The patient with CRC (colorectal cancer) has undergone a partial colectomy with creation of a colostomy. Four hours after the surgery, the nurse observes the stoma to be cyanotic in color. Which is the nurse’s priority action?

A 46F is admitted for Crohn’s exacerbation. During her history she reports all of the below. Which finding is the priority for follow-up?

34F is admitted with weakness and malaise 90 days s/p gastric sleeve surgery. Her labs are as follows: Na+ 129 mEq/L (135 – 145 mEq/L) BUN 28 mg/dL (8 – 20 mg/dL) Creat 1.8 mg/dL (0.7 – 1.1 mg/dL) Hgb 16.4 g/dL (11 – 15 g/dL) Total Protein 4.1 g/dL (6 – 8 g/dL) Albumin 2.2 g/dL (3.4 – 5.4 g/dL) The patient asks the nurse why she’s feeling so unwell. The nurse suspects this patient is exhibiting which gastric sleeve complications?

39F with PMHx of ETOH abuse and cirrhosis presents to the ED with hematemesis and melena. Her VS and labs are as follows: Temp 36.1 C HR 128 RR 24 BP 86/49 SpO2 98% on RA Hgb 6.3 g/dL (12-15 g/dL) What is true?  (Select all that apply.)

54F with a PMHx of ETOH and cirrhosis is admitted for abdominal pain. Which assessment finding is most consistent with portal hypertension?

A 51F patient presents to the ED with complaining of frequent diarrhea over the past several days. She is weak with chapped lips. She tells you she just finished a course of antibiotics for strep. Which action should the nurse take first?

The nurse is assessing a 68M with cirrhosis. Which finding is most consistent with hepatic encephalopathy?

Which type of hepatitis is a DNA virus, can be trasnmitted via exposure to infectious blood or body fluids, is required for HDV to replicate, and increases the risk of the chronic carrier for hepatocellular cancer? 

A patient with Crohn’s disease has a draining enterocutaneous fistula. Which finding is the priority for intervention?

59M is admitted with Crohn’s disease and colonic strictures. Which assessment finding requires immediate intervention?