1. Which order will you implement first? Why? 

2. You need to obtain a stool specimen for the ordered tests. Describe the process to complete this procedure considering Mr. Greaves's situatio

3. The fecal occult blood test (FOBT) is done on the nursing unit. Describe the critical steps of this procedure that are necessary to ensure valid results. 

4. Mr. Greaves says to you, "I think I need some medication to stop this diarrhea. Could you ask the doctor for something?" How should you respond to this questio

5. Mr. Greaves tells you, "I know this sounds crazy but I am hungry in spite of all this mess. What can you get me to eat?"

Mr. Greaves is a direct admission from his assisted care facility to the intermediate care unit with dehydration secondary to profuse diarrhea. He is awake, alert, and oriented (x3, has a low-grade fever, abdominal cramps, and diarrhea (5 to 10 watery stools a day). He tells you, "I don't think I have gone this much in my entire life! I can't even describe how bad my bottom feels! I was just getting over my chest infection with all those antibiotic pills." 

You receive the following orders from the primary care provider: 

• Vital signs q4h while awake 

• IV of lactated Ringer's solution (LR) @ 150 ml/hr. 

• BRAT diet Stool for occult blood, 

• O&P, and Clostridium difficile .

• BR/BRP with assistance Skin/wound care consult