1. NGN:What assessment findings are consistent with
Crohn's disease, ulcer- ative colitis, or peritonitis?
Temperature (100F)
Weight (-9.7 lbs)
Albumin level (2.4)
WBC (14)
,Bowel pattern (freq. loose
stools) Abdominal pain
location (RLQ) Heart rate
(105):
Ans>>
Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to inflammation and infection.
,Weight: Crohn's & UC.
-Unintended weight loss can occur due to malabsorption in the GI tract.
Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool, it would be UC.
Crohn's doesn't cause tarry stools.
WBC: Crohn's, UC & peritonitis.
-Elevation can occur due to inflammation and infection.
Heart rate: peritonitis.
-Tachycardia can occur due to inflammation, infection, and dehydration.
Albumin level: Crohn's & UC.
-Because of the malabsorption in the GI tract, the body isn't receiving
enough protein. Abdominal pain location: Crohn's.
-Because it is in the RLQ, it is more consistent with Crohn's. With
patients that have peritonitis, they experience generalized abd. pain
that radiates to the shoulder and back.
2. NGN:What assessment findings can indicate a
transfusion reaction in a patient receiving blood?
Urine output (150mL of clear,
yellow) Skin (pale, cool and dry)
Anxiety
, Vital signs (within normal
range) Headache
Back pain:
Ans>> Back pain, headache &
anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever,
chills, chest pain, tachycardia, dyspnea, hypotension.
3. A nurse is assessing a patient who has decreased visual
Crohn's disease, ulcer- ative colitis, or peritonitis?
Temperature (100F)
Weight (-9.7 lbs)
Albumin level (2.4)
WBC (14)
,Bowel pattern (freq. loose
stools) Abdominal pain
location (RLQ) Heart rate
(105):
Ans>>
Temperature: Crohn's, UC & peritonitis.
-Elevation can occur with all three due to inflammation and infection.
,Weight: Crohn's & UC.
-Unintended weight loss can occur due to malabsorption in the GI tract.
Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool, it would be UC.
Crohn's doesn't cause tarry stools.
WBC: Crohn's, UC & peritonitis.
-Elevation can occur due to inflammation and infection.
Heart rate: peritonitis.
-Tachycardia can occur due to inflammation, infection, and dehydration.
Albumin level: Crohn's & UC.
-Because of the malabsorption in the GI tract, the body isn't receiving
enough protein. Abdominal pain location: Crohn's.
-Because it is in the RLQ, it is more consistent with Crohn's. With
patients that have peritonitis, they experience generalized abd. pain
that radiates to the shoulder and back.
2. NGN:What assessment findings can indicate a
transfusion reaction in a patient receiving blood?
Urine output (150mL of clear,
yellow) Skin (pale, cool and dry)
Anxiety
, Vital signs (within normal
range) Headache
Back pain:
Ans>> Back pain, headache &
anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever,
chills, chest pain, tachycardia, dyspnea, hypotension.
3. A nurse is assessing a patient who has decreased visual
