The nurse is caring for an older client with diarrhea. Which ...

[Wadzanai]

The nurse is caring for an older client with diarrhea. Which would be a priority nursing diagnosis for this client?
 
  1. Potential for Impaired Skin Integrity related to diarrhea.
  2. Risk for Deficient Fluid Volume related to diarrhea.
  3. Risk for Fluid Volume Excess related to diarrhea.
  4. Risk for Imbalanced Nutrition less than Body Requirements related to diarrhea.

Question 2

The physician has suggested that the client try Pepto-Bismol to relieve the diarrhea. What information should the nurse provide about this medication?
 
  1. Do not take the Pepto-Bismol for longer than 48 hours.
  2. The Pepto-Bismol will turn your stools yellow.
  3. Take the Pepto-Bismol before meals and at bedtime.
  4. Take the Pepto-Bismol once per day.

[Rilsmarie951]

Answer to Question 1

Answer: 2

1. This is not the highest priority.
2. Older clients become dehydrated quickly from loss of fluids and electrolytes, possibly leading to hypovolemic shock and metabolic acidosis.
3. A fluid volume deficit, not excess, would occur.
4. This is not the highest priority.

Answer to Question 2

Answer: 1

1. Any antidiarrheal should not be taken for more than 48 hours. If diarrhea persists, the physician should be notified.
2. Pepto-Bismol may cause tongue and stools to darken
3. It is best taken at onset of diarrhea and after each loose stool.
4. It is best taken at onset of diarrhea and after each loose stool.