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Based on M. K.’s clinical manifestations and lab results, the health care provider suspects IBD. Why? (1 pt)

What additional diagnostic studies may be ordered to confirm this diagnosis? (0.5 pt)

Based on the diagnostic studies, the health care provider diagnoses M.K. with Crohn’s disease. Describe the pathophysiology of this disease. (1 pt)

The health care provider prescribes Sulfasalazine for M.K.’s IBD. How does this medication work and how can it be administered? (0.5 pt)

What are the goals of nutritional therapy for clients with IBD? (0.5 pt)

Describe 3 teaching points you could use to help M. K. in improving his nutritional status. (1 pt)

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Infammatory Disease (IBD) Case Study
Crohn’s Disease: M. K.
Client Profle:
M.K. is a 22-year-old male who comes to the health care provider for complaints of
frequent diarrhea and abdominal pain. He had appendicitis with appendectomy at age 9. He currently
takes no medications.
Subjective Data
: Frequently has abdominal pain, especially in the right lower quadrant and diarrhea; very
tired
Objective Data:
Physical Examination
ï‚·
Temperature 100 ° F, pulse 78, respirations 16, blood pressure 114/62
ï‚·
Height 5’3”, weight 100 lb, BMI 17.7 kg/m
2
Diagnostic Studies
ï‚·
Lab values
o
WBC 11,600/µL
RBC 3.4 million/µL
o
Hematocrit 33%
Hemoglobin 10 g/dL
o
Platelets 190,000/µL
ESR 34 mm/hr
o
Sodium 132 mEq/L
Potassium 3.2 mEq/L
o
HCO
3
25.4 mEq/L
Chloride 99.5 Eq/L
o
Fecal occult blood tests negative
Answer the following questions based on the above information and your knowledge of
Crohn’s Disease. (total 5 points)
1.
What further assessments do you need to perform to determine what is occurring with
M. K.? ( 0.5 pt)
Complete blood count
ï‚·
ask him questions about his family and history.
ï‚·
assess his weight and ask him if he has been experiencing any weight loss.
ï‚·
Assess his pain where location and the description.
ï‚·
Assess the abdomen
ï‚·
Take vital signs
ï‚·
He may also be experiencing anemia and a nurse should assess for that by
looking at his lab results
3 pages
SCIENCE
HEALTH SCIENCE
NURSING

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