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Empty the bedpan while wearing gloves.
Suggest diversional activities.
Monitor dietary preferences.
Reports signs and symptoms of jaundice.
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Share successful strategies for weight reduction.
Encourage the client to express concerns about lifestyle modification.
Remind the client not to lie down for 2 – 3 hours after eating.
Explain the rationale for small frequent meals.
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Administer a glycerin suppository 15 minutes before evacuation time.
Insert a rectal tube at specified intervals each day.
Assist the client to the bedpan or toilet 30 minutes after meals.
Use incontinence briefs or adult-sized diapers.
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Explain the need for clear liquids 1 – 3 days prior to procedure.
Reinforce NPO status 8 hours prior to procedure.
Administer laxatives 1 – 3 days prior to procedure.
Administer an enema the night before the procedure.
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Abdominal distention and rigidity
NG tube intentionally displaced by client
Absent or hypoactive bowel sounds
Nausea and occasional vomiting
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Newly graduated medical-surgical RN
Experienced medical-surgical RN
Experienced surgical intensive care unit RN
Experienced medical-surgical LPN/LVN
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Projectile vomiting
Burning sensation 2 hours after eating
Coffee-grounded emesis
Board-like abdomen with shoulder pain
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Esophageal varices
Ascites
Peripheral edema
Asterixis (liver flap)
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Obesity for approximately 5 years
History of counseling for body dysmorphic disorder
Failure to reduce weight with other forms of therapy
Body weight 100% above the ideal for age, gender and height
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A 35-year-old female with copious, intractable diarrhea and vomiting
A 43-year-old female second day post-operative cholecystectomy
A 53-year-old female with pain related to alcohol-associated pancreatitis
A 62-year-old female with colon cancer receiving chemotherapy and radiation
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Teach a client self-care measures for hemorrhoids.
Assist the physician in incision and drainage of a pilonidal cyst.
Evaluate a client’s response to sitz baths for an anorectal abscess.
Describe the basic pathophysiology of an anal fistula to a client.
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Obtain an oversized blood pressure cuff and a large-size bed.
Set up a reinforced trapeze bar.
Assist in the planning of bathing, turning, and ambulation.
Design alternatives for routine tasks such as daily weights.
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The client cannot void 4 hours post-operatively.
The client reports shoulder pain.
The client reports severe RUQ tenderness.
Output does not equal input for the first few hours.
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Remove the NG tube per physician order.
Secure the tape if the client accidentally dislodges the tube.
Disconnect the suction to allow ambulation to the toilet.
Reconnect the suction after the client has ambulated.
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A client with gastrointestinal obstruction
A client with severe anorexia nervosa
A client with chronic diarrhea and vomiting
A client with a fractured femur
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Preparation for surgery
Barium enema
NG tube insertion
Abdominal x-ray
IV fluids
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A client with oral cancer who is scheduled in the morning for glossectomy
An obese client returned from surgery following a vertical banded gastroplasty
A client with anorexia nervosa with muscle weakness and decreased urine output
A client with intractable nausea and vomiting related to chemotherapy
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Diarrhea related to irritated bowel
Imbalanced Nutrition: Less Than Body Requirements related to nutrient loss
Acute Pain related to increased GI motility
Ineffective Therapeutic Regimen related to treatment plan
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