The patient is concerned he has not had a bowel movement for four days and states,...

The patient is concerned he has not had a bowel movement for four days and states, “my belly is getting bigger” and uncomfortable.

What additional symptoms should the nurse ask about?
Identify five relevant health history questions the nurse should ask the patient about? (5marks)
Describe 2 of the 4 steps of the assessment; (inspection, auscultation, percussion and palpation) Give 5 characteristics of each for this client.

Solutions

Expert Solution

Question no 1) Additional symptoms that she should ask for

Are you paless than 3 stool per week?

Are you having lumpy and hard stools.

Do you have to strain a lot for bowel movements.

Do you feel like there is a blockage in rectum that causes prevention of bowel movements.

Do you feel like you cannot completely empty the stool from rectum.

Question no 2) relevant health questions that she should ask

Did this start all of a sudden?
What is your diet
Did you change your diet recently
How much is your fluid intake
Are you having pain in abdomen
Does blood stains come during defection
What is the colour and characteristics of stool

Question no 3)

Inspection

The general contour of abdome is observed
Check for distended abdomen
If distending is localized or generalized
Check flank for distention
Check for any skin abnormalities
Look for stretch mark
Inspection for masses or stool marks

Auscultation

Check for 3 minutes bowel sounds
Abdomina bruirs shoul be checked
Auscultation in all the quadrant of stomach is needed
Any abnormal sound should be checked properly
If no abdominal sounds means constipation has prognosed

Nightingale answered 2 years ago

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