Case r/t Abdominal examination Aling Ising, 50 years old, who works as a laundry woman, was hospitalized due to nausea, vomiting, and acute abdominal pain of rapid onset. 1. How would you access this patient? 2. Describe specific assessments you would make to confirm or rule out acute appendicitis.
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- The nurse is caring for a patient admitted with pancytopenia with complaints of dyspnea upon exertion. This symptom would be most directly related to which condition? 1. Pain 2. Thrombocytopenia 3. Anemia 4. NeutropeniaYou are caring for a client who has been diagonsed with appendicitis . The nurse in charge asked you to assist in the preparaton of this client for surgery in the next four (4) hours. 1. Outline ten (10) of your nursing care management with rationale for this client. 2. The client returns from theater after having appendectomy done. Outline seven (7) immediate post-operative intervention for this client.A 24 yr old presents in the emergency department with a history of cramping legs and lethargy. On detailed history, the nurse understood that the client is suffering from diarrhea for the last one week. What should the nurse do first? Answer Choices: a. Administer anti-diarrheal medications b. Give IV fluid c. Monitor serum electrolyte d. Collect stool for C/S
- CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…Case of A 25 year old male presents to the Emergency Department with a right sided sore throat for the past 3 days which radiates to the right ear. Your physical assessment reveals a red pharyngeal membrane and tonsils with white-purple exudates. 1. What diagnostic tests would you anticipate for this patient? 2. Give 1 nursing diagnosis that is applicable to your client's case. (NANDA based) 3. Give 1 nursing intervention based on the clients chief complaint.
- Case of A 25 year old male presents to the Emergency Department with a right sided sore throat for the past 3 days which radiates to the right ear. Your physical assessment reveals a red pharyngeal membrane and tonsils with white-purple exudates. 1. What diagnostic tests would you anticipate for this patient? 2. Give 1 nursing diagnosis that is applicable to your client's case. 3. Give 1 nursing intervention based on the clients chief complaint.CASE: A 61-year-old American woman was referred to a Gastroenterology Clinic from primary care provider due to consistent discomfort and significant weight loss. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. She presented with a 2-month history of burning pain in the epigastric abdomen and chest which radiated toward her back. Her pain worsened after taking aspirin and drinking coffee, and was relieved after taking antacids. She had previously lost 10 pounds in 2 months due to decreased intake caused by the feeling of bloating, early fullness and stomachaches between meals. She also reported nausea and vomiting. She expressed concern especially because the food appeared undigested when she vomited. She also reported doubling her NSAID intake due to increased knee pain. She looked pale and exhausted when she entered the clinic. Past medical history shows Gastritis with Helicobacter pylori (H. pylori) infection,…Code the following diagnoses and procedures. 1. Pilonidal fistula with abscess (icd-10-cm) Excision of pilonidal sinus (icd-10-pcs) 2, Hard corn deformity, right little toe (icd-10-cm) Soft corn deformities, third, fourth, and fifth toes, right (icd-10-pcs) 3. Chronic purulent inflamed acne rosacea of lower lip (icd-10-cm) Wide excision of chronic acne rosacea of lower lip (external) with full thickness autologous graft over defect, lower lip (icd-10-pcs) 4. Contact dermatitis of eyelid (icd-10- cm)
- Patient C, has stomach cancer using corticosteroids and currently on his 4th week of radiation therapy. Patient is alcoholic and loves to eat highly seasoned food. Medications include aluminum hydroxide, Medical Diagnosis Gastritis. Medications given: Ranitidine, Omeprazole, Sucralfate, Misoprostol (Cytotec)Identify the etiology, trends and issues regarding the disease1). You are working on the post anesthesia care unit and caring for a client 1 hour after bowel surgery. They rate their pain a 7 on a scale of one to ten at the incision site. The pain is described as a sharp, aching sensation. Your client has not eaten any food yet, and is slightly nauseated. She is currently on 2 liters of oxygen via nasal cannula and is saturating at 95%. You review the healthcare provider’s orders and find the following:Hydrocodone/Acetaminophen 5/325 PO every 4-6 hours PRN 2-5 mg Morphine sulfate IV every 1-2 hours PRNAcetaminophen 1,000 gram IV every 6 hours PRNValium 5-10 mg IV every 2 6 hours PRNa. Which medication is the best selection?b. In regards to the analgesic, what is your priority to assess? c. If you administered the medication at 09:05, at what time should you reassess the patient’s pain level? B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters…
