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1. NGN:WhatassessmentfindingsareconsistentwithCrohn'sdisease,ulcer-ative
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colitis, or peritonitis?
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Temperature(100F)Weight (- q q q
9.7 lbs)
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Albuminlevel(2.4) q q
WBC (14) q
Bowelpattern(freq.loosestools)Abdominal
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pain location (RLQ)
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Heartrate(105) q q
ANS:Temperature:Crohn's, UC & peritonitis.
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-Elevationcan occur with all three dueto inflammation and infection.
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,Weight:Crohn's& UC.
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-Unintended weight loss can occur due to malabsorption in the GI tract.
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Bowel pattern:Crohn's.
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-Ifthe patientreportedtherewas bloodinthe stool,it wouldbeUC.Crohn'sdoesn't cause tarry
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stools.
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WBC:Crohn's,UC & peritonitis.
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-Elevationcanoccur dueto inflammationand infection.
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Heart rate:peritonitis.
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-Tachycardiacanoccurduetoinflammation,infection,anddehydration.
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Albumin level:Crohn's & UC.
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-Becauseof themalabsorption in the GItract,thebodyisn't receiving enough protein.
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Abdominalpainlocation:Crohn's. q q q
-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have
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peritonitis, they experience generalized abd. pain that radiates to the shoulder and back.
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2. NGN:Whatassessment findings can indicatea transfusionreaction ina patient
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receiving blood?
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,Urineoutput(150mLofclear,yellow)Skin (pale,
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cool and dry)
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Anxiety
, Vitalsigns(withinnormalrange)Headache Back
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q 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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q dyspnea, hypotension. q
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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q abuse, and emotionally detached parents. Reports ner- vousness and only leaving home
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q when necessary. q
PMH: freq. hospital visits due to headaches and GI distress.
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q Bowtie:
ANS:Condition:somatic symptom disorder
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-dueto physical inactivity & joint pain
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Interventions:Monitorphysical manifestations& assess forpresenceof2ndgains from their
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q illness
-disorderischaracterizedbythepresenceofotherrealmanifestationslikedizziness, nausea,
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