Get Answer: Year Woman Presents Question Guide
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to year woman presents and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves year woman presents. A strong answer should include explanation, application, and examples.
Original Question
A. M.P. is a 45-year-old woman who presents to the family practice for a yearly check-up. Subjective Data Married Exercises daily Nonsmoker, never smoked A registered nurse in a hospital setting Has two children who live at home No complaints at this time Objective Data Vital signs: T 36.7 BP 108/62 HR 62 Resp 14 Height: 5 feet, 7 inches Weight: 160 lb Immunizations: Up-to-date Medications: No medications, multivitamin daily Allergy to PCN = Hives Questions How should the nurse proceed with the physical exam? What interventions can help make the patient more comfortable during the physical examination? What pointers or tips can the experienced nurse give to a new nurse who wants to improve his or her technique? What are the components of the general survey? How should the nurse perform the abdominal assessment? B. P.J. is an 82-year-old man who presents to the outpatient office for a 6-month check-up. Subjective Data Lives in assisted living apartments Widower One meal a day in the dining room; has light meals for breakfast and lunch Nonsmoker, never smoked Retired police officer Has three grown children who live nearby Walks with cane Complains of urinary incontinence Objective Data Vital signs: T 37.7 BP 108/62 HR 62 Resp 14 Height and weight = Within normal limits Immunizations = Up to date Medications: Digoxin (Lanoxin) 0.5 mcg per day, hydrochlorothiazide (HCTZ) 5 mg per day, aspirin 81 mg per day Allergy to sulfa medications = Hives Questions What special considerations should the nurse keep in mind regarding the physical exam for individuals in this patient’s age group? What similarities does the assessment of older adults have to the assessment of younger adults? What are the expected findings in the older adult for the following systems: skin, hair and nails, eyes and vision, ears and hearing, mouth, and musculoskeletal system? What are some abnormal findings in the older adult for the following systems: skin, eyes and vision, ears and hearing, mouth, and musculoskeletal system? Based on the readings and the objective and subjective findings, what is the most likely cause of this patient’s urinary incontinence? What interventions should be implemented for this patient’s urinary incontinence? C. Anna is a 29-year-old G2P1 who has just had a 20-week routine anatomy ultrasound. The doctor informed her that there were some “soft markers” for Down syndrome and that genetic amniocentesis is available if she wants to have it. 1. Anna asks whether the ultrasound shows that the fetus has Down syndrome. How can the nurse explain the soft markers for Down syndrome? 2. What counseling should Anna receive about amniocentesis? D. Discuss the observations nurse makes when interviewing a patient. Explain what the patient’s general appearance can indicate, including medical and/or psychosocial conditions. Discuss the differences between a full head-to-toe assessment and a focused assessment and when each type is performed. Discuss the differences between a full head-to-toe assessment and a focused assessment and when each type is performed.
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