Question

A nurse in a provider's clinic is caring for a client who has diarrhea.

Vital Signs
Temperature 36.2° C (97.2° F)Pulse rate 116/min
Respiratory rate 24/minBP 102/68 mm Hg Oxygen saturation 95% Weight 52.2 kg (115 lb)
Nurses' Notes
1000:
Client reports diarrhea for the past 5 days with approximately 8 liquid stools a day. Woke up this morning feeling dizzy. States, ""I felt like I was going to pass out.""
Client was seen 7 days ago for sinus infection and was prescribed amoxicillin.
Weight at previous visit was 56.2 kg (124 lb).
Denies bloody or black stools.
1030:
Blood collected for CBC, basic metabolic profile (BMP); stool collected for C. difficile; urine collected for urinalysis.
1100:
Informed client that the office will call with results of laboratory findings; prescription for loperamide provided, instructed to discontinue amoxicillin; instructed to drink electrolyte solution; teaching provided for managing diarrhea.
Physical Examination
1015:
Oriented to person, place, and time; lethargic, reports headache
Tachycardia, hypotension, thready pulse, dry mucous membranes, tenting present.
Respirations slightly labored, chest clear.
Bowel sounds x 4 quadrants hyperactive.
Reports urine is dark, minimal amount.
The nurse is providing teaching for the client who has diarrhea. Select the 4 instructions that the nurse should include in the teaching.
A. Increase intake of high-calcium foods.
B. Eat probiotic foods, such as yogurt.
C. Avoid alcohol while experiencing diarrhea.
D. Eat raw vegetables.
E. Eat three large meals a day.
F. Avoid caffeine while experiencing diarrhea.
G. Drink hot liquids several times a day.
H. Drink carbonated beverages to replace lost fluids.
I. Follow a low-fiber diet."

Answer 1

The nurse should instruct the client to eat probiotic foods like yogurt, avoid alcohol and caffeine, and follow a low-fiber diet to manage diarrhea effectively.

Step-by-step explanation:

A nurse in a provider's clinic is caring for a client who has diarrhea and is experiencing symptoms such as dizziness, tachycardia, hypotension, tenting skin, and slight dehydration. The nurse should include the following four instructions in the teaching for managing diarrhea:

• Consume probiotic foods like yogurt to help restore gut flora.
• Avoid alcohol as it can further irritate the gastrointestinal tract and worsen dehydration.
• Avoid caffeine as it is a diuretic and could worsen dehydration and diarrhea.
• Follow a low-fiber diet to help reduce the frequency and volume of stools.

These instructions aim to improve the client's symptoms, promote rehydration, and avoid exacerbation of diarrhea.