NURS 3510 Quiz: Exam III
Document Summary
Physical: inspect from mouth to anus, auscultate, percuss (tympanic sounds and dullness over organs), palpate. Observe for s/s peritonitis, monitor labs (contraindicated if platelet count. <100,000), monitor for hemorrhaging, position client on right side to apply pressure to the liver. If ptt values are higher (longer clotting times) we do not perform biopsy: cholecystogram (ultrasound for gallstones, as an rn, know which tests require dye and are invasive. Pain, dyspepsia, gas, n/v, changes in bowel habits, change in stool characteristics (assess pt diet and coca = color, odor, consistency, amount) Chronic inflammation of larger and/or small intestines. Causes are unknown, familial predisposition, environmental factors, affects men and women equally. Treatments for both (c. r. a. m. p. s: controlled diarrhea and inflammation, relieve pain and restore fluids, anticholinergics and antimicrobials, meals: correct nutritional deficiencies, psychological counseling, support emotionally/coping. Nursing care: pain relief, maintain fluid & nutritional status (pn), promoting rest, prevent skin breakdown, monitoring and preventing complications, provide patient education.
