J

Subject:NursingPrice:3.87 Bought7

Share With

J.P. is a 50-year-old man who presents to the gastroenterologist with cramping and diarrhea. Subjective Data Pain level is a 6/10 location = right and left lower abdomen Works as a union construction worker, has missed 1 day of work States he has been going to the bathroom about 8 to 10 times a day for past 2 days Appetite is decreased PMH: Crohn’s disease, depression, anxiety Objective Data Vital signs: T 37 P 80 R 14 BP 120/68 Bowel sounds hyperactive in all four quadrants Medications: Infliximab (Remicade) infusions every 6 weeks, fluoxetine (Prozac) 25 mg per day Weight = 145, last visit weight = 152 Questions

1. What other assessments should be included for this patient?

2. What questions should the nurse ask with regard to the abdominal pain?

3. From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?

4. Develop a problems list from the subjective and objective findings.

5. What should be included in the plan of care?

6. What interventions should be included in the plan of care for this patient?

7. How to do you position and prepare for an abdominal assessment?

8. Inspection of the abdomen include:

9. Why is the abdomen auscultated after inspection?

10. How do you auscultate the abdomen? What are the characteristics of bowel sounds?

11. What sound heard predominately when percussing over the abdomen?

12. What organ can be palpated? 7. Palpation techniques include?

13. Explain visceral and somatic pain.

14. What is rebound tenderness?

15 How do you assess for costovertebral angle tenderness?