NURS341 Study Guide - Final Guide: Appendicitis
21 Jun 2020
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Risk for inadequate nutrition related to ostomy draining large amounts as evidenced by inadequate electrolytes, the need for tpn and required calorie count for meals daily. Goal: the patient will demonstrate adequate nutrition by having lab values within normal range, the discontinuation of tpn needed for replenishing nutrients, and the patient s diet from shift from full fluids to diet as tolerated. Risk for infection related to recent perforation of the appendix as evidenced by remaining fluid that is being drained out by jp drain. Assess amount, type and smell of fluid being drained. Assess insertion site for any inflammation or infection. Goal: the patient will avoid any infections related to the jp drain for the remainder of their hospital stay. Risk for abdominal discomfort related to recent perforated appendicitis and surgical bowel procedures as evidenced by previous voiced complains of abdominal signs and symptoms such as nausea, vomiting, pain, diarrhea and a distended abdomen.
