patient has arrived at the hospital with severe abdominal pain and hypotension. Which type of assessment would the nurse do at this time? Focused assessment Emergency assessment Detailed health assessment Comprehensive assessment
Added by Stella O.
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This indicates a potentially serious condition that requires immediate attention. In this situation, the nurse would perform an emergency assessment. Show more…
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You are caring for a 45 -year-old man recently admitted to the emergency department (ED) with new onset of diffuse abdominal discomfort and nausea for the past 10 hours. He has a history of hypertension. Identify questions that should be asked when taking the patient's history. What are your priority assessments? What diagnostic tests would you expect? While in the $\mathrm{ED}$, the patient reports that the pain has localized to the right lower quadrant. Given this new development, what questions will you now ask and what are your priority assessments?
Once a nurse assesses a client's condition and identifies appropriate nursing diagnoses, a: • Physical assessment begins. • Review of the assessment is conducted with other team members. Plan is developed for nursing care • List of priorities is determined.
Breanna O.
CASE STUDY Khadija Mahmood is a 26-year-old woman complaining of abdominal pain. The following data are collected by the nurse during an interview and examination. Interview Data Ms. Khadija tells the nurse that the pain started yesterday evening and has gotten progressively worse. She describes the pain as "really bad." It is constant and located in her right lower abdomen, toward her umbilicus. She says that it feels a little better if she stays curled up and does not move. She tells the nurse that she is in good health and that she has never had a problem with her stomach. Ms. Khadija indicates that normally she has a good appetite and can eat anything - except for now. She says that she ate breakfast and lunch yesterday but by dinnertime she was nauseated and had no appetite. She has not eaten anything since. She has had no recent weight changes, but she would like to weigh about 2.5 kg less than she currently does. Ms. Khadija smokes a half pack of cigarettes daily. She does not drink alcoholic beverages, and she takes no medication. She denies discomfort or problems with urination, describing her urine as "usual looking." Examination Data - General survey: Alert and anxious female in moderate distress lying in a fetal position on the examination table, with her eyes closed. Appears well nourished. Her skin is hot. - Inspection: Abdomen is flat and symmetric. No lesions or scars are noted. No surface movements are seen except for breathing. - Auscultation: Bowel sounds are absent. - Palpation: Tympany is noted over most of the abdominal surface, dullness over liver. Midclavicular liver span is 10 cm. - Light palpation: Demonstrates pain and guarding in right lower quadrant. Unable to palpate deep structures because of excessive abdominal discomfort. Demonstrates positive rebound tenderness in right lower quadrant. Clinical Reasoning 1. Which data deviate from normal findings, suggesting a need for further investigation? For which additional information should the nurse ask or assess? 3. Based on the data, which risk factors for cancers in the abdomen does Ms. Khadija have?
Madhur L.
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