Exam (Elaborations) Nur3330 Trey Johnson Med-Surg (All Evaluations)

Exam (elaborations) NUR3330 TREY JOHNSON MED-SURG (ALL EVALUATIONS) Trey Johnson Room 306 Trey Johnson, Mr. Johnson was admitted for severe abdominal pain. He is HIV positive and has had a full diagnosis for the past 6 months. He has been receiving covalow for the past 6 months. While he has been compliant with good results reducing his viral load, he recently returned from an extended visit to Asia. His nausea and abdominal discomfort started two weeks ago. His VS are stable with a slightly elevated Temperature of 100.2 F, 37.9 C. He has been admitted for severe abdominal pain with an unknown etiology and is apprehensive because of his HIV diagnosis. You responded correctly to 6 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Patient needs to understand abdominal disease in relation to HIV Fall Risk Normal acuity No indication at this time Health change Increased acuity Abdominal pain with unknown etiology, and a fever Pain level Increased acuity Patient complains of abdominal pain Psychological Needs Increased acuity Apprehensive because of his HIV diagnosis. Sensorium Normal acuity No indication at this time This study source was downloaded by from CourseH on :51:56 GMT -05:00 This study resource was shared via CourseH NUR 3330 TREY JOHNSON MED-SURG (ALL EVALUATIONS) You correctly diagnosed 7 out of 7 options: Physiological Description Your Response Explanation Acute Pain True Patient complains of abdominal pain Bleeding, risk for False No indication at this time Impaired mobility, risk for False No indication at this time Nausea True Patient complains of nausea Safety Description Your Response Explanation Deficient knowledge True Patient needs to understand abdominal disease in relation to HIV Grieving False No indication at this time Peripheral Neurovascular dysfunction Scenario 1 You correctly ordered 5 out of 5 actions: Your order Correct order Step Explanation 1 1 Vital signs and head to toe assessment Baseline assessment, concerns of dehydration and patient is febrile 2 2 Collect stool sample and obtain HCP order Patient has a strange, foul-smelling loose stools. R/O opportunistic infection (OI) This study source was downloaded by from CourseH on :51:56 GMT -05:00 This study resource was shared via CourseH Your order Correct order Step Explanation 3 3 Initiate IV Per HCP order 4 4 Initiate I&O Potential hydration and diarrhea 5 5 Teach patient to record all bowel movements descriptively Peculiar odor amount consistency/frequency are symptoms of various opportunistic infections. OI disease are more concerning for HIV patients Scenario 2 You correctly ordered 5 out of 5 actions: Your order Correct order Step Explanation 1 1 Place patient on respiratory isolation with contact precautions To prevent staff and other patients for risk of exposure 2 2 Re-locate patient to a negative pressure room Vents patients room outside, TB is a highly contagious airborne disease 3 3 Contact HCP for orders for anxiety/adnominal pain To reduce anxiety/pain and promote patient comfort 4 4 Provide PRN anti-diarrhea medication To minimize patient fluid loss 5 5 Continue strict I&O with daily weights As a result of the 10lb weight loss in 2 weeks, monitor closely Scenario 3 You correctly ordered 5 out of 5 actions: Your order Correct order Step Explanation 1 1 Notify infection control nurse Initiate contact tracing and reinforce education/compliance in order to prevent spread of infection 2 2 Patient education for new treatment plan Patient needs to understand that he has a good prognosis and time, but must be compliant with the treatment 3 3 Initiate medication (INH/PAS, duration?) Specific TB drugs that need to be taken for at least 6 months duration. Patient will no longer be contagious after 2 weeks 4 4 Continue medicating for abdominal discomfort To encourage patient comfort This study source was downloaded by from CourseH on :51:56 GMT -05:00 This study resource was shared via CourseH Your order Correct