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NRS 110 Ankylosing Spondylitis AND Celebrex-Clinical Workbook PG 76

John Marsh
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Ankylosing Spondylitis AND Celebrex-Clinical Workbook pg 76

College of Staten Island CUNY

Medical-Surgical Nursing I (NRS 110)

Mendoza 1
Samantha Mendoza
Professor Debra Marotta
Nursing 110 Clinical
February 4, 2020
Ankylosing Spondylitis and Celebrex
Subjective – “I have been experiencing a lot of back pain and stiffness. I don’t know if this medication
is even working.”
“I don’t take Celebrex daily, but every other day because the medication has become too expensive
on my limited income.”
➔ Allergies – Patient states they have “no known allergies.”
Objective – Pt slouches to reduce discomfort; grimaces upon encouragement to stand upright.
➔ Neurologic –
– Pt is alert and slightly lethargic due to fatigue → alert to time, person, and place; promptly
follows commands and answers questions
– Sensation intact→ sensitive to light touch
– Deep tendon reflexes are 1+
– Slow movement due to pain
– Extremity strength are equal
➔ Musculoskeletal – Core, upper and lower back muscle tone slightly atrophic as evidenced by
moderate kyphosis; ROM is limited due to pain
➔ Skin – Skin is color is normal, elasticity adequate, warm and moist; no existing skin ulcers/lesions
➔ GI – Oral mucosa is normal; normal bowel sounds; no significant weight change; last BM 2/4/2020



NRS 110 Ankylosing Spondylitis AND Celebrex-Clinical Workbook PG 76

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