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The patient is a moderately obese woman who is alert and in no acute distress. Vital signs are as follows: Blood Pressure 152/82mmHg; Apical Heart Rate 92/minute and regular; Respiratory Rate 16/minute; Temperature 36.8. wt. 86 kg., ht 140 cm.
Conjunctivae are pale. The auditory canals are packed with cerumen.
The breasts are large, pendulous and symmetrical. Masses are not palpable. There are senile hemangiomas of the skin of the chest.Â
The lungs are clear by auscultation. Abnormal heart sounds are absent.
The abdomen is soft, non-tender and slightly round. A 12 cm diagonal scar is present in the right hypochondrium. (Patient neglected to mention that she had a cholecystectomy in 1986). the liver edge is palpable. Bowel sounds are normal and active. Rectal exam reveals no masses. The stool is positive for occult blood.Â
Pelvic examination reveals normal external genitalia. The vaginal mucosa is atrophic.Â
LABORATORY TESTS: results available on admission to medical unit
Hemoglobin 90 g/L
hematocrit 30%
normal chest x-ray
The physician has diagnosed acute GI bleeding likely from a peptic or duodenal ulcer
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What are the nursing assessment?
what are the nursing interventions?
SCIENCE
HEALTH SCIENCE
NURSING
NURS HP301
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