1700: 73-year-old male reports explosive, watery, foul-smelling diarrhea that started two days ago. The client reports intermittent abdominal cramping that occurs with watery diarrhea. He says his wife made him come in to get medical attention because he was starting to 'feel weak’ and ‘probably dehydrated.’ The client was assessed to have: a sunken eye appearance, dry, flaky skin, and thready peripheral pulses. VS: Oral Temperature 98° F (36.7° C), pulse 86/minute, respirations 16/minute, blood pressure 113/68 mm Hg, oxygen saturation 96% on room air.
1725: Stool sample of foul-smelling diarrhea sent to the lab.
1830: Laboratory result received. Physician notified of results.
C. difficile stool PCR
- Omeprazole 40 mg PO Daily
- Clindamycin 150 mg PO q 6 hours, Daily for seven days
- Lisinopril 10 mg PO Daily
- Multivitamin 1 tablet PO Daily
- Atorvastatin 60 mg PO Daily
The nurse reviews the nurses' notes, orders, current medications, and laboratory data.
➢ Based on the clinical data, select five (5) nursing interventions the nurse should implement.
Sign in to reveal the correct answer & rationale
A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.