Question

Please help

1. Give two examples of reasons patients might have hyperactive bowel tones.

2. Give two examples of reasons patients might have hypoactive bowel tones

3. Write an example dialogue of how you would instruct a patient to perform a self breast exam.

4. Write an example dialogue of how you would instruct a patient to perform a self testicular exam

5. A patient comes in, nauseated and with altered mental status. Their emesis is a deep maroon colour. Why might this be?

6. Name the two laboratory values we look at to assess renal function. What do these labs tell you about your patient's renal function?

7. What is a normal GFR? What does it tell you about your patients health status?

8. Name two medications or foods can cause discoloration of a patient's urine.

9. Name two medications or foods that can cause discoloration of a patient's stool.

10. Explain the nursing implications of ascites. What would you be worried about with your patient in the acute presentation? What complications could you anticipate the patient developing? (Hint - remember your ABC's of prioritization)

Answer 1

1. Hyperactive bowel tones are reduced bowel sounds and activity seen in some diseased conditions. Examples of hyperactive bowel are :

- diarrhea

- GI bleeding

2. Hypoactive bowel tones are increased bowel sounds. Examples of hypoactive bowel tone are :

- abdominal surgeries

- constipation

3. To instruct the patient on self assessment of breast ask the patient to put her arm on the head and using pads of finger gently move hand over breast in stripped pattern and feel for any lump or pain. Repeat for another breast.

4. To instruct the patient on self assessment of testicles ask the patient to place his leg on a raised surface and feel the scrotum. Ask the patient to find the testicle and roll it between his thumb and fingers of both hands for any changes or lump or pain.