ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
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.
Question 1 of 5
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
Correct Answer: B,D,E,F
Rationale: The correct answer includes a General Surgeon, Radiologist, Registered Dietitian, and Gastroenterologist. General Surgeon is essential for surgical interventions in severe cases. Radiologist helps in diagnostic imaging. Registered Dietitian assists in managing the client's nutritional needs given the impact of Crohn's disease on digestion. Gastroenterologist specializes in treating gastrointestinal issues like Crohn's disease. The other choices are incorrect because:
A) Occupational Therapist primarily focuses on helping individuals engage in meaningful activities, which may not be directly related to managing Crohn's disease.
C) Physical Therapist focuses on physical rehabilitation, not the primary focus in managing Crohn's disease. G) Speech Therapist is not typically included in the interdisciplinary team for managing Crohn's disease.
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Question 2 of 5
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Question 3 of 5
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Question 5 of 5
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