ATI NU2508 Leadership Final Proctored Exam
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Admission Assessment A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people." Assessment: Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess. Vital Signs: Temperature 37.5° C (99.5° F) Heart rate 78/min Respiratory rate 20/min Blood pressure 102/54 mm/Hg Provider Prescriptions Medical management CBC, CMP. ESR (erythrocyte sedimentary rate) MRE (magnetic resonance enterography) of pelvis and abdomen Corticosteroids for clinical finding management. Taper dose as indicated. Gastrointestinal evaluation Nutritional screening and management Screen for depression Smoking cessation program Follow CDC recommended immunizations for those on immunosuppressive therapies. Evaluate for possible surgical management. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
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