Case
NR 509 Gastrointestinal Physical Assessment Assignment Lifespan
- Course
- Institution
NR 509 Gastrointestinal Physical Assessment Assignment Lifespan
[Show more]
Seller
Follow
Michael01
Reviews received
Content preview
Gastrointestinal Physical Assessment Assignment Results | Turned InAdvanced Health Assessment - Chamberlain, NR509-October-2018
Return to Assignment
Your Results Lab Pass
Overview Lifespan Activity Time: 112 min
Transcript
Tina’s 10-year-old neighbor vomits every morning before school. What additional
Subjective Data Collection assessments would you perform, and what might you discuss with her? Why?
Objective Data Collection
Education & Empathy
Student Response:
I would get a thorough GI history including diet, the time she eats, nausea onset, consistency/color of vomitus
Documentation
(stomach acid, undigested food, etc). I would try to rule out any food allergies and obtain lab work including
CBC and BMP to assess for dehydration and infection. I would auscultate her abdomen for bowel sounds and
Lifespan
palpate for any masses or abnormalities. I would also assess for any other symptoms and discuss possible
anxiety related problems since this happens only before school. I would discuss any sources of anxiety
Review Questions
including grades, bullying, difficulty learning and peer pressure. I would probably also obtain a urine drug
screen to rule out any other substances that could be causing this.
Self-Reflection
Model Note: A concise history of symptoms is indicated including diet, time of nausea onset, and presence
of any other symptoms. Her abdomen should be auscultated for bowel sounds, and palpated for masses. If no
other symptoms are present and the vomiting occurs only before school, it is likely that the symptom is anxiety-
related. The provider should ask her about the source of anxiety, with special attention to bullying, abuse, peer
pressure, and difficulty with content comprehension. The anxiety needs to be resolved to avoid trauma to her
esophagus and dentition from stomach acid. A referral for counseling will be helpful.
Tina’s 60-year-old godmother complains of constipation, cramps, and bloody stool. List
your differential diagnosis. What additional assessments would you perform?
Student Response:
Differential diagnosis includes hemorrhoids, diverticulitis, colon cancer, bowel obstruction, fecal impaction, and
anal fissure. Additional assessments include a thorough GI exam and interview including diet, history of
symptoms, bowel habits, the onset of pain, nausea, and vomiting. A thorough medical history including any
previous abdominal surgeries, imaging and diagnoses should be obtained. A rectal exam should be performed
for any external hemorrhoids and digital exam for any internal hemorrhoids, fissures or fecal impaction. The
abdomen should be palpated for masses and a consult to GI specialist for colonoscopy to visualize any polyps
indicating diverticulitis or masses indicating cancer.
This study source was downloaded by 100000770861734 from CourseHero.com on 02-18-2022 02:35:05 GMT -06:00
https://www.coursehero.com/file/36094985/Gastrointestinal-Physical-Assessment-Assignment-Lifespanpdf/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Michael01. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76658 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now