An adolescent client is seen for abdominal pain in the local clinic. The client states, "The pain is sort of all over my belly. I can't really find one place that hurts more than another area."
Based on the nurse's understanding about disorders of abdomen and associated symptomatology, which nursing diagnoses are appropriate for this client?
Select all that apply.
1. Acute pain.
2. Hypothermia.
3. Diarrhea.
4. Altered urinary elimination.
5. Altered nutrition, less than body requirements.
Correct Answer: 1, 3, 5
This client is most likely experiencing clinical manifestations associated with ulcerative colitis. Ulcerative colitis is a recurrent inflammatory process causing ulcer formation in the lower portions of the large intestine and rectum. This condition is common in adolescents and young adults. The client is currently experiencing diffuse acute pain. The client will commonly complain of diarrhea, and may experience weight loss. It would be unusual for the client to complain of hypothermia or have a lowered body temperature. The client with ulcerative colitis will not typically experience altered urinary elimination.
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