A 54-year-old critically ill patient with sepsis is frequently incontinent of watery stools. What action by the nurse will prevent complications associated with ongoing incontinence?
a. Apply incontinence briefs.
b. Use a fecal management system
c. Insert a rectal tube with a drainage bag.
d. Assist the patient to a commode frequently.
b. Use a fecal management system
You might also like to view...
A client has been diagnosed with Laennec's cirrhosis. What does the nurse understand that this type of cirrhosis is caused by?
A) Chronic alcohol intake B) Infection C) Scarring around the bile ducts D) Autoimmune response
When the nurse is giving instructions for discharge, he notices that the television is on and he is eating a meal. The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:
a. Review all important discharge teaching while in the room b. Ask whether the patient has any questions about the discharge c. Inform the patient that the instructions are on the discharge sheet d. Arrange another time with the patient to review the discharge teaching
A patient diagnosed with pancreatic cancer is prescribed strict intake and output. During the last shift, the patient received 1 liter of 0.9% normal saline; two 50-milliliter doses of morphine sulfate in 0.9% normal saline; 3 ounces water
What should the nurse calculate this patient's total intake for the previous shift to be?
The nurse accidentally administers 15 mg of morphine IM to a client who had been given another dose of morphine 15 mg IM about 30 minutes earlier. What action should the nurse be prepared to take?
A. Administration of oxygen B. Administration of naloxone (Narcan) C. Administration of protamine sulfate D. Assistance with endotracheal intubation