M. J., a 39-year-old woman was admitted

M. J., a 39-year-old woman was admitted to the emergency department (ED) today with the diagnosis of recurrent inflammatory bowel disease (IBD). M.J. is married and her husband and 1-year-old son are supportive., but she has no extended family in the state. She has had Crohn’s disease for 15 years and has been taking mesalamine (Asacol) for 10 years and prednisone 40 mg/day for the last 5 years. She is very thin; 5 feet 2 inches (157 cm), she weighs 86 lbs (39 kg) and has lost 40 lbs (18 kg) over the past 10 years. She presented with loose stool, about 5-10 times/day, severe abdominal pain, and low-grade fever. She feels very fatigue and nausea. She is admitted to the hospital to rule out potential life-threatening complications and to manage her chronic disease. 1. Indicate which nursing listed in the far-left column is appropriate for each potential complication. Note that not all actions will be used. Provide rationale for you answers with citation Nursing Action Potential Complication Appropriate Nursing Action for each complication 1.Administer blood or blood product via large-bore IV catheter Enteroenteric fistula 2. Observe stool for undigested food or undissolved medication Small bowel obstruction 3. Administer IV sodium heparin Lower GI bleed 4. Monitor patient for hematemesis Malabsorption 5. Monitor for S/S of irritable bowel syndrome 6. Insert a nasogastric tube and connect to suction 7. Administer antibiotic therapy

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