Help me answer the questions and rationale separately please. Thank…
Question Answered step-by-step Help me answer the questions and rationale separately please. Thank… Help me answer the questions and rationale separately please. Thank you Assessment of Abdominal Distension Patient ProfileB.N., a 52-year-old man, goes to the doctor for a routine physical examination. He mentions to the doctor that he has been very tired lately and has noticed that his abdomen has been slightly “bloated.” He has a history of hyperlipidemia. He is currently taking atorvastatin 20 mg PO daily at bedtime. Subjective DataHas been very tired for the past couple of monthsHis abdomen has felt full and tight after several recent meals, to the extent that he has unbuttoned his pants after eating Objective DataPhysical ExaminationTemperature 98.5° F, pulse 78, respirations 16, blood pressure 130/76Height 5’11”, weight 228 lb, BMI 31.8 kg/m2Abdomen rounded, slightly distendedBowel sounds present in all four quadrantsTympany heard to percussion of RLQ, RUQ, LUQ, with some dullness heard in LLQ Diagnostic StudiesHemoglobin 8.2 g/dLHematocrit 24%WBC 9000/µLPlatelets 250,000/µL Discussion QuestionsWhat additional subjective data would you obtain to assess B.N.’s gastrointestinal (GI) system?Answer: Rationale: Describe the appropriate procedure for performing B.N.’s abdominal examination.Answer: Rationale: Interpret B.N.’s laboratory results.Answer Rationale: Case Study ProgressionWhen questioned about his GI system, B.N. denied any blood in his stool or black tarry stools but did state his bowel elimination pattern is less regular and he is having smaller, more narrowed stools. Based on B.N.’s symptoms, physical examination findings, and results of the diagnostic studies, the provider then orders the following additional diagnostic studies: Diagnostic StudiesPT 13 secaPTT 30 secBleeding time 4 min B.N. does not appear to have a bleeding disorder, as the bleeding times are normal. What test would be done to check for GI bleeding? What teaching would you provide B.N. regarding this test?Answer: Rationale: B.N. does three fecal occult blood tests, which all show positive results. Based on these findings, the provider orders a colonoscopy. Why?Answer: Rationale: What instructions should be given to B.N. to prepare for a colonoscopy? What do you tell him to expect after the procedure, and what nursing assessments will you be performing?Answer: Rationale: Health Science Science Nursing NURS 450 Share QuestionEmailCopy link Comments (0)
