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.Preview Mode
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