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NGN CASE STUDY: GASTROINTESTINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

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NGN CASE STUDY: GASTROINTESTINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ A 21-year-old female client presents to the emergency department (ED) reporting numerous episodes of blood diarrhea and lower abdominal cramping. Rates cramping a 4 on a pain scale of 0 to 10. Problems began about 2 months ago, but she declines seeking care earlier because she was "afraid [she] had cancer." States her roommate finally convinced her to come to the ED when the abdominal pain increased today. She reports having approximately six to seven episodes of bloody diarrhea daily. Denies any family history of bowel problems. Reports drinking one to two alcohol beverages on weekends when partying with friends and smoking an occasional cigarette but denies being a regular smoker. Estimates having smoked fewer than five cigarettes in her lifetime. Denies use of recreational drugs. In addition to these episodes, fear of cancer, and abdominal pain, she reports she has experienced increasing fatigue and malaise. Highlight these findings: numerous episodes of bloody diarrhea and lower abdominal cramping Rates cramping at 4 on a pain scale of 0 to 10 abdominal pain increased today approximately six to seven episodes of bloody diarrhea daily increasing fatigue and malaise

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4/3/25, 6:17 NGN Case Study: Gastrointestinal |
PM
NGN CASE STUDY: GASTROINTESTINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

The client presents to the emergency Potential Condition: Ulcerative Colitis
department with a report of excruciating
abdominal pain. The client rates the pain as a 9 Anticipated Medications: Sulfasalazine
on a scale of 1 to 10. The symptoms began 2 days Methylprednisone
earlier, with severe
abdominal pain often radiating to the rectum, Side Effects to Monitor For: Fever
along with anorexia, nausea, Osteoporosis

vomiting, weakness, and dehydration. The client
states the diarrhea appears to
contain blood with mucus and is

occurring approximately 15 times a day. The
nausea has been occasional with four episodes of
vomiting. Vital signs are
temperature 98.6, heart rate of 98 beats/min,
respiratory rate of 20
breaths/min, blood pressure of 102/60 mm Hg,
and pulse oximetry reading of 98%.




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