RN Comp Practice A.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/RN%20Comp%20Prac
RN Comp Practice A
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): 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.
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,RN Comp Practice A.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/RN%20Comp%20Prac
Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn'tcause 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 enoughprotein.
Abdominal pain location: Crohn's.
-Because it is in the RLQ, it is more consistent with Crohn's. With patients that haveperitonitis,
they experience generalized abd. pain that radiates to the shoulder andback.
2. NGN: What assessment findings can indicate a transfusion reaction in apatient
receiving blood?
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Urine output (150mL of clear, yellow)Skin
(pale, cool and dry)
Anxiety
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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.
3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel-ing faint.
Reports constipation and joint pain for x2 days. In childhood, patientexperienced physical
abuse, and emotionally detached parents. Reports ner- vousness 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 gainsfrom their
illness
-disorder is characterized by the presence of other real manifestations like dizziness,nausea, back
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RN Comp Practice A
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): 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.
1 of 138 8/8/2024, 3:34
,RN Comp Practice A.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/RN%20Comp%20Prac
Bowel pattern: Crohn's.
-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn'tcause 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 enoughprotein.
Abdominal pain location: Crohn's.
-Because it is in the RLQ, it is more consistent with Crohn's. With patients that haveperitonitis,
they experience generalized abd. pain that radiates to the shoulder andback.
2. NGN: What assessment findings can indicate a transfusion reaction in apatient
receiving blood?
2 of 138 8/8/2024, 3:34
,RN Comp Practice A.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/RN%20Comp%20Prac
Urine output (150mL of clear, yellow)Skin
(pale, cool and dry)
Anxiety
3 of 138 8/8/2024, 3:34
,RN Comp Practice A.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/RN%20Comp%20Prac
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.
3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel-ing faint.
Reports constipation and joint pain for x2 days. In childhood, patientexperienced physical
abuse, and emotionally detached parents. Reports ner- vousness 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 gainsfrom their
illness
-disorder is characterized by the presence of other real manifestations like dizziness,nausea, back
4 of 138 8/8/2024, 3:34
