J.P. is a 50-year-old man who presents
J.P. is a 50-year-old man who presents to the gastroenterologist with cramping and diarrhea. Subjective Data: Pain level is a 6/10 location = right and left lower abdomen Works as a union construction worker, has missed 1 day of work States he has been going to the bathroom about 8 to 10 times a day for past 2 days Appetite is decreased PMH: Crohn disease, depression, anxiety Objective Data: Vital signs: T 37 P 80 R 14 BP 120/68 Bowel sounds hyperactive in all four quadrants Medications: Infliximab (Remicade) infusions every 6 weeks, fluoxetine (Prozac) 25 mg per day Weight = 145, last visit weight = 152 1 What other assessments should be included for this patient? 2 What questions should the nurse ask with regard to the abdominal pain? 3 From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain? 4 Develop a problems list from the subjective and objective findings. 5 What should be included in the plan of care? 6 What interventions should be included in the plan of care for this patient? SCIENCE HEALTH SCIENCE NURSING NUR 2180
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