The nurse is caring for a client experiencing acute lower gastrointestinal bleeding. In developing the plan of care, which priority problem should the nurse assign to this client?1. Deficient fluid volume related to acute blood loss2. Risk for aspiration related to acute bleeding in the GI tract3. Risk for infection related to acute disease process and medications4. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism

Answers

Answer 1

Deficient fluid volume related to acute blood loss is the priority problem for a client experiencing acute lower gastrointestinal bleeding.


In a client experiencing acute lower gastrointestinal bleeding, the priority problem is deficient fluid volume related to acute blood loss.

This is because rapid blood loss can lead to hypovolemia, which may cause hypotension, tachycardia, and decreased perfusion to vital organs.

To address this issue, the nurse should closely monitor vital signs, assess for signs of shock, administer prescribed intravenous fluids or blood products, and collaborate with the healthcare team to determine the underlying cause and initiate appropriate treatment.

Other concerns, such as risk for aspiration, infection, and imbalanced nutrition, are important but secondary to the immediate life-threatening issue of fluid volume deficit.

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Answer 2

When caring for a client experiencing acute lower gastrointestinal bleeding, the priority problem that the nurse should assign to this client is deficient fluid volume related to acute blood loss.

This is because lower gastrointestinal bleeding can result in significant blood loss, which can lead to a decrease in circulating blood volume and ultimately, shock. As a result, it is critical to monitor the client's vital signs and fluid balance closely, and to administer intravenous fluids and blood transfusions as necessary to maintain adequate perfusion and oxygenation.

While the other problems listed are also important considerations in caring for this client, they are not the immediate priority. The risk for aspiration related to acute bleeding in the GI tract can be mitigated by placing the client in a side-lying position and suctioning as needed. Risk for infection related to acute disease process and medications can be minimized by ensuring that the client receives appropriate antibiotic therapy and monitoring for signs of infection. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism can be addressed once the client's fluid volume has been stabilized.

In conclusion, when caring for a client experiencing acute lower gastrointestinal bleeding, the nurse should prioritize the client's fluid volume status and take appropriate measures to prevent hypovolemic shock.

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Related Questions

What would happen to the retention time of a compound if the following changes were made?
a. Decrease the flow rate of the carrier gas
b. Increase the temperature of the column
c. Increase the length of the column

Answers

The retention time of a compound is effected in the following manner :

a. Decreasing the flow rate of the carrier gas increases the retention time of the compound.

b. Increasing the temperature of the column decreases the retention time of the compound.

c. Increasing the length of the column increases the retention time of the compound.

The retention time of a compound in gas chromatography (GC) is influenced by various factors. Let's explore how the retention time would change with the given modifications:

a. Decrease the flow rate of the carrier gas:

If the flow rate of the carrier gas is decreased, the retention time of the compound will typically increase. The flow rate affects the time it takes for the compound to travel through the column. Slowing down the flow rate means that the compound spends more time interacting with the stationary phase, resulting in a longer retention time.

b. Increase the temperature of the column:

Increasing the temperature of the column in gas chromatography generally decreases the retention time of a compound. Higher temperatures enhance the volatility of the compound, allowing it to partition more readily into the gas phase and elute faster from the column. As a result, the compound spends less time interacting with the stationary phase, leading to a shorter retention time.

c. Increase the length of the column:

If the length of the column is increased, the retention time of the compound will generally increase as well. The longer column provides a greater separation distance, allowing for more interactions between the compound and the stationary phase. This prolonged interaction results in a slower elution and, consequently, a longer retention time.

It's important to note that these changes can have variable effects depending on the specific compound, stationary phase, and column conditions. However, the general trends described above are commonly observed in gas chromatography.

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