what are some standard questions that you might ask her about her symptoms? Why is this information so important for the doctor to know and what tests would most likely be ordered?
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A 28-year-old female patient complains of intermittent abdominal pain, accompanied by diarrhea or sometimes constipation. This has been happening off and on over the past few years and recently has been interrupting her daily activities.
As the medical assistant interviewing this patient, what are some standard questions that you might ask her about her symptoms?
Why is this information so important for the doctor to know and what tests would most likely be ordered?
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- Ms. Gonzaga visits the outpatient center and tells the nurse that she wants to "stay healthy." The nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. The client tells the nurse that she is "hungry all the time, but I have lost weight." a. How did the nurse assessed the patient to arrive with such observations? b. What clinixal tests would you do on this patient?A 54-year-old male patient arrives in the emergency department complaining of severe chest pain that radiates to his mid-back along with dyspnea. He is morbidly obese, has smoked two packs of cigarettes a day for the past 20 years, and has two immediate family members who have died of heart disease. What procedure is typically attempted before surgery, where is that procedure performed, and by what type of physician specialist?This 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…
- The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?A 45-year-old woman with no significant medical history presents with acute abdominal pain, nausea, and vomiting. She describes the pain as sharp and localized to the right lower quadrant of her abdomen. Her vital signs are stable, but she appears in distress. The nurse must conduct a thorough assessment and collaborate with the healthcare team to determine the cause of her symptoms and plan appropriate interventions. Options: A) Prepare the patient for immediate surgery, suspecting appendicitis. B) Administer pain medication and wait for further diagnostic tests. C) Encourage clear liquid diet and reassess in a few hours. D) Perform a pelvic exam and consider gynecological causes.Given the case of Dee Dee Blanchard, with Munchausen by Proxy, and based from the documentary, formulate the following:- What are the priority Nursing Diagnosis?- What are the priority nursing intervention per diagnosis?
- 1) The nurse receives an order to administer enteral tube feedings to a client with dysphagia. The order states:Administer 1500 mLs of enteral feeding over 18 hours via infusion pump.What will the mLs per hour be? Round to the nearest whole number. 2) A nurse is caring for a client with a diabetic ulcer which is has a bacterial infection. Identify the lab values the nurse will review to monitor for infectionJenny, has recently decided to spend two years as a missionary in a coastal African village. As part of her duties, she will work in the missionary clinic that has recently been established in the village. This clinic will provide routine medical care and a travelling physician and nurse will visit once each week. Upon her arrival, Jenny found that she would be spending most of her time in the clinic since the village had been without routine medical care for the past 2 years. Gradually, she found that she was beginning to call upon her training (both clinical and classroom) and she felt comfortable diagnosing and treating some of the more routine cases. One morning, a mother came in with her five-year-old child. The mother reported that the child had been unable to eat or drink anything for the past day because of vomiting. In addition, her child was experiencing severe diarrhea. Jenny asked the mother if any other family members were exhibiting similar symptoms, to which the mother…Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)
- Mrs. Aguilar is a 78-year-old Caucasian woman who lives alone in a small, one-story home she and her husband purchased several years ago before he died. She lives on Social Security income and her deceased husband's corporate pension and is financially secure. Though she is in relatively good health, she has been having increasing difficulty walking for the past several years, which has been attributed to peripheral vascular disease. She complains of weakness and pain in her legs and a loss of feeling in her fingers and feet. She also suffers from occasional constipation. She is happiest just doing her activities of daily living, such as preparing breakfast, lunch, and a late afternoon snack, then relaxing in her living room until it is time for bed. She has a good relationship with her adult children, who have been discussing with her the possibility of hiring a visiting nurse as her mobility declines. Her children take turns visiting on Sundays. When they come, they help with her…what is the nursing process in the following case scenario? Ms. Dela Cruz, 25 years of age, presents to the triage nurse at the local emergency department complaining of severe generalized abdominal pain. She describes it as sharp and intermittent. She states, “Over the last four (4) days, I haven’t been able to have a bowel movement.” She states that she is able to drink liquids and urinates without difficulty. Bowel sounds are present in all four (4) quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, “Two weeks ago I feel that my back hurts. My doctor gave me a prescription of Tylenol #3 and I have been taking it every 6 hours for pain.” She denies pain at the present time. Abdominal x-ray reveals a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.Mrs. Condif is a 35-year-old female who presents to the emergency department with the chief complaint of severe right sided flank pain which began one day ago. She reports feeling nauseated and has vomited once today. Mrs. Condiff does not show any outward appearance of pain but is having some difficulty sitting still. She states, “I feel the need to constantly walk around.” Upon further questioning, the client reveals a history of dysuria, urgency, and frequency of urination. As the nurse obtains a history, she notes that the client has no facial grimace and is not making eye contact. The client states, “I am sorry to come in with this pain, I have tried to treat it at home with Creeping Charlie but it just did not help.” Case Study Nursing assessment findings include pale, moist skin, costovertebral tenderness, and restlessness. Her vital signs are blood pressure 142/90, pulse 110, respirations 22, and temperature of 99.8°F (37.7°C) Oxygen saturation is 98% on room air. The emergency…