Question

useveloped a small fecal impaction. 5. What teaching points and interventions are appropriate to prevent fecal impaction? (USLO 1,6) Group Two: Ulcerative Colitis J.L, a 33-year old female, presents to the ED reporting the following: • 10 liquid, bloody stools in past 24 hours • Tenesmus (unpleasant and urgent sensation to defecate) • Severe lower abdominal cramping Pain level 7 • Denies history of GI disorders V.S are 122/74, 110, 24, 100.3 The provider has ordered IV fluids, complete blood count (CBC), and complete metabolic panel (CMP). The patient is NPO. 1. Explain the rationale for the provider's orders. (USLO 1) 2. What additional physical assessment data would you obtain? Explain. (USLO 1) 3. Explain the nursing care necessary. (USLO 1, 6) J.L is diagnosed with severe ulcerative colitis (UC). It has been 4 hours since J.L came to the E.D. and she has had 3 bloody liqu stools. Reassessment of V.S reveal the following: 98/66, 122, 22, 100.1. 4. Two hours later when assisting J.L up to the restroom, J.L reports feeling lightheaded and nauseous. Explain your next actiu What do you think may be happening in your patient? What are your concerns? (USLO 1,6) Cactric ullser history and physical assessment findings:

Answer 1

1- Regular exercise is needed to reduce risk of constipation and from fecal impaction.

2-Drink plenty of fluids in a day to prevent from it.(like water,juices,milk and soups)

3- Consume more fiber diet which helps into aoften the stool.(like apple,barley,banana,oats)

4- Do not ignore the urge to have bowel movement. Go washroom when it is needed.

5- Avoid unnecessary stress or tension to prevent from it.

6- Eat fresh fruits and green vegetables instead of junk foods.