Teach the client to report indications of bile leak pain vomiting abdominal

Teach the client to report indications of bile leak

This preview shows page 9 - 11 out of 16 pages.

Teach the client to report indications of bile leak (pain, vomiting, abdominal distention) to the provider.Teach the client to resume activity gradually and as tolerated, and to resume the preoperative dietSystem Specific Assessments (3 items)Noninflammatory Bowel Disorders: Assessing a Client for Inguinal Hernia (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 51)Noninflammatory bowel disorders can cause pain, changes in pattern, bleeding, and malabsorption. This group of disorders includes hemorrhoids, cancer, hernia, IBS and intestinal obstruction. A bowel hernia is the displacement of the bowel through a weakness of the abdominal muscle into other areas of the abdominal cavity. Incisional hernias can occur as a postsurgical complication due to inadequate healing of the incisional site from malnutrition, infection, or obesity.In a hernia that is strangulated, blood supply is cut off to a portion of the bowel, increasing the risk for obstruction, necrosis, and perforation. In males and indirect inguinal hernia can be large and descend into the scrotum. Therapeutic Procedures (8 items)Cancer Disorders: Caring for a Client Who Is Postoperative Following a Mastectomy (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 92)Surgical procedures include lumpectomy (breast-conserving), wide excision or partial mastectomy, total mastectomy, modified radical mastectomy (lymph nodes removed), radical mastectomy (lymph nodes and muscle removed), and reconstructive surgery.Have the client sit with the head of the bed elevated 30 degrees when awake and support her arm on a pillow. Lying on the unaffected side can relieve pain. Avoid administering injections, taking bp, or obtaining blood from the clients affected arm. Place a sign above the clients’ bed regarding these precautions. Cancer Disorders: Teaching About Ureterostomy (RN QSEN - Patient-centered Care, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 92)Colon resection, involves the removal of a portion of the colon to excise the tumor. Colectomy is the removal of the colon with a temporary or permanent colostomy or ileostomy.
Background image
Provide ostomy teaching (findings of ischemia to be reported to the provider, expected output, appliance management) if applicable.Educate the client regarding the care of the incision, activity limits, and ostomy care, if applicable.Growth Factors: Evaluating Understanding of Erythropoietin (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 26)Erythropoietin, a substance that stimulates bone marrow to produce red blood cells, is produced by the kidney. In clients who have chronic kidney disease, erythropoietin is no longer present and anemia results. Epoetin alfa stimulates production of red blood cells in these clients.Monitor iron levels, and implement measures to ensure an iron level that is within the expected reference range. RBC growth depends on adequate quantities of iron, folic acid, and vitamin B12. Without adequate levels of these, erythropoietin is significantly less effective. Monitor Hgb & Hct twice per week until the target range is reached.
Background image
Image of page 11

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture