The nurse is caring for a client with Crohn's disease who has developed a fistula. Which nursing intervention is the highest priority?
a. Monitor the client's hematocrit and he-moglobin.
b. Position the client to allow gravity drai-nage of the fistula.
c. Check and record blood glucose levels every 6 hours.
d. Encourage the client to consume a diet high in protein and calories.
D
The client with Crohn's disease is already at risk for malabsorption and malnutrition. Malnutrition impairs healing of the fistula and immune responses. Therefore, maintaining adequate nutrition is a priority for this client. The client will require 3000 calories per day to promote healing of the fistula. Monitoring the client's blood sugar and hemoglobin levels is important, but less so than encouraging nutritional intake. The client need not be positioned to facilitate gravity drainage of the fistula, because fistulas often are found in the abdominal cavity.
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What is an appropriate nursing intervention when caring for a child in traction?
a. Removing adhesive traction straps daily to prevent skin breakdown b. Assessing for tightness, weakness, or contractures in uninvolved joints and muscles c. Providing active range of motion exercises to affected extremity three times a day d. Keeping child prone to maintain good alignment
The logical end product of nursing assessment is best described as the
a. nursing evaluation c. nursing implementa-tion b. nursing diagnosis d. nursing plan
MC Among the advantages for the United States involvement in global health initiatives are to: (Select all that apply.)
A. Improve the economy by opening markets for United States-produced goods. B. Enhance United States security by increasing trust and defusing hatred among disadvantaged populations. C. Utilize humanitarian interests to defuse distrust of the United States. D. Determine the course of policy decisions in global health. E. Protect domestic interests from terrorism and communicable diseases.