A client recovering from an ileostomy feels like it we can dizzy the clients vital signs are blood pressure 95/60 weak and rapid pulse, temperature 99.3 and respiratory rate 20 what nursing diagnosis is a priority at this time [Correct Ans: - Deficient fluid volume Rationale: Light-headedness dizziness (orthostatic hypotension) low BP, tachycardia and mild increased respiratory rate are all signs of hypovolemia the nursing diagnosis is deficient fluid volume has highest priority at this time clients with ileostomies are particularly at risk for developing hypovolemia due to impaired water absorption A client with irritable bowel syndrome is recovering from surgery to create an ileostomy what foods should the nurse instruct the client to avoid to reduce the risk of food blockage [Correct Ans: - Dried fruits & nuts Rationale: dried fruits and nuts can cause a blockage in the small intestine the client should be instructed to avoid these food items with an ileostomy A client with malnutrition is assessed for osteomalacia what data show the nurse review to determine their clients risk for this health problem [Correct Ans: - Vitamin D levels Rationale: Malnutrition has widespread affects on various organ systems osteomalacia is defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the most accurate information regarding this health problem The nurse has determine an adolescent client needs reinforcement education about prevention of a sickle cell crisis which instruction should the nurse include select all that apply [Correct Ans: - Wear warm clothes outside in cold weather