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Original Question

1. Use this Case Study for the next 2 questions: A 47-year-old is diagnosed with advanced cirrhosis of the liver. Shift report indicates the patient was awake and restless most of the night. On assessment, it is noted that the patient is refusing the lactulose this morning and yesterday morning. The nurse notes no bowel movement for two days. The patient’s speech is becoming slurred. The patient is irritable and slow to respond to directions. Explain what is occurring with this patient (1 mark) List two nursing interventions for this patient. (2 marks) 2. Use this Case study for the next 2 questions: A 26-year-old make-up artist admitted to the hospital with acute exacerbation of ulcerative colitis. She has an 8-year history of the disease, and this is her 3rd admission this year for exacerbation. She is having 16 to 18 bloody stools/day and cramping abdominal pain. While caring for the above patient with acute exacerbation of ulcerative colitis, what are three 3 priority goals. List the goals (not specific interventions). (3 marks) While giving shift report, your colleague says she never really understood the difference between Crohn’s disease and Ulcerative Colitis. Briefly explain at least two key differences. (2 marks)

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