A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. T
Posted: Wed May 18, 2022 7:27 pm
A 55-year-old male client is admitted to the nursing unit with
complaints of abdominal pain that is sharp and burning. The client
gives a history of experiencing bloating and gas after eating and
heartburn during the night. The client had a colonoscopy done 5
years ago that revealed six polyps, which were removed, biopsied,
and found to be negative for cancerous cells. Upon interviewing the
client, the nurse notes that the abdominal pain increases when the
client eats fried and spicy foods, drinks alcoholic beverages, or
engages in strenuous activity. The client works as a package
delivery carrier for a major parcel company. Picking up packages
that weigh 25 to 50 lb (11 to 23 kg) is an expectation of his job.
Lately, this has become difficult. The client’s family history is
positive for cancer. The client’s mother died from stomach cancer,
and the father had prostate cancer that benefited from proton
therapy treatments. During the examination of the abdomen, the
nurse finds that the client’s abdomen is guarded and
distended.
(Learning Objectives: 4, 5)
Questions:
1.Associated signs and symptoms may provide diagnostic evidence to
support or rule out a particular origin of pain. What other factors
should the nurse consider when assessing this client?
In assessing this client, the nurse should consider the history and
physical assessment,
2.The nurse is teaching a nursing student how to perform an
abdominal assessment. Explain the order for the abdominal
assessment.
complaints of abdominal pain that is sharp and burning. The client
gives a history of experiencing bloating and gas after eating and
heartburn during the night. The client had a colonoscopy done 5
years ago that revealed six polyps, which were removed, biopsied,
and found to be negative for cancerous cells. Upon interviewing the
client, the nurse notes that the abdominal pain increases when the
client eats fried and spicy foods, drinks alcoholic beverages, or
engages in strenuous activity. The client works as a package
delivery carrier for a major parcel company. Picking up packages
that weigh 25 to 50 lb (11 to 23 kg) is an expectation of his job.
Lately, this has become difficult. The client’s family history is
positive for cancer. The client’s mother died from stomach cancer,
and the father had prostate cancer that benefited from proton
therapy treatments. During the examination of the abdomen, the
nurse finds that the client’s abdomen is guarded and
distended.
(Learning Objectives: 4, 5)
Questions:
1.Associated signs and symptoms may provide diagnostic evidence to
support or rule out a particular origin of pain. What other factors
should the nurse consider when assessing this client?
In assessing this client, the nurse should consider the history and
physical assessment,
2.The nurse is teaching a nursing student how to perform an
abdominal assessment. Explain the order for the abdominal
assessment.