NURSING MISC- VCE Quiz Lumbosacral Back Pain w5: Exercise 2 - Virtual Hospital Activity.

Lumbosacral Back Pain Exercise 2 - Virtual Hospital Activity • Sign in to work at Pacific View Regional Hospital for Period of Care 3. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) • From the Patient List, select Jacquline Catanazaro (Room 402). • Click on Go to Nurses' Station. • Click on Chart and then on 402. • Click on History and Physical. Exercise 2 - Question 1 According to the History of Present Illness section, what are the patient's complaints in regard to her back? What factors might be contributing to her pain? Your Answer: Patient also reports "back pain." For the last 2 weeks patient has not taken her prescribed dose of Ibuprofen 600 mg PO every 6 hours PRN. "Back pain" with decreased activity level; has not taken prescribed dose of ibuprofen 600 mg PO every 6 hours prn Question 2 Not yet graded / 1 pts Exercise 2 - Question 2 How does the physician describe this problem under Past Medical History? How was this diagnosed? Your Answer: History of back pain related to herniated disc treated with NSAIDs. Obesity: Has had weight problems since adolescence. Weight gain related to poor diet high in fats and carbohydrates. Herniated disc: Patient has a herniated lumbar disc as documented via MRI. Patient received intraspinal corticosteroids and physical therapy 12 months ago. She had good results in that her pain resolved and she did not have any sensory or motor deficits. Pain from this disc increases with weight gain and lack of low impact exercise, e.g., walking. Herniated lumbar disk; diagnosed by magnetic resonance imaging (MRI)