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September 2, 2018

Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014). Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

What makes the pain worse or better: movement makes it worse, lying supine Location: right lower quadrant Distribution of referred pain Time pain started: last evening

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include: Character of the pain: deep and achy Duration: States it’s constant Frequency

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

What is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges?

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale. Abdominal aortic dissection. Acute appendicitis. Renal calculi. Acute Cholecystitis.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

In assessing Mr. Phelps’s pain, what information should you obtain? Mr. Phelps describes his pain as constant, deep and achy, and worse with movement. On a pain scale of 0- to 10, with 10 being the worst pain he has ever experienced, he rates the pain at a 7. He doesn’t want to lie supine and is guarding his right lower quadrant.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

What is the next step in investigating his problem? Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

September 2, 2018

Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications.

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges. Select any three (3) questions from Case Study #…

Nursing

Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014). Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.

Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.

What makes the pain worse or better: movement makes it worse, lying supine Location: right lower quadrant Distribution of referred pain Time pain started: last evening

In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include: Character of the pain: deep and achy Duration: States it’s constant Frequency

What is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges?

Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale. Abdominal aortic dissection. Acute appendicitis. Renal calculi. Acute Cholecystitis.

When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?

What is the next step in investigating his problem? Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.

Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications.

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