The nurse is admitting a child who has had diarrhea for 1 week. ...

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The nurse is admitting a child who has had diarrhea for 1 week. Which goal is appropriate for this client when writing the plan of care?
 
  A) The client will increase the amount of sugar in the diet.
  B) The client will defecate regularly by discharge.
  C) The client will limit fluid intake for 3 days.
  D) The client will regain normal stool consistency by discharge.

Question 2

The nurse is planning care for a newly admitted bed-bound older adult client. Which nursing diagnosis would be most appropriate for this client?
 
  A) Risk of Bowel Incontinence
  B) Disturbed Body Image
  C) Risk of Diarrhea
  D) Risk of Constipation

[Amiracle]

Answer to Question 1

Answer: D

As this client is experiencing diarrhea, the goal will be to regain normal stool consistency, which means less water will be in the stool, resulting in a more formed consistency. Defecating regularly once the diarrhea has subsided can be a goal, but it is too soon for this goal; the problem needs to be corrected first. Since the client is experiencing diarrhea, which can dehydrate the body and promote electrolyte loss, limiting fluid is not appropriate. Increasing the amount of sugar in the diet will just add to the diarrhea.

Answer to Question 2

Answer: D

Lack of activity, like being bed-bound, is a major contributor to constipation. Lack of movement slows bowel movements. Lack of sphincter control, not bed rest, contributes to bowel incontinence. Diarrhea would come from a GI upset triggered by diseases, medication, or diet. Disturbed Body Image would affect a client who has undergone a bowel diversion.

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Thank you

[Amiracle]

No problemo