RN Comp Practice 2023 A
NGN: What assessment findings are consistent with Crohn's disease, ulcerative 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)
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.
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
Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
tachycardia, dyspnea, hypotension.
NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint.
Reports constipation and joint pain for x2 days. In childhood, patient experienced
physical abuse, and emotionally detached parents. Reports nervousness and only
leaving home when necessary.
PMH: freq. hospital visits due to headaches and GI distress.
Bowtie:
Condition: somatic symptom disorder
-due to physical inactivity & joint pain
, Interventions: Monitor physical manifestations & assess for presence of 2nd gains from
their illness
-disorder is characterized by the presence of other real manifestations like dizziness,
nausea, back pain, and joint pain.
Monitor: Vital signs & pain.
NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms
of an allergic reaction?
Administer 0.9% NS IV
Administer epi IM
Monitor urine output q2hrs
DC supplemental oxygen
Monitor vital signs frequently
DC IV medication
Administer 0.9% NS IV
Administer epi IM
Monitor vital signs frequently
DC IV medication
NGN: What assessment findings are consistent with Crohn's disease, ulcerative 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)
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.
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
Back pain, headache & anxiety.
Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
tachycardia, dyspnea, hypotension.
NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint.
Reports constipation and joint pain for x2 days. In childhood, patient experienced
physical abuse, and emotionally detached parents. Reports nervousness and only
leaving home when necessary.
PMH: freq. hospital visits due to headaches and GI distress.
Bowtie:
Condition: somatic symptom disorder
-due to physical inactivity & joint pain
, Interventions: Monitor physical manifestations & assess for presence of 2nd gains from
their illness
-disorder is characterized by the presence of other real manifestations like dizziness,
nausea, back pain, and joint pain.
Monitor: Vital signs & pain.
NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms
of an allergic reaction?
Administer 0.9% NS IV
Administer epi IM
Monitor urine output q2hrs
DC supplemental oxygen
Monitor vital signs frequently
DC IV medication
Administer 0.9% NS IV
Administer epi IM
Monitor vital signs frequently
DC IV medication
