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PJ is a 37-year-old female with a 12-year history of Crohn’s disease. She is a single mother of 2 small children. She reports a 4-week history of increasing episodes of bloody diarrhea and abdominal pain. She was maintained on azathioprine prior to this exacerbation and has been on prednisone for the past 2 weeks but did not experience an improvement in symptoms. She is a very active person with a busy schedule caring for her children and working full time. She is requesting additional therapy to relieve her systems.

 1. State the pathophysiology of Crohn’s disease. List only 2 complications of Crohn’s disease..

2. What is azathioprine? (PLO 1,3,5,6)

 a. Identify the pharm class

 b. Identify the mechanism of action.

 c. What are the complications of this medication?

 3. List 2 additional orders that the nurse anticipates would be ordered to manage this client. (PLO 1,3,5,6)

4. What labs would the nurse monitor? List 3 labs with a rationale for each. (PLO 3 and 6)

 5. Identify 3 body systems of the nurse’s focused assessment with rationale. (PLO 3, 6)

6. List 3 areas of education for this client with rationale (PLO 1,3,6, and 7)

SCIENCE
HEALTH SCIENCE
NURSING
NSG 202

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