Both of you start to discuss what specific digestive difficulties C.W. is likely to face in the future
What problems might C.W. be prone to develop after having so much of her bowel removed?
• The ileum is responsible for absorbing bile salts, vitamins C and B12, and chloride. The large colon is
responsible for absorbing water and electrolytes. Therefore, because C.W. lost 7 feet of ileum and 2
feet of colon, she is at risk for dehydration and electrolyte imbalance.
• People who lose more than 50% of the small intestine develop "dumping syndrome." C.W. has
lost about 30%, but with her IBD she will undoubtedly lose more in the future and might develop
dumping syndrome at that time.
• C.W. might be prone to vitamin B12 deficiency (pernicious anemia).
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The nurse is calculating intake and output for a client. Intake included 1750 ml of D5W, 500 ml of ceftriaxone, 8 oz of coffee, 4 oz of juice, and 800 ml of water. The client’s output included 1560 ml of urine, and 45 ml of vomitus. What is the total output for this client? Record your answer using a whole number. _________ml
a. 3460 ml b. 2410 ml c. 1874 ml d. 1605 ml
A nurse evaluates a client's arterial blood gas values (ABGs): pH 7.30, PaO2 86 mm Hg, PaCO2 55 mm Hg, and HCO3- 22 mEq/L. Which intervention should the nurse implement first?
a. Assess the airway. b. Administer prescribed bronchodilators. c. Provide oxygen. d. Administer prescribed mucolytics.
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
a. Warm the endpiece of the stethoscope by placing it in warm water. b. Leave the gown on the patient to ensure that he or she does not get chilled during the examination. c. Ensure that the bell side of the stethoscope is turned to the "on" position. d. Check the temperature of the room, and offer blankets to the patient if he or she feels cold.
Which of the following responses is most helpful to the client when in an emergency situation?
A) A response by the cardiovascular system B) A response by the sympathetic nervous system C) A response by the central nervous system D) A response by the musculoskeletal system