Nursing interventions to promote normal bowel

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Nursing interventions to promote normal bowel

Nursing interventions to promote normal bowel

Remains free from symptoms of infection States symptoms of infection of which to be aware Demonstrates appropriate care of infection-prone site Maintains white blood cell count and differential within normal limits Demonstrates appropriate hygienic measures such as hand washing, oral care, and perineal care NIC Interventions Nursing Interventions Classification Suggested NIC Labels Infection Protection Nursing Interventions and Rationales 1.

Observe and report signs of infection such as redness, warmth, discharge, and increased body temperature. With the onset of infection the immune system is activated and signs of infection appear. Neutropenic clients do not produce an adequate inflammatory response; therefore fever is usually the first and often the only sign of infection Wujcik, Use an electronic or mercury thermometer to assess temperature.

When temperature values have important consequences for treatment decisions, use mercury or electronic thermometers with established accuracy Erickson et al, Note and report laboratory values e. Aspergillus, an organism that can cause fungal pneumonia, is commonly found in soil, water, and decomposing vegetation.

This fungus can enter the hospital through an unfiltered air system, in dust stirred up during construction, or in food or ornamental plants Carlianno, Assess skin for color, moisture, texture, and turgor elasticity.

Keep accurate, ongoing documentation of changes. Preventive skin assessment protocol, including documentation, assists in the prevention of skin breakdown. Carefully wash and pat dry skin, including skinfold areas. Use hydration and moisturization on all at-risk surfaces.

Maintaining supple, moist skin is the best method of keeping skin intact. Dry skin can lead to inflammation, excoriations, and possible infection episodes Kovach, see Risk for impaired Skin integrity.

Encourage a balanced diet, emphasizing proteins to feed the immune system. Immune function is affected by protein intake especially arginine ; the balance between omega-6 and omega-3 fatty acid intake; and adequate amounts of vitamins A, C, and E and the minerals zinc and iron.

Nursing interventions to promote normal bowel

A deficiency of these nutrients puts the client at an increased risk of infection Lehmann, Use strategies to prevent nosocomial pneumonia: The strategies listed are used to prevent nosocomial pneumonia Tasota et al, Once treatment for pneumonia has begun, it must continue for 48 to 72 hours, the minimum time to evaluate a clinical response Ruiz et al, Fluid intake helps thin secretions and replace fluid lost during fever Carlianno, Encourage adequate rest to bolster the immune system.

Use proper hand washing techniques before and after giving care to client and any time hands become soiled, even if gloves are worn: Wet hands under running water; dispense a minimum of 3 to 5 ml of soap or detergent and thoroughly distribute it over all areas of both hands; vigorously wash all surfaces of hands and fingers for at least 10 to 15 seconds, including backs of hands and fingers and under nails; rinse to remove soap, and thoroughly dry hands; use a dry paper towel to turn the faucet off.

Consistent and meticulous hand washing remains the most important contributing factor related to reduction of the frequency of nosocomial infections in the intensive care unit ICU.Bowel function and bowel elimination can also be affected by a variety of disorders including a paralytic ileus, an anatomical defect, infectious diarrhea, and other disorders such as .

PowerPoint Slideshow about 'Nursing Interventions to Promote Normal Bowel Elimination' - libitha

Nursing history- Determination of the usual elimination pattern, patient's description of usual stool characteristics, identification of routines followed o promote normal elimination, assessment of the use of artificial aids at hom, presence and status of bowel diversions, changes in appetitie, diet history, description of daily fluid intake.

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Chapter 8: Intrapartum Assessment and Interventions Multiple Choice 1.

Pathophysiology

In caring for a primiparous woman in labor, one of the factors to evaluate is uterine activity. This is referred to as the _____ of labor.a. Passengerb. Passagec. Powersd. Psyche ANS: c Feedback a. The passenger refers to the fetus. b. The passage refers to the pelvis and .

CHAPTER 46 / Pain Management *The NOC # for desired outcomes and the NIC # for nursing interventions are listed in brackets following the . Inflammatory bowel disease (IBD) is an idiopathic disease caused by a dysregulated immune response to host intestinal microflora.

It results from a complex interplay between genetic and environmental factors.

7 Inflammatory Bowel Disease (IBD) Nursing Care Plans • Nurseslabs