Author Question: A patient is diagnosed with gastroenteritis. The nurse should assess which serum laboratory value ... (Read 53 times)

audie · **on:** Jun 25, 2018

A patient is diagnosed with gastroenteritis. The nurse should assess which serum laboratory value first?

1. sodium
2. bicarbonate
3. calcium
4. potassium

Question 2

The nurse is implementing a bowel training program for a patient. What should be included in this patient's plan of care?

1. Assess the patient to determine the best time of day to use the commode for defecation.
2. Keep the bedpan near the patient at all times.
3. Instruct the patient not to attempt to use the bathroom unattended.
4. Stay with the patient while defecating.

allisonblackmore · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
Electrolyte and acidbase imbalances may result from gastroenteritis. Extensive vomiting can lead to metabolic alkalosis due to the loss of hydrochloric acid from the stomach. When diarrhea predominates, metabolic acidosis is more likely. Potassium is lost in either case, which leads to hypokalemia. Sodium, bicarbonate, and calcium are not the primary electrolyte lost with gastroenteritis.

Answer to Question 2

Correct Answer: 1
Placing the patient in a normal position to defecate at a consistent time of day stimulates the defecation reflex and helps reestablish a pattern of stool evacuation. Ideally, the bowel training program should focus on use of the commode or toilet. Providing the patient with assistance to the bathroom is a safety measure and does not influence the success of the bowel training program. Remaining with the patient may reduce comfort level and interfere with defecation.