Question

A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. The client gives a history of experiencing bloating and gas after eating and heartburn during the night. The client had a colonoscopy done 5 years ago that revealed six polyps, which were removed, biopsied, and found to be negative for cancerous cells. Upon interviewing the client, the nurse notes that the abdominal pain increases when the client eats fried and spicy foods, drinks alcoholic beverages, or engages in strenuous activity. The client works as a package delivery carrier for a major parcel company. Picking up packages that weigh 25 to 50 lb (11 to 23 kg) is an expectation of his job. Lately, this has become difficult. The client's family history is positive for cancer. The client's mother died from stomach cancer, and the father had prostate cancer that benefited from proton therapy treatments. During the examination of the abdomen, the nurse finds that the client's abdomen is guarded and distended. (Learning Objectives: 4,5) Questions: a. Associated signs and symptoms may provide diagnostic evidence to support or rule out a particular origin of pain. What other factors should the nurse consider when assessing this client? b. The nurse is teaching a nursing student how to perform an abdominal assessment. Explain the order for the abdominal assessment.

Answer 1

A.1.nurse should assess that does he lost his weight

2.colour of vomitting

3.colour of stool.

4.does he has pain while taking antacid

5.check the intesity of pain.

6.check that which area he feels pain.

These all things should be assessed by the nurse to find out if it is signs of stomach cancer or ulcer.

B.1.inspection

2.Auscultation.

3.percussion

4.palpation

This order should be followed while doing physical examination.