Assignment task:
Patient Profile: Name: Ms. Jessica Adams Age: 29 years Medical History: No significant past medical history. Occasional episodes of gastrointestinal upset. No known chronic illnesses. Current Medications: None. Allergies: No known drug allergies. Chief Complaint: cramping, frequent diarrhea, and painful urination for the past three days. She reports that she has been experiencing significant pain when trying to have a bowel movement and urinating. She feels a strong urge to go frequently, but only produces small amounts of stool. Vital Signs: - Blood Pressure: 102/68 mmHg - Heart Rate: 98 bpm - Respiratory Rate: 20 breaths per minute - Temperature: 100.8°F (38.2°C) - Oxygen Saturation: 97% on room air Physical Assessment: General Appearance: Ms. Adams appears fatigued, slightly pale, and anxious due to her discomfort. She is sitting up in bed and holding her abdomen. Abdominal Assessment: - Inspection: Abdomen is slightly distended and exhibits peristaltic waves. - Palpation: Tenderness noted in the lower abdomen, especially in the suprapubic area. No rebound tenderness or guarding. - Bowel Sounds: Hyperactive bowel sounds noted Genitourinary Assessment: - Urine output: Frequent but small amounts. Complaints of burning sensation during urination. - Urinalysis: cloudy urine with a strong odor. Neurological: - Alert and oriented, though visibly uncomfortable. Abnormal Lab Values: - Complete Blood Count (CBC): - Hemoglobin: 12.3 g/dL - Hematocrit: 36% - White Blood Cells (WBC): 14,000/mm3 - Eosinophils: 6% - Basic Metabolic Panel (BMP): - Sodium: 132 mEq/L - Potassium: 3.2 mEq/L - Chloride: 98 mEq/L - Bicarbonate: 20 mEq/L - Glucose: 90 mg/dL - Creatinine: 1.0 mg/dL - Urinalysis: - Appearance: Cloudy - pH: 6.0 - Specific Gravity: 1.020 - Protein: Trace - Nitrites: Positive - Leukocyte Esterase: Positive
1) What are your main goals fir this patent? Crop
2) What is your priority nursing interventins?
3) As a nurse what type of assessments need to be completed?
4) What will you monitor for this patient?
5) What are your nursing responsibilities?
6) What collabaration should we include? Need Professional Help?
7) What education should be provided to your patient?
8) Can you identify any risk factors that your patient had?