A 50-year old, slightly obese individual presents to your clinic with the following symptoms: severe abdominal pain, especially in the left side. However the patient also complains the pain radiates to the right side. They have nausea and have been vomiting for the past several days. Upon examination, you find abdominal tenderness and constipation. The patient is of Asian descent, has been a smoker for the past 20 years, reports frequent alcohol use (>7drinks/week) and takes aspirin on a daily basis (nonsteroidal anti- inflammatory drug). Will age, weight, lifestyle and ethnicity play a role in your diagnosis?
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- 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.A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and long-term ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms? Peptic ulcer disease Gastritis Hiatal hernia Uvulitis1) 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 infection
- Patient is a 38 year old female indicating to her psychiatrist feelings of: emptiness, helplessness, hopelessness, and a deep sense of guilt for no apparent reason. She also mentioned having low energy, (not wanting to cook for her family or wanting to be intimate with her husband). The patient indicated not caring for any of her regular hobbies or anything pleasurable, difficult concentrating, and even not remembering details. She is having problems sleeping and even contemplated going to bed and overdosing (just once)Your patient reports that she has a lack of appetite and hypersomnia. What other factors will you assess? What is your initial impression or concern, based on this limited information? What findings would concern you most? What referrals might you consider?A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?
- Which dietary instruction should the nurse include when teaching a client how to reduce episode of Raynaud syndromeA 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 List 3 differential diagnoses for this patient and give the rationale for each one. Use the most likely differential for the gallbladder, liver and pancreas--3 diagnoses total. What additional lab tests would you order and…The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Which conditions should the PN keep an eye out for in the client given the present course of treatment for fluid volume deficit? select all that apply Phlebitis Hypokalemia Hyperglycemia Diarrhea and vomiting Alkalosis Pulmonary edema Thrombocytopenia Hypovolemic shock
- The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply Which three techniques would work best to encourage a patient to drink enough water? Only offer water or other clear drink Suggest popular drinks like coffee or soda Place the drink where the client can reach from her bed Ask the client what her favorite drink is Encourage drinks with high sugar content Offer both hot and cold drinksThe patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply What 3 findings indicate fluid volume deficit? Temperature 101° F (38,3°C) Dark, yellow urine Urinated 30 mL Client is awake and alert Blood pressure 115/71 Heart rate 99The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply Collect blood to test electrolyte levels Apply cardiac telemetry monitoring Discontinue the peripheral IV Give Ibuprofen 400 mg PO every 6 hours prn for fever Collect blood for a type and screen Give 1000 mL normal saline now Insert an indwelling urinary catheter Prepare to defibrillate the client