A nurse is caring for a patient with inflammatory bowel disease who is having an exacerbation and severe diarrhea. IV rehydration is in process. What would the nurse immediately report to the physician?
A) Electrolyte imbalance
B) Intractable pain
C) Anorexia
D) Dysrhythmias
Ans: D
Feedback: Intravenous (IV) fluid therapy may be necessary for rapid rehydration in some patients, especially in elderly patients and in patients with preexisting GI conditions (eg, inflammatory bowel disease). It is important to monitor serum electrolyte levels closely. The nurse immediately reports evidence of dysrhythmias or a change in a patient's level of consciousness. Options A, B, and C are important for the physician to know, but dysrhythmias are symptoms/complications that need to be treated immediately.
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