Question

ill 6:48 A MOLT APO 8 € Assignment Details Medical Surgical Nursing 2 nurse. Rectal examination revealed black, tarry stool. LABORATORY TESTS: Hemoglobin 9gm/dL, Hematocrit 27%, MCV 90. WBC 13,000/mm. PT/PTT - normal. BUN 12 mg/dL, Creatinine 0.8 mg/dL. EKG-normal sinus rhythm, Chest x-ray- normal. X-ray of abdomen (kidney, ureter, bladder-KUB) is unremarkable. 1. What are signs and symptoms of anemia? 2. What is rebound tenderness? Guarding? 3. What do the vital signs reveal? 4. What would your abdominal assessment reveal? (Think IAPP) a.Inspection- b. Auscultation- c. Percussion- d. Palpation- 5. What medication could have contributed to his symptoms? 6. What is the diagnosis? 7. What medication regimen would be ordered for treatment? Submit Assignment

Answer 1

1, Anemia is a low red blood cell count, hemoglobin or hematocrit in the blood. This happens when there are blood loss and kidney and chronic medical conditions, destruction of red blood cells. Signs and symptoms of anemia include lightheadedness, dizziness, fast heartbeat, headache, joint pain, abdomen pain, pale skin, shortness of breath, cold extremities and weakness and tiredness.
2, Rebound tenderness is when the doctor applies pressure on the abdomen using hands and sudden release of pressure pain will occur. these symptoms help the doctor to diagnose the inflamed abdomen wall.
Guarding is a tensing of abdomen wall muscles to avoid pain within the abdomen guarding occur in the entire abdomen. abdomen guarding detect inflammation of the peritoneal surface.
3, Vital signs indicate rapid heartbeat due to blood loss and pain abdomen and there is mild to moderate temperature.
4, Abdomen assessment:
Inspection: distended abdomen with tenderness
Auscultation-normal bowel sounds or diminished bowel sounds
Percussion-distended and tympanic
Palpation- Tenderness and mass can be palpated in the lower left quadrant.
5, Antibiotic regimen for reducing inflammation and acetaminophen for pain can be given
6, Diverticulitis: It is an infected and inflamed small bulging pouches that occur in the intestine, it protrudes outward from the colon. these signs and symptoms include fever and chills, rapid heartbeat, nausea, blood in the stool, severe abdomen pain, bloating. Due to peritonitis there will be tenderness with rebound and guarding present in the abdomen examination.