Mrs. Brown is a 25-year-old female is a nursing student, who has a… Mrs. Brown is a 2

Mrs. Brown is a 25-year-old female is a nursing student, who has a… Mrs. Brown is a 25-year-old female is a nursing student, who has a past medical history of Hypothyroidism, , and Chronic inflammatory bowel disease (IBD) specifically Crohn’s disease has been admitted to your unit. She was admitted into the hospital due to an exacerbation of symptoms such as frequent loose stools, malaise, fatigue, and pain in the right lower quadrant. She is receiving IV morphine by PCA with adequate pain relief. She has nausea and vomiting and has been admitted to your floor. Physical exam:Tenderness when palpated over the abdomenA palpable right lower quadrant massVital signs: T 36.9 C orally, P 92, resp 20, BP 122/61. The patient is alert and orientedHer skin is warm and dry with good turgor. Oral mucous membranes are moist.Breath sounds are clear to auscultation.Abdomen soft with hyperactive bowel sounds in four quadrants.Her last bowel movement was in the morning and was wateryExtremities are warm with palpable peripheral pulses.Wight loss Medications orders/diagnostic test: sigmoidoscopy,colonoscopy, barium upperComplete Blood Count (CBC)Pednisone 30mg tab BID P.O 0900hours and 1200hoursSulfasalzine 500mg tab BID at 0900hours and 1200hoursLopromide 4mg tab BID at 0900hours and 1200hoursNPO5MG Morphone IV via PCA pump Questions Is the patient’s physical assessment findings consistent with Crohns disease?Why was sulfasalazine, Pednisone and Loapmide ordered for this patient? What is the mechanism of action for this medication? What nursing assessments would you complete when administering this medication to the patient? What health teaching would you provide to the patient related to this medication?Why was a sigmoidoscopy/colonoscopy/ or barium upper, and CBC ,ordered for this patient? What would be a normal finding for this test? What would an abnormal finding indicateWhat collaborative treatment(s) would the nurse expect for this patient if not already ordered?What would be an appropriate nursing diagnosis for this patient?Provide an overview of nursing interventions you would implement in regards to the above-mentioned nursing diagnosis. Give your rationale for these.What health teaching (medications, treatments, tests, pharmacological and non pharmacological interventions, self monitoring) would you provide to this patient before they are discharged home?  Health Science Science Nursing PNUR 250 Share QuestionEmailCopy link Comments (0)

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