The nurse is creating a home care checklist for a patient diagnosed with inflammatory bowel disease (IBD) who is being discharged. The patient had an ostomy from a previous surgery. What interventions will the nurse include in this plan?

Perform weekly occult blood testing with gastric analysis test.

Discuss nutritional management with inclusion of a high-protein, high-vitamin diet.

Leave ostomy site open to air for an hour each day when changing the appliance.

Instruct the patient and family how to give medications through their G-tube.

Answer and Explanation

The Correct Answer is B

Choice A reason: Performing weekly occult blood testing with gastric analysis is not typically required for managing IBD at home. While monitoring for blood in the stool can be important, weekly testing and gastric analysis are more invasive and usually performed under specific medical instructions rather than as a routine home care intervention.

Choice B reason: Discussing nutritional management with the inclusion of a high-protein, high-vitamin diet is crucial for patients with IBD. These patients often experience malnutrition due to poor absorption and increased nutritional needs during flare-ups. A high-protein, high-vitamin diet can help promote healing, maintain muscle mass, and prevent deficiencies. This intervention supports overall health and recovery.

Choice C reason: Leaving the ostomy site open to air for an hour each day when changing the appliance is not recommended. Ostomy sites need to be kept clean and protected to prevent infection and skin irritation. Instead, the focus should be on proper cleaning and secure application of the ostomy appliance.

Choice D reason: Instructing the patient and family on how to give medications through their G-tube is not relevant if the patient has an ostomy. A G-tube is used for feeding and medication administration in patients with impaired oral intake, which is not indicated in this scenario. The focus should be on ostomy care and management.

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Correct Answer is B

Explanation

Choice A reason: Performing weekly occult blood testing with gastric analysis is not typically required for managing IBD at home. This intervention is more invasive and usually performed under specific medical instructions rather than as a routine home care intervention.

Choice D reason: Instructing the patient and family on how to give medications through their G-tube is not relevant if the patient has an ileostomy. The focus should be on ostomy care and management

A. Administer Hydrochlorothiazide 50 mg orally daily B. Monitor intake and output and daily weights C. Administer Calcitonin 300 International Units (U) intramuscularly every 12 hours D. Prepare the patient for possible hemodialysis

Correct Answer is A

Explanation

Choice A reason: The order to administer Hydrochlorothiazide should be clarified because thiazide diuretics can increase calcium levels, which could worsen hypercalcemia in a patient with a history of hyperparathyroidism.

Choice B reason: Monitoring intake and output and daily weights are essential for managing fluid balance in heart failure patients and do not need clarification.

Choice C reason: Administering Calcitonin helps lower calcium levels, which is appropriate for treating hypercalcemia in a patient with hyperparathyroidism.

Choice D reason: Preparing the patient for possible hemodialysis may be necessary if the patient's kidney function deteriorates, especially with elevated BUN and creatinine levels.

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The nurse is creating a home care checklist for a patient diagnosed with inflammatory bowel disease (IBD) who is being discharged. The patient had an ostomy from a previous surgery. What interventions will the nurse include in this plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating a home care checklist for a patient diagnosed with inflammatory bowel disease (IBD) who is being discharged. The patient has an ileostomy from a previous surgery. What intervention will the nurse include in this plan?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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