180 NGN QUESTIONS AND VERIFIED ANSWERS WELL
GRADED, BEST ATI COMPREHENSIVE
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. NGN: Patient arrives with palpitations, difficulty breathing,
and reports feel- ing faint. Reports constipation and joint pain
for x2 days. In childhood, patient experienced 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
Ans>> 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.