A client with Crohn’s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. Which information will the nurse add to a teaching plan in order to individualize the teaching for this client?

Patient Profile  A 22-year-old male who comes to the health care provider for reports of frequent diarrhea and abdominal pain. He reports a 5-pound weight loss over the last month. He had appendicitis with appendectomy at age 9. He currently takes no medications. Subjective Data Frequently has abdominal pain and bloody diarrhea Objective Data Physical Examination Temperature 99.9° F, pulse 78, respirations 16, blood pressure 114/62 Height 5’3”, weight 120 lb, BMI 21.3 kg/m2 Diagnostic Studies Lab values WBC                    11,600/µL                                 4,000 – 11,000 /µL RBC                      3.4 million/µL                          4.7 – 6.1 million/µL (male) Hematocrit        33%                                            41-53% Hemoglobin      10 g/dL                                      14-18 g/dL Platelets             190,000/µL                               150,000-450,000/µL CRP                      57 mg/dL                                 less than 5 mg/dL Sodium                135 mEq/L                              135-145 mEq/L Potassium          3.5 mEq/L                                3.5-5.0 mEq/L                             HCO3                   25.4 mEq/L                              22-26 mEq/L Chloride              99.5 mEq/L                              98-106 mEq/L Fecal occult blood tests positive Colonoscopy shows acute inflammatory process with multiple ulcerations throughout the rectum and large colon.  The client’s most likely problem is [BLANK-1] as evidenced by [BLANK-2]. The nurse will teach about [BLANK-3]. It will be most important to monitor [BLANK-4].    Word Bank A Word Bank B Word Bank C Word Bank D    irritable bowel syndrome hemoglobin eliminating gluten from the diet client weight    celiac disease electrolyte levels medication and side effects serum electrolytes    Crohn’s disease WBC enteral nutrition hemoglobin    ulcerative colitis colonoscopy results blood transfusion food intake    

The nurse is providing discharge teaching for a client who had surgical therapy for treatment of peptic ulcer disease. Which client statement indicates that further teaching is needed?

A client has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 10 pounds (4.5 kg) over 2 months. What will the nurse include in the teaching plan?

After reviewing the nursing notes, which 3 assessment findings will be most important to report to the healthcare provider? The nurse in the medical-surgical unit is caring for a 50-year-old client. Nursing Notes Admission – The client appears uncomfortable with reports of nausea and vomiting for several days, generalized fatigue, and decreased appetite. Lung sounds diminished throughout all lung fields. Nonlabored respirations. Heart sounds regular S1, S2 present, peripheral pulses 2+. Vital signs: BP 88/58, HR 110, RR 29, T 99.9° F (37.7°C), and pulse oximetry reading of 90% on room air. The client is alert and oriented x4. Abdomen is large, round, and firm to the touch. Client reports generalized abdominal pain 4/10. Bowel sounds active x4. Last bowel movement yesterday, light tan in color. Rectal hemorrhoids present. Client voiding without difficulty. Dark brown urine noted.  Skin intact with generalized +2 edema. Skin color normal for race, sclera of the eyes light yellow in color. Lips and oral mucosa are tacky and dry. Client reports a diagnosis of hepatitis C 10 years ago but has had no follow-up. No home medications. No known allergies. Nonsmoker. Reports drinking 6-8 alcoholic beverages daily for the past 20 years.

The nurse in the emergency department (ED) is caring for a 56-year old female.  Review the nurse’s notes and select which findings require immediate follow-up by the nurse. Select all that apply. Nurse’s notes 1400 – Client presents to the ED with dyspnea and dizziness and feeling as if she may “pass out”. She reports her morning bowel movement appeared to be black and resembled tar.  The client reports an exacerbation of arthritis for which she has been taking ibuprofen every 6 hours but is otherwise healthy. Significant other at the bedside reports the client has appeared less active and fatigued for several weeks. Vital signs: BP 90/54, HR 105, RR 30, T 98.9° F (37.2°C), and pulse oximetry reading of 89% on room air. Upon assessment, the nurse notes lung sounds are clear throughout all lung fields. Peripheral pulses are 2+. S1, S2 present, no extra heart sounds heard. Skin is cool to touch and pale. Capillary refill is less than 3 seconds. The client is alert and oriented x 3.  Reports “burning” upper abdominal pain rating 4/10. Home medications include ibuprofen 600 mg every 6 hours as needed for joint pain.  Nonsmoker. Occasional social drinking of no more than 2 alcoholic drinks at a time.

[BLANK-1] covers only job-related injuries and illnesses.

Which type of advance directive takes effect when an incapacitating medical condition occurs?

Which of the following settlement options specifies that the insurance company pay out the total amount of the death benefit immediately after death?

As a result of the health care reform Patient Protection and Affordable Health Care Act, a child may stay on a parent’s health care plan until the age of ________.