Health Medical Homework Help

I’m working on a nursing case study and need an explanation to help me study.

1.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 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?

2.S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts.

Subjective Data

PMH of otitis media

Immunizations: Up to date

No medications

No allergies

Pain: 3/5 on pain scale

Attends preschool

Unable to recall injuring leg

Objective Data

Vital signs: T 37 P 92 R 18 BP 100/70

Lungs: clear in all fields

Heart rate and rhythm regular

Moving all extremities

+ Range of motion (ROM) legs and arms

Strength 5/5 in all extremities

Questions

1.What other questions should the nurse ask?

2.What techniques are helpful to incorporate in assessing a patient in this age group?

3.What other assessments should the nurse make for this clinical presentation?

4.What are a few of the major differences in the musculoskeletal assessment of a child?

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

6.Based on the readings, what is the most likely cause of leg pain for this patient?