NR305 Week 5 Discussion 1 & 2
NR305 Week 5 Discussion 1 & 2
DQ 1
NR305 Week 5 Discussion 1 & 2 . Kevin Valeri is a 64-year-old man who presents to the gastroenterologist’s office with constipation and abdominal bloating.
Subjective Data
- Pain level is a 4/10 location = right lower abdomen
- Retired Engineer
- States he has been going to the bathroom with the help of laxatives, but not having regular movements
- Appetite is decreased, some nausea
- PMH: depression, anxiety, chronic constipation
Objective Data
- Vital signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58
- Bowel sounds hypoactive in all four quadrants
- Medications: Lamictal 200mg daily, Lexapro 10 mg daily
- Weight = 210 lbs, last visit weight = 195
- What other assessments should be included for this patient?
- What questions should the nurse ask with regard to the abdominal pain?
- From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?
- What should be included in the plan of care?
- What interventions should be included in the plan of care for this patient?
DQ 2
Choose one topic and respond:
- Discuss three ways of creating an environment that provides psychological comfort for both patient and practitioner when conducting an examination and assessment of the Genitourinary system.
- Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity.
- Discuss circumcision and the arguments for and against it. Discuss its associated religious connections.