Question

Active Learning Template: System Disorder

Acute Infectious Gastrointestinal Disorders: Teaching About Intermittent Parenteral Therapy (Ch. 22)

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System Disorder ACTIVE LEARNING TEMPLATE: STUDENT NAME REVIEW MODULE CHAPTER DISORDER/DISEASE PROCESS Pathophysiology Relatedi to Client Problem Health Promotion and Disease Prevention Alterations in Health (Diagnosis) ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEOU A11

Answer 1

Acute infectious Gastrointestinal disorders:

Alterations in health (Diagnosis):

Risk for infection related to diarrhea as evidenced by increased frequency of stools.

Pathophysiology related to client problem:

The bacterial infection causes inflammation, malabsorption, and irritation of the bowel. Thus increases the peristaltic movement and results in diarrhea.

Health promotion and disease prevention:

Provide a full liquid diet and avoid food that increases the bowel movements.

Assessment:

Risk factors:

• Gender
• smoking
• History of IBS
• caffeine
• High fiber food

Expected findings:

• Free from nausea, vomiting, and diarrhea
• Decreased peristaltic movement.
• Normal bowel pattern
• Tolerate of solid foods.

Laboratory tests:

• Stool analysis
• A stool culture to identify the organism
• Bile pigments and bile salts level.

Diagnostic procedures:

• Colonoscopy to visualize the large intestine
• CT scan to view the abdominal structures.

Safety Considerations:

• Avoid fiber-rich food.
• Include more amount of fluids to prevent dehydration.
• Provide more amounts of vitamins.

Patient-centered care

Nursing care:

• assess the level of fluid and electrolyte levels.
• Monitor patient's daily weight.
• Assess the bowel sounds and the color, consistency of stools.
• assess the signs and symptoms of bowel movement.

Therapeutic procedure:

• IV therapy to maintain fluid status.
• Administer medications.

Medication:

Antiemetics and antidiarrheal agents.

Antibiotics to treat infections.

Client education:

• Educate about hygenic measures.
• Educate to avoid sharing utensils.
• Avoid intake of undercooked foods.
• Follow hand washing before meals.

Interprofessional care:

• Dietician helps with the new diet regimen.
• Infection control nurse prevents the spread of diseases.
• The physician to follow up with care.

Complications:

• toxemia
• septicemia