Question
In: Nursing
Ali, 45 year old, accompanied by his brother, is admitted to Royal Hospital medical ward with...
Ali, 45 year old, accompanied by his brother, is admitted to
Royal Hospital medical ward with complaints of severe abdominal
pain, vomiting & diarrhea that started last night. He
verbalized, “This is the first time I have this kind of pain”. I
felt this pain all over my abdomen. I vomited 3 times already and
had a loose bowel movement 2 times.
Vital signs: T: 37.5°C, PR: 112 beats/minute, RR: 25
breaths/minute: BP: 150/100 mmHg. Pain scale: 8/10.
Ali was diagnosed with Diabetes Mellitus type 1, 5 years ago.
Currently, he is having insulin injection regularly and his blood
sugar is well controlled.
During history taking, you observed the following: flushed
& grimaced face, diaphoresis, pallor, & dry tongue &
mucous membrane. He verbalized, “What is happening to me? Why I
have abdominal pain? Do you think the cause was the food that we
ordered from a restaurant? The food was still hot when I ate it.
Good thing only me, ate the food”.
Blood tests and stool exam were done. All results were normal.
The physician diagnosed Ali with Gastroenteritis. Antibiotics and
IV fluids were administered to him.
Ali is working in a private company, and he has 4 young
children. His wife, who is a known hypertensive, is at home taking
care of their children.
Ali verbalized “I want to be discharge now. I can continue
taking my medications at home. I need to go home because my wife
needs me to take care of our children”. However, the physician
explained to him the need to be closely monitored until he become
stable.
1-
1. Describe the client / group / family.
2. Assessment of readiness: current status (age, educational
level), interest, & actual / potential barriers to
learning.
3. Prioritized nursing diagnoses (2 actual and 1
potential).
4. Specification of prioritized learning needs (minimum of
5).
Solutions
Expert Solution
1) Client is a 45 year old patient who is admitted in the ward with complaints of abdominal pain , vomiting and diarrhea . He has diabetes mellitus type 1 since 5years and is on insulin therapy. The patient has food last night from a restaurant and is know diagnosed with Gastroenteritis .
2) Assessment of readiness :-
Current status - patient is hemodynamically well , has a chief complaint of abdominal pain and is anxious about it .
Age of the patient is 45years
Patient is very much concerned about his condition and her wife who has to take care of their four childrens.
3) Nursing diagnosis :-
- Abdominal pain related to Gastroenteritis as evidenced by assessment based on pain scale (8/10)
- Anxious related to his abdomen pain as evidenced by his facial expressions and concerns .
- Deficit knowledge related to disease condition as evidenced by his questions
4) Learning needs :-
- About disease condition - Gastroenteritis
- About Nutrition
- Anxiety management
- Not eating or drinking things that can irritate your stomach lining. This includes alcohol, caffeine, and spicy foods.
- Not taking medicines such as aspirin and over-the-counter pain and fever medicines. These include NSAIDs (nonsteroidal anti-inflammatory medicines)
Nightingale answered 2 years agoRelated Solutions
SCENARIO: Mr. Hussain, 65-year-old male was admitted in the Male Medical Ward of Nizwa Hospital with...
SCENARIO:
Mr.
Hussain, 65-year-old male was admitted in the Male Medical Ward
of Nizwa
Hospital
with generalized weakness, body pain and difficulty in performing
activities of daily living. Upon admission, the nurse recorded his
weight as 205
lbs.
and height as 5′
7.”
Questions/Instructions:
1.
Calculate
and interpret Mr. Hussain’s BMI. (5
marks calculation
+
2-marks interpretation)
2.
State
three (3) health teachings
or instructions to Mr. Husain.
Case study: Denise is a 45-year-old American female who has been admitted to the medical ward...
Case study:
Denise is a 45-year-old American female who has been admitted to
the medical ward after having symptoms of food poisoning and skin
rash. Her temperature has been over 38°C and she has been
complaining of diarrhea and vomiting. Denise also presented with
nasty looking skin rash on her upper and lower extremities.
According to Denise, the skin rash has started since she swam in
the Owens Lake (in California) 3 days ago. She stated that the rash
started...
case study: Denise is a 45-year-old American female who has been admitted to the medical ward...
case study:
Denise is a 45-year-old American female who has been admitted to
the medical ward after having symptoms of food poisoning and skin
rash. Her temperature has been over 38°C and she has been
complaining of diarrhea and vomiting. Denise also presented with
nasty looking skin rash on her upper and lower extremities.
According to Denise, the skin rash has started since she swam in
the Owens Lake (in California) 3 days ago. She stated that the rash
started...
Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute...
Amnah is a 55-year-old female patient who has been admitted to
the medical ward with acute shortness of breath, chesty cough,
wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82%
on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28
breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD
and hypertension for 15 years. She was also diagnosed with heart
failure 2 years ago. While doing the physical examination, the
patient seemed to use her accessory...
Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk...
Kodjo, 15 years old boy, is admitted to the medical ward with
burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with
the history of wound on the trunk, dizziness, painful arms and
trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020.
Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at
home for social distance as a student of the L/A Basic School at
Fiayase. Kodjo was nurse in bed M7. The physician...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward...
Case Study
Amnah is a 55-year-old female patient who has been admitted to
the medical ward with acute shortness of breath, chesty cough,
wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82%
on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28
breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD
and hypertension for 15 years. She was also diagnosed with heart
failure 2 years ago. While doing the physical examination, the
patient seemed to use...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward...
Case Study
Amnah is a 55-year-old female patient who has been admitted to
the medical ward with acute shortness of breath, chesty cough,
wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82%
on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28
breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD
and hypertension for 15 years. She was also diagnosed with heart
failure 2 years ago. While doing the physical examination, the
patient seemed to use...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward...
Case Study
Amnah is a 55-year-old female patient who has been admitted to
the medical ward with acute shortness of breath, chesty cough,
wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82%
on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28
breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD
and hypertension for 15 years. She was also diagnosed with heart
failure 2 years ago. While doing the physical examination, the
patient seemed to use...
Patient Profile: Mr. Torres is a 45-year-old Hispanic man admitted to the medical unit with an...
Patient Profile: Mr. Torres is a 45-year-old Hispanic man
admitted to the medical unit with an infected arm wound. He has a
history of diabetes and has been taking an oral agent. He performs
SMBG (self-monitoring of blood glucose) routinely, and his diabetes
has been well controlled.
Initial Objective Data:
Alert and oriented, cooperative
Blood pressure 132/80, pulse 102, respirations 18, temperature
101.6° F
Open wound to left arm, sustained while working as a mechanic
Blood glucose on admission 360...
A 61-year-old male is admitted to the hospital for resection of his sigmoid colon and rectum,...
A 61-year-old male is admitted to the hospital for resection of
his sigmoid colon and rectum, following discovery of a mass in the
sigmoid colon by his physician during a flexible sigmoidoscopy. The
patient originally complained of bright red blood in his bowel
movements. He reported no significant gastrointestinal symptoms
other than the bleeding. He denies any change in his functional
capacity. His maximum weight was 167 lb (75.9 kg) at age 46 years.
In his late 40s, he lost...
ADVERTISEMENT
ADVERTISEMENT
Latest Questions
- For Questions 1-3: consider the following code: public class A { private int number; protected String...
- You are tasked with assessing the health department’s intervention program in preventing recurrence of acute alcohol...
- Compare the MOSFET, JFET , and BJT and identify the reasons these devices behave differently. What...
- How would you use SAS Enterprise Miner to create a neural network model of your example?
- Explain the use of neural networking modeling in predictive analytics.
- Current Market Mix of Netflix, as detail as possible, please.
- This is all one question, thank you so much in advance! You must evaluate a proposal...
ADVERTISEMENT