T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping i
Posted: Mon Oct 04, 2021 8:12 am
T.H., a 57-year-old
stockbroker, has come to the gastroenterologist for treatment of
recurrent mild to severe cramping in his abdomen and blood-streaked
stool. You are the registered nurse doing his initial workup. Your
findings include a mildly obese man who demonstrates moderate
guarding of his abdomen with both direct and rebound tenderness,
especially in the left lower quadrant (LLQ). His vital signs are
168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H.
reports that he has periodic constipation. He has had previous
episodes of abdominal cramping, but this time the pain is getting
worse.
Past medical
history reveals that T.H. has a "sedentary job with lots of
emotional moments," he has smoked a pack of cigarettes a day for 30
years, and he had "two or three mixed drinks in the evening" until
2 months ago. He states, "I haven't had anything to drink in 2
months." He denies having regular exercise: "just no time." His
diet consists mostly of "white bread, meat, potatoes, and ice cream
with fruit and nuts over it." He denies having a history of cardiac
or pulmonary problems and has no personal history of cancer,
although his father and older brother died of colon cancer. He
takes no medications and denies the use of any other drugs or
herbal products.
****creating a mind map related to critical thinking using
a care plan (assessment, nursing diagnosis, planning,
interventions, evaluation)
stockbroker, has come to the gastroenterologist for treatment of
recurrent mild to severe cramping in his abdomen and blood-streaked
stool. You are the registered nurse doing his initial workup. Your
findings include a mildly obese man who demonstrates moderate
guarding of his abdomen with both direct and rebound tenderness,
especially in the left lower quadrant (LLQ). His vital signs are
168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H.
reports that he has periodic constipation. He has had previous
episodes of abdominal cramping, but this time the pain is getting
worse.
Past medical
history reveals that T.H. has a "sedentary job with lots of
emotional moments," he has smoked a pack of cigarettes a day for 30
years, and he had "two or three mixed drinks in the evening" until
2 months ago. He states, "I haven't had anything to drink in 2
months." He denies having regular exercise: "just no time." His
diet consists mostly of "white bread, meat, potatoes, and ice cream
with fruit and nuts over it." He denies having a history of cardiac
or pulmonary problems and has no personal history of cancer,
although his father and older brother died of colon cancer. He
takes no medications and denies the use of any other drugs or
herbal products.
****creating a mind map related to critical thinking using
a care plan (assessment, nursing diagnosis, planning,
interventions, evaluation)