Physical Assessment Required For A Patient Suffering Vomiting And Diarrhea

Question

Mr George Kowalski, 73-years-old, visits the Emergency Department complaining of abdominal discomfort. He states that he has had “vomiting and diarrhea for the last 3 days”. He has been admitted overnight and received 3 liters of IV fluid replacement. His vital signs on admission at 2135 hours were: Temperature is 39.50C (tympanic), Pulse is 104bpm,
Respirations are 24 bpm,
Blood pressure is 98/68 mmHg,
SpO2 is 97% on room air. At 0600hrs the next morning, Mr Kowalski tells you he is having difficulty breathing and his chest feels “very heavy”. His observations are now:
Temperature: 39.10C(tympanic)
Pulse: 112bpm Respirations: 34 bpm
Blood pressure: 130/75 mmHg SpO2: 92% on room air The nurse asks you to assess Mr Kowalski.

1.    Identify three relevant physical assessments you should perform on Mr. Kowalski in this situation. Provide a rationale for each assessment identified and explain what you expect to find from each assessment.
2.    Show how you would document this consultation/assessment in Mr. Kowalski’s patient records. You are required to use a sheet of progress notes paper to thoroughly document the assessment.

Summary

The question belongs to Nursing and it discusses about a scenario of a 73 year old person being admitted in a hospital with vomiting and diarrhea for the last 3 days. The relevant physical assessments to be performed have to be identified.

Total Word Count 509

Download Full Solution

Comments

  • HWA
    Rasha

    this is a very good website

  • HWA
    maani

    I have 50 questions for the same test your page is showing only 28

  • HWA
    joeanne

    hi can you please help or guide me to answer my assignments. thanks

  • HWA
    joeanne

    hi can anyone help or guide me to my assignments. thanks

  • HWA
    Monik


  • HWA
    Cristina

    This solution is perfect ...thanks

  • HWA
    Janete

    Hello Allison,I love the 2nd image that you did! I also, had never heard of SumoPaint, is something that I will have to exolpre a bit! I understand completely the 52 (or so) youtube videos that you probably watched. Sometimes they have what you want, sometimes they don't! However, it is always satisfying when you are able to produce something that you have taught yourself. Great job!Debra 0 likes

  • HWA
    Sandeep

    Perfect bank of solution. 

  • HWA
    Oxana

    great !

  • HWA
    Paul Brandon-Fritzius

    thanks for the quick response. the solution looks good. :)

  • HWA
    tina Johnson

    thnx for the answer. it was perfect. just the way i wanted it. 

  • HWA
    Giuseppe

    works fine.