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1. NGN:WhatassessmentfindingsareconsistentwithCrohn'sdisease,ulcer-ative
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r colitis, or peritonitis?
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Temperature(100F)Weight(- r r r
9.7 lbs)
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Albuminlevel(2.4) r r
WBC(14) r
Bowelpattern(freq.loosestools)Abdominal pain
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r location (RLQ) r
Heartrate(105) r r
ANS:Temperature:Crohn's,UC& peritonitis.
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-Elevationcanoccurwithallthreeduetoinflammationandinfection.
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,Weight:Crohn's&UC. r r r
-UnintendedweightlosscanoccurduetomalabsorptionintheGItract. r r r r r r r r r r r
Bowelpattern:Crohn's.
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-Ifthepatientreportedtherewasbloodinthestool,itwouldbeUC.Crohn'sdoesn't cause tarry
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r stools.
WBC:Crohn's,UC&peritonitis.
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-Elevationcanoccurduetoinflammationandinfection.
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Heartrate:peritonitis.
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-Tachycardiacanoccurduetoinflammation,infection,anddehydration. r r r r r r r r
Albuminlevel:Crohn's&UC. r r r r
-BecauseofthemalabsorptionintheGItract,thebodyisn'treceivingenoughprotein.
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Abdominalpainlocation:Crohn's. r r r
-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have
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r peritonitis, they experience generalized abd.pain that radiates to the shoulder and back.
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2. NGN:Whatassessmentfindingscanindicateatransfusionreactioninapatient
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r receiving blood? r
,Urineoutput(150mLofclear,yellow)Skin (pale,
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r cool and dry)
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Anxiety
, Vitalsigns(withinnormalrange)Headache Back
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r pain
ANS:Backpain,headache&anxiety.
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Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain, tachycardia,
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r dyspnea, hypotension. r
3. NGN:Patientarriveswithpalpitations,difficultybreathing,andreportsfeel-ingfaint.
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Reports constipation and joint pain for x2 days. In childhood, patient experienced physical
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r abuse, and emotionally detached parents. Reports ner- vousness and only leaving home
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r when necessary. r
PMH: freq. hospital visits due to headaches and GI distress.
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r Bowtie:
ANS:Condition:somatic symptom disorder
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-duetophysicalinactivity&jointpain
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Interventions:Monitorphysicalmanifestations&assessforpresenceof2ndgainsfrom their r r r r r r r r r r r r
r illness
-disorderischaracterizedbythepresenceofotherrealmanifestationslikedizziness, nausea,
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