RN Comp Practice 2024 A Exam Questions With Complete Solutions

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) - 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. 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. 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.