Question

Reflect: The Concept of Elimination Dennis Welborn is a 52-year-old Caucasian male who visits his primary care physician with complaints of severe pain in his back and abdomen and painful urination with blood. As the nurse working at the clinic, you are tasked with taking Mr. Welborn's medical history and preliminary assessment. Mr. Welborn is 6'2" tall and weighs 265 pounds. His vital signs include temperature 100.8°F oral; pulse 95 bpm; respirations 22/min; and BP 140/92 mmHg. Mr. Welborn rates his back and abdominal pain as 9 on a scale of 0-10, and his pain level is a 7 when he is urinating. Mr. Welborn had a urine analysis performed, which indicates the presence of small calcium crystals, red blood cells, and bacteria. Mr. Welborn also had an abdominal x-ray. The X-ray reveals a large stone (1.2 cm) in Mr. Welborn's proximal right ureter, and the urinalysis indicates. Question 1: What questions will you ask Mr. Welborn during your assessment? Describe how you will complete your physical assessment on Mr. Welborn? What nursing interventions will you as a nurse do for Mr. Welborn, please put your interventions in order of priority? How will you determine if the interventions are effective? If you can, please relate to situation you have witnessed/experienced in your clinical/work experiences.

Could you please include 2 intexts, 2 paragraphs per each question, and 2 APA Citations. Thank you

Answer 1

1. Questions to be asked from Mr. Wellborn during assessment are :-

- Since how many days you are having the pain?

- How much is the pain according to the pain scale ?

- Location of pain ?

- Do you have fever ?

- Do you have any other co- morbidies ?

- Do you had any history of allergy ?

- Do you have a history of same situation in past ?

- Do you had any accident recently ?

#. I will complete the physical assessment on Mr. Wellborn by following a complete head to toe physical examination

#. Nursing intervention priority wise :-

1. Pain management by providing analgesics prescribed by physician along with use of non medical analgesic aids

2. Administration of antibiotics for fever

3. Relieving anxiety and providing emotional support . Explanation of the disease condition and treatment methods

#. I will determine whether the interventions are effective by evaluating the post intervention health status of the patient.