Question

In: Nursing

P.P. is a 24-year-old man who presents to the physician’s office with pain in his right...

P.P. is a 24-year-old man who presents to the physician’s office with pain in his right ear.

Subjective Data

Patient states that he woke up in the middle of the night, with ear pain, 2 nights ago. He took ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was really uncomfortable. He felt the physician should see him.

Objective Data

TM appears inflamed—it is red and may be bulging and immobile
T = 100.3
Last ibuprofen 3 hours ago

Questions

  1. What other assessments should be included for this patient?
  2. What questions are appropriate for a patient presenting with earache?
  3. What risk factors are associated with earaches?
  4. From the readings, what is the difference between otitis media and otitis externa?
  5. From the readings, what is the most probable cause of the earache in this patient?
  6. What are three nursing diagnoses?
  7. What interventions should be included in the nursing care plan?

Solutions

Expert Solution

1. There should be hearing assessment test included for this patient to find out hearing capacity and to know about hearing loss and for this test are Weber's and Rinne test.

2.pain coming from somewhere else ( reffered pain) ? Does stress cause earpain? Can air-conditioning cause ear problems?

3.risk factors are age group, poor air quality, seasonal facors, a weakened immune system, a family history of susceptibility to ear infections, malformation of Eustachean tube, mucosal problems of ears,nose or throat such as a sinusitis.

4.otitis media is the infection of middle ear or ear drum and otitis externa is the infection of external ear or ear canal.

5.tympenic perforation

6.Nursing diagnosis are:(1) Acute pain related to inflammation of middle ear. (2) Disturbed sensory perception related to obstruction, infection of the middle ear. (3) Anxiety related to uncomfortable and worry about health status.

7.Interventions: Give analgesic as prescribed, provide comfortable position and give tepid sponging to reduce temperature.


Related Solutions

P.P is a 4-year-old boy who presents to the pediatrician’s office with pain in his right...
P.P is a 4-year-old boy who presents to the pediatrician’s office with pain in his right ear. Subjective Data Mom states that her son woke up in the middle of the night, crying, 2 nights ago. She gave the child ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was inconsolable. She felt the physician should see him. Attends preschool program Lives with mother Father estranged Objective Data TM appears inflamed—it is red...
B. E. is a 68-year-old man who presents to the outpatient office with continuing visual pain...
B. E. is a 68-year-old man who presents to the outpatient office with continuing visual pain and joint pain in his left knee. As you begin taking his history, you notice he is wearing a hearing aid. You decide to do a functional assessment. He states that he can bathe himself as long as he sits down to bathe but cannot climb into the bathtub. His wife has placed a chair in the bathroom for him to use during bathing....
SB is a 74 year old man who presents to your family medicine office with his...
SB is a 74 year old man who presents to your family medicine office with his wife complaining of shortness of breath and fever. They just moved to the area and had been planning to come to your office next week to establish care as new patients. He is confused about what to use when, so you are not sure which medications he actually takes. No known allergies Past Medical/Surgical History o   Heart failure following myocardial infarction at age 68 years...
Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment...
Maria Lopez is a 24-year-old Hispanic woman. She presents to the physician’s office today seeking treatment for her acne. Her only medication is Ortho Tri-Cyclen Lo. The physician writes Ms. Lopez a prescription for doxycycline (Doryx) 150 mg once daily. What should the nurse tell Ms. Lopez about taking oral contraception with Doryx? What adverse reactions should the nurse discuss with Ms. Lopez? How should the nurse tell Ms. Lopez to take the Doryx?
J.P.45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot....
J.P.45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot. Subjective Data Pain level is a 6/10 location = right foot, throbbing Works as a truck driver Objective Data Vital signs: T 37 P 80 R 14 BP 120/68 +2 edema great toe and second toe, right foot, warm to touch + pulses +2 capillary refill Questions What other assessments should be included for this patient? From...
Part 3 P.P. is a 4-year-old boy who presents to the pediatrician’s office with pain in...
Part 3 P.P. is a 4-year-old boy who presents to the pediatrician’s office with pain in his right ear. Subjective Data Mom states that her son woke up in the middle of the night, crying, 2 nights ago. She gave the child ibuprofen, and he went back to sleep. Last night he woke up in pain, and he was inconsolable. She felt the physician should see him. Attends preschool program Lives with mother Father estranged Objective Data TM appears inflamed—it...
A 50 year old male is seen in his physician’s office for a routine checkup. His...
A 50 year old male is seen in his physician’s office for a routine checkup. His spleen shows enlargement and his blood work shows hemolytic anemia with bilirubinemia. His wife states the patient has been “off” lately for no apparent reason. He tends to have muscle pulsations in the afternoon to late evening that do not stop until he goes to sleep. Additional blood work is ordered along with a type and screen. His haptoglobin levels are decreased, and his...
A 50-year-old man who presents to the gastroenterologist with cramping and diarrhea. Subjective Data Pain level...
A 50-year-old man who presents to the gastroenterologist with cramping and diarrhea. Subjective Data Pain level is a 6/10 location = right and left lower abdomen Works as a union construction worker, has missed 1 day of work States he has been going to the bathroom about 8 to 10 times a day for past 2 days Appetite is decreased PMH: Crohn’s disease, depression, anxiety Objective Data Vital signs: T 98.9, P 80, R 14, BP 120/68 Bowel sounds hyperactive...
Mike is a 69-year-old man who presents to the outpatient office with a cough. Subjective Data...
Mike is a 69-year-old man who presents to the outpatient office with a cough. Subjective Data PMH: HTN, DM Cough is productive, bringing up green phlegm Runny nose, sore throat Denies fever Sore throat pain when swallowing No history of smoking or seasonal allergies Objective Data Vital signs: T 37, P 72, R 14, BP 134/64 Lungs: + Rhonchi bilateral upper lobes O2 sat: 98% Ears: TM bulging Nose: + erythema, yellow discharge Throat: + erythema, pustules Medications: metoprolol 12.5...
M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough....
M.C. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough. Past Medical History: HTN (hypertension), DM (diabetes mellitus) Subjective Data Cough is productive, bringing up green sputum. Runny nose, sore throat Denies fever Sore throat pain when swallowing No history of smoking or seasonal allergies Complains of fatigue Objective Data Vital signs: T 37 P 72 R 14 BP 134/64 Lungs: + Rhonchi bilateral upper lobes, wheeze O2 Sat = 98% room air Ears...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT