪ Laboratory Tests

- INCREASED

▪ fecal fat analysis (steatorrhea)

DECREASED

▪ MCV

▪ MCH

▪ MCHC

▪ hydrogen breath test

▪ lactose tolerance test

▪ Schilling test (B-12)

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