A nurse is caring for a client. The nurse has

A nurse is caring for a client. The nurse has completed their performing an assessment of the client and reviewing the client’s EMR. (For each of the client’s assessment finding, click to Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 specify if the finding is consistent with appendicitis or Crohn’s disease. Each finding may support more than History and Physical one disease process.) Client admitted to the medical-surgical unit with severe, acute abdominal pain, abdominal distention, diarrhea, mucus and small amount Crohn’s Assessment Finding Appendicitis Disease of blood in the stool, and a 12% weight loss over the past 2 months. Stool color Client’s weight 2 months ago was 100.3 kg (221.1 1b). Client has a history of Crohn’s Pain location disease and a seizure disorder that is managed Client reported with diet and medication. gastrointestinal concerns Respirations are equal and unlabored. S, S Temperature heart tones auscultated. Abdominal assessment performed with muscle guarding and tenderness in the right lower quadrant noted on palpation. Abdomen is firm and rigid upon examination. Abdominal pain rated as an 8 on a scale of 0 to 10. Client states that pain is constant and localized in the lower right abdominal quadrant. Reports anorexia. Hypoactive bowel sounds noted upon auscultation.

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