Question: Inflammatory Bowel Disease Case Study During An Initial Assessment. You Note That M.B. Has Red, Painful Nodules On Her Legs And The Skin On Her Abdomen Is Inflamed. You Recognize These Findings As A) A Systemic (extraintestinal) Complication Occurring As A Result Of Circulating Cytokines. B) Characteristic Of Poor Personal Hygiene That Is Often Present …

Inflammatory Bowel Disease Case Study During an initial assessment. you note that M.B. has red, painful nodules on her legs and the skin on her abdomen is inflamed. You recognize these findings as a) a systemic (extraintestinal) complication occurring as a result of circulating cytokines. b) characteristic of poor personal hygiene that is often present in patients with ulcerative colitis c) an opportunistic infection that occurs when chronic illness causes compromised immunologic function. d) manifestations of the stress and ineffective coping that are factors in the development of ulcerative colitis. Laboratory testing is ordered for M.B. Based on M.B.’s signs and symptoms, you expect the laboratory results to reveal leukocytosis, electrolyte imbalance, hypoalbuminemia, and a) thrombocytopenia b) anemia ch decreased erythrocyte sedimentation rate (ESR) d) decreased C-reactive protein (CRP) leve! Upon entering M.B.’s room, you find her returning to bed from the bathroom. She tells you that her bottom is very sore and the skin around her perianal area is bleeding. She is washing the area with warm water after each stool and applying ointment containing zinc oxide to the skin. You identify a nursing diagnosis of impaired skin integrity of the perianal area related to diarrhea and recognize that healing of the skin is going to be complicated by M.B.’s a) impaired mental state. b) altered nutritional status c) inability to maintain normal mobility. d) lack of knowledge of skin care techniques. Considering M.B.’s condition before surgery and the expected ileostomy output the first few days after surgery. you recognize that in the early postoperative period M.B. is at greatest risk for a) infection. b) hemorrhage. c) fluid volume deficit. d) small bowel obstruction,