While planning care for a client with irritable bowel syndrome, knowing the client has an increased amount of secretions with impaired GI absorption, the priority nursing diagnosis would be:
A) Fluid volume deficit
B) Hypotonic GI motility
C) Fatigue
D) Metabolic acidosis
Ans: A
Feedback:
Intestinal secretions are mainly water (it contains electrolytes, but the main component is water). Altered secretion or absorption causes fluid volume deficit (dehydration—not hypervolemia), which correlates with hypertonicity (not hypotonicity). Fatigue may be related to loss of volume, but the priority is to restore fluid volume. With lots of secretion loss, the client will likely experience metabolic alkalosis (not acidosis).
You might also like to view...
The proportion of slow- and fast-twitch fibers
a. is determined by training status. b. varies from one person to another. c. can be changed with adequate training. d. determines the color of the muscles.
Which procedure can be used to open blocked or narrowed blood vessels?
A) angiography B) embolization C) TIPS D) balloon angioplasty
A large cell is a ________ cyte.
Fill in the blank(s) with the appropriate word(s).
The physician has told the patient there is metastasis. The nurse explains to the patient this means
A. a disease has spread B. a disease is localized C. an anaphylactic reaction is taking place D. none of these