Question

Integumentary Case Study ONE September 28 2019. Paula Diego, 54-year-old mother of two came to the clinic for a gynecological check-u. Ms asks about the possibility of her getting her first mammography. It has been 3 years since her last appointment and she does not have a PCP and sees no MD other than her cynecologist. During the history taking and physical assessment the nurse asked about the patient's general health. The patient mentioned some pain in her back that started yesterday and moved across her posterior chest to the anterior under her right breast Current vital signs are BP 130/85. Pulse 77, respiratory rate 18 and tympanic temperature of 99.2°F and a pulse ox reading of Identify key findings/significance and implications and for nursing care What additional specific information should you collect in your nursing assessment? Give Rationale. Are there any Tests / Labs you should expect to be ordered? Give Rationale 1. Priority Nursing Diagnosis & nursing interventions 2. Priority Nursing Diagnosis & nursing interventions

Answer 1

key findings/significance and implications and for nursing care

1.acute pain related to breast condition.

2. fear and anxiety.

3.lack of knowledge.

4.fatigue related to pain.

what are the additional specific information should you collect in your nursing assesment?give rationale.

1. sleep disorder due to pain.

2. loss of appetite due to pain and anxiety.

3. inability to perform daily living activities.

Are there any tests/lab should expect to be ordered?give rationale,

1.breast ultra sound

2. breast biopsy.

3. MRI

4. Blood tests .

1.priority nursing diagnosis & interventions

accute pain related to breast condition as evidenced by patient reported.

2.priority nursing diagnosis & interventions.

deficit knowledge related to illness,treatment as evidenced by patient asking questions and looks like nervous.