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How to Answer Patient Presentation Year Questions (Complete Guide)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to patient presentation year and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves patient presentation year. A strong answer should include explanation, application, and examples.

Original Question

Patient presentation JR is a 20 year old female college student in her finals week who presented to the surgery department of a tertiary level hospital having been referred from a private clinic, with a two month history of severe abdominal cramps, persistent bloody and mucoid diarrhea, 10 kg weight loss and tiredness. • What initial nursing assessments need to be performed for JR? Vital signs: blood pressure 96/50, heart rate 113 bpm respiratory rate of 29 temperature of 38.9°C oxygen saturation (O2 sat.) of 97% on room air, pain of 9/10 located in her left lower abdominal quadrant that is sharp, constant, and aggravated by movement. Mary states, “my stomach hurts so much I can barely take the pain”. She claims that she has been taking Ibuprofen 400mg for the pain. Her vitals were reassessed after 20 minutes showing a decrease in BP to 85/47, HR 130, RR 29, temperature of 38.9°C, O2 sat. 96%, and pain still at 9/10. Assessment Alert and oriented x4, pale mucous membranes, guarding and tenderness of abdomen, skin tenting, and reports of decreased urination. • What do the vital signs indicate? • What orders and interventions do you anticipate for JR? The MD orders CBC, BMP, X-ray, stool test, and NG placed to low intermittent suction. What is the rationale for the NG tube? Lab results: WBC 13000 HGB 6.9 Hct 20.7 Plt 100000 Potassium 3.3 Sodium 128 ESR 150 Stool test positive for WBC What do the labs indicate? What is the diagnosis for JR? What education would you give to JR and her family?

 
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