Which of the following is a true statement regarding cleansing enemas? a. Oil retention enemas are used to "harden" stool material for more complete evacuation. b. Diabetic patients require special colon preparation procedures. c. Standardized colonic preparation protocols are used by all departments performing colon studies. d. Cleansing enemas are typically not recommended for inflammatory bowel disease.
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Ответ:
Nursing Diagnosis and Interventions for Sinusitis
Care Plan Nursing
Nursing Diagnosis for Sinusitis
1 Acute Pain: head, throat, sinus related to inflammation of the nose
Goal : Pain is reduced or lost
Expected outcomes are:
Clients express the pain diminished or disappeared
Clients do not grimace in pain
Interventions:
1. Assess client's level of pain
R :/ Knowing the client's level of pain in determining further action
2. Explain the causes and effects of pain on the client and family
R :/ With the causes and consequences of pain the client is expected to participate in treatment to reduce pain
3. Teach relaxation techniques and distractions
R :/ The client knows the distraction and relaxation techniques can be practiced so as if in pain
4. Observation of vital signs and client complaints
R :/ Knowing the general state and development of the client's condition.
2. Anxiety related to lack of client knowledge about diseases and medical procedures (sinus irrigation / operation)
Goal: Anxiety is reduced / lost
Expected outcomes are:
Clients will describe the level of anxiety and coping patterns.
The client knows and understands about his illness and its treatment.
Interventions:
1. Assess client's level of anxiety
R :/ Determining the next action
2. Give comfort and ketentaman on the client:
Show empathy (it comes with a touch client)
R :/ Facilitate client's receipt of the information provided
3. Give an explanation to clients about the illness slowly, quietly and use of clear sentences, short easy to understand
R :/ Increase client understanding about the disease and therapies for the disease so that the client more cooperative
4. Get rid of excessive stimulation such as:
Place the room quieter client
Limit contact with others / other clients are likely to experience anxiety
R :/ By removing the stimulus that will enhance the peace of the client concerned.
Nursing Diagnosis and Interventions for Sinusitis
3. Ineffective Airway Clearance related to the obstruction (nasal secret buildup) secondary to inflammation of the sinuses
Goal: Effective airway, after a secret (seous, purulent) issued
Expected outcomes are:
Clients no longer breathe through the mouth
Airway back to normal, especially the nose
Interventions:
1. Assess the existing build-secret
R :/ Knowing the severity and subsequent action
2. Observation of vital signs
R :/ Knowing the client's development prior to surgery
3. Collaboration with the medical team for cleaning discharge
R :/ cooperation to eliminate the buildup of secret / problem