What is th pathophysiology overview (acidosis or alkalosis? what type? why?), Clinical manifestations (signs & symptoms), Needed assessments, Lab work & diagnostics needed, Nursing interventions and care, Treatments, and Patient teaching for Crohn's disease.
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What is th pathophysiology overview (acidosis or alkalosis? what type? why?), Clinical manifestations (signs & symptoms), Needed assessments, Lab work & diagnostics needed, Nursing interventions and care, Treatments, and Patient teaching for Crohn's disease.
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- (NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Constipation related to immobility secondary to a sedentary lifestyle as evidenced by straining during the passage of stools & absence of bowel movements for 5 days. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned?Spencer Question: if he is hospitalized how we will be able to care for Spencer and his family? Case study: Identification: Spencer is an 11 month old male who has been brought into Ed by his mother and father at sixteen 00 hours following referral by their GP. Situation: Spencer has had vomiting for the last 16 hours and now has diarrhoea. His parents reportes that he is having decreased oral intake and is vomiting everything that he eats and drinks. He is now having liquid stools in every nappy change. Background: Spencer is normally well and up to date with immunizations. Assessment: Spencer is being held by his father, is crying softly. he is pale. Temperature 37.8 degrees Celsius, heart rate 160, respiratory rate 48, spo 2 99% RA. Recommendations: Spencer has been diagnosed with moderate dehydration caused by viral gastroenteritis. He has been prescribed ondansetron and is fork trial of oral rehydration. If this fails over the next hour, Spencer will require NG rehydration." Risk of fluid volume depreciation as evidenced by nausea, vomiting and decreased fluid ingestion. " question: What could be the possible nursing interventions and rationale that could be done? (4 rationale and 4 nursing interventions) Objectives: 1. The patient will relieve pain 2. The patient will be able to maintain fluid volume 3. The patient will have normal stool in 1-3 days 4. The patient will be able to regain and additionally work on his nourishment with assistance of appropriate comprehension of the food options to help his digestion.
- A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy productsAclient is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 1. Increase intake of milk and milk products. 2. Restrict fluid intzke to 1000 mL per day. 3. Decrease foods high in potassium. 4. Decrease foods high in sodium.what the nursing process of following scenario? Mr. Bryan L. was assessed and found to have the following signs and symptoms: awake, confused and agitated. He responds to your questions but sometimes he does not use appropriate terminology. He knows his name, but does not know he is in the hospital. He has productive cough, which he spits in the emesis basin. The sputum is thick and yellow, with streaks of blood. Mr. L. states, “I smoke 3 packs of cigarettes a day for many years and I’m going to keep on smoking!” Laboratory values reflect an elevated level of carbon dioxide in his blood. On minimal exertion, he is experiencing shortness of breath (dyspnea); respiratory rate is 29 breaths/min and uses his abdominal accessory muscles to breathe. Capillary refill is sluggish, greater than 3 seconds. Both of his hands and feet are pale and cold to touch.
- (NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned?Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Hypertension Pokycystic Kidney Disease Grave's Disease CAll of the following are the most common ways that patients with HF present in a primary care setting except_____________? Fluid retention Sleep apnea Dyspnea Decrease exercise tolerance
- Order:Morphine sulfate 7.5mg, subcutaneous, q4h, prn. childs weight: 84 lb Recommended dose range: 0.1 to 0.2 mg/kg/dose how much will the nurse administerNursing diagnosis : Risk of imbalanced fluid volume in NCP Planning(short term goal and long term goal),Intervention ( independent and dependent) Rationale,and Evaluation.A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?Blood pressure 105/64 mm HgHeart rate 98/ minUrine output of 280 mL within 8 hrUrine negative for ketonesPREVIOUSCONTINUE31\deg FSnowSearch