Preview (9 of 28 Pages)100%Purchase to unlockPage 1Loading page ...HatRNAlterationsinDigestionandBowelEliminationAssessment©cLoseQuestion:1of28|<»CommerTimeElapsed:00:01:12=H(russAnurseiscaringforaclientinthemedical-surgicalunitofahospital.Completethefollowingsentencebyusingthelistsofoptions.“ososessceseaes0eseoesExhibitExhibic2TheclientIsathighestriskfordevelopinganalfissuresorfistulas~asevidencedbytheclientsCrohn'sdiseas.-.Nurses'NotesSeommzeraYesterday:19-year-oldclientadmittedtothemedical-surgicalnursingunitThenurseshouldrecognizethatadiagnosisofCrohn'sdiseaseplacestheuldorthoreoclientatagreaterriskfordevelopinganalfissuresorfistulas.Thenurseshouldasadirectaamission;ironyzhelrprovidersoffice.ensurethattheyinspecttheperianalandanalareasforanymanifestationsofClienthasa4-weekhistoryofarecentlyconfirmeddiagnosisofthesecomplications,Forinstance,theclient'shighlevelofpainwithpus-likeCrohnsdThedlheihavbashFavdrainageisapriorityfindingbecauseitcouldindicatethattheclientmightberohn'sdisease.Theclientstatestheyhavebeenhavinguptodevelopingafistulaand/oranabscesstotherectalareas.Furtherinspection20to25loosestoolsperdayandnausea.Novomiting.Fatigue.mightbewarrantedunderendoscopyandtheprovidershouldbemadeaware.StatestheirGlproviderhasbeencloselyfollowingthemandadjustingtheirmedications,buttheirdiarrheaisnotimproving.Clientisalertandorientedx3,Statesabdomeniscrampyandbloated.Clientstatestheyareweakbutsteady.Noissueswithambulationnoted.Skinturgorisdecreased,andskinisdry.AdmittedforIVhydrationandfurtherevaluation.Today:Clientisalertandorientedx3.Nonewconcerns.Abdomentenderonpalpation;bowelsoundshyperactiveinall4quadrants,Clientstatestheyhavehad7loosestoolsthismorningandthattheirrectalareaisverypainful.Onexaminationoftheclient'slocalizedperianalareas,nursenotesreddenedandexcoriatedareas.Clientflincheswhenareaistouchedandpainisassessedasoutofproportionfromtheamountofpressurethatwasappliedbythenurse.Clientreportspainas9onascalefrom0to10.Thenursealsonotesthatthereissomemildpus-likedrainageexpressedfromoneoftheexcoriatedareasoftheperianalskin.Barriercreamappliedtotheseareas.Study.Page 2Page 3Page 4Page 5Page 6Page 7Page 8Page 9Preview ModeThis document has 28 pages. Sign in to access the full document!Download Now!Report