Page 1508 - Saunders Comprehensive Review For NCLEX-RN

mellitus

2. Interventions

a. Instruct the client in the prescribed
dietary measures (fat and protein
intake may be limited).
b. Instruct the client to avoid heavy meals.
c. Instruct the client about the importance
of avoiding alcohol.
d. Provide supplemental preparations and
vitamins and minerals to increase
caloric intake.
e. Administer pancreatic enzymes as
prescribed to aid in the digestion and
absorption of fat and protein.
f. Administer insulin or oral
hypoglycemic medications as
prescribed to control diabetes mellitus,
if present.
g. Instruct the client in the use of
pancreatic enzyme medications.
h. Instruct the client in the treatment plan
for glucose management.
i. Instruct the client to notify the PHCP if
increased steatorrhea, abdominal
distention or cramping, or skin
breakdown develops.
j. Instruct the client in the importance of
follow-up visits.
XXIII. Pancreatic Tumors, Intestinal Tumors, and Bowel Obstructions: See
Chapter 44 for more information.
XXIV. Irritable Bowel Syndrome (IBS)
A. Description
1. Functional disorder characterized by chronic or
recurrent diarrhea, constipation, and/or abdominal
pain and bloating
2. Cause is unclear but may be influenced by
environmental, immunological, genetic, hormonal,
and stress factors
B. Interventions
1. Increase dietary fiber.
2. Drink 8 to 10 cups of liquids per day.
3. Medication therapy: Depends on the predominant
symptoms of IBS (antidiarrheals versus bulk-forming
laxatives; lubiprostone or linaclotide for constipation-
predominant IBS and alosetron for diarrhea-
predominant IBS)
XXV. Ulcerative Colitis

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