Question

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe...

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a "sedentary job with lots of emotional moments," he has smoked a pack of cigarettes a day for 30 years, and he had "two or three mixed drinks in the evening" until 2 months ago. He states, "I haven't had anything to drink in 2 months." He denies having regular exercise: "just no time." His diet consists mostly of "white bread, meat, potatoes, and ice cream with fruit and nuts over it." He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products. . 1. Identify four general health risk problems that T.H. exhibits. Identify a key factor in his family history that might have profound implications for his health and present state of mind. 3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis? 4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable? 5. What is the rationale for ordering bed rest? T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg 4 tomes per day for 5 days. 6.For each medication, state the drug class and the purpose for T.H. 7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale 8.What is a disulfiram reaction? 9. What are the signs and symptoms of an allergic reaction

Homework Answers

Answer #1

1) The general health risk problems are :-

- Constipation

- Smoker

- Alcohol intake

- Emotional Stress

- No exercise

2)A key factor in his family history that might have profound implications for his health and present state of mind is the history of colon cancer in his family members.

3)

If left untreated, diverticulitis may lead to a collection of pus (called an abscess) outside the colon wall or a generalized infection in the lining of the abdominal cavity, a condition referred to as peritonitis.

4) Analgesic are prescribed for pain management and if infection is suspected then antibiotics are also prescribed .

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe...
T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic...
T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe...
T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic...
a 49-year-old man who complain with severe abdominal pain for a week . he states he...
a 49-year-old man who complain with severe abdominal pain for a week . he states he has intermittent abdominal pain.He describes the pain as an intermittent “gas-like” pain in the epigastric region. He says he feels like he needs to “burp.” He took two tablets of Naprosyn late in the evening to reduce his typical aches and pains in his knees and ankles, which feel better. He reports mild nausea but has not vomited. His last bowel movement was yesterday....
Chapter 43 Liver, Biliary Tract, and Pancreas Problems Acute Pancreatitis Patient Profile K.Z. is a 39-year-old...
Chapter 43 Liver, Biliary Tract, and Pancreas Problems Acute Pancreatitis Patient Profile K.Z. is a 39-year-old man who presents to the emergency department describing severe pain in his abdomen that started after he went to bed last night. He has a history of hypertension. He is currently taking hydrochlorothiazide and lisinopril. Subjective Data Has severe, sharp pain in his abdomen and points to his left upper quadrant 10/10 Pain got worse after he ate breakfast this morning; he vomited, but...
Joe Harrison, a 62-year-old bank executive, presents to the emergency room with severe abdominal pain. He...
Joe Harrison, a 62-year-old bank executive, presents to the emergency room with severe abdominal pain. He describes the pain as excruciating, and indicates it is located in the mid epigastrium with radiation into his back. The patient states he has not eaten anything in the past 24 hours, but 2 days ago attended a wedding dinner and consumed a large meal and about 4 to 5 alcoholic beverages. Mr. Harrison admits to being a “social drinker,” ingesting 2 to 3...
Mr J, a 53 year old white male presents to the Emergency Dept (ED) for his...
Mr J, a 53 year old white male presents to the Emergency Dept (ED) for his third visit in a 3-month period with a chief complaint of epigastric pain. The patient states that he first came to the ED 3 months ago with the complaint, states that his symptoms weren't that bothersome then but had been present for a couple months, he couldn't get a same-day appointment with his primary care provider (PCP), and the receptionist at the PCP's office...
Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree...
Salem is a 57 year-old male who has been brought to the Emergency Department with second-degree burn caused by a direct contact to boiling water. The right thigh was the most affected part of his body where he sustained severe redness and multiple blisters. Salem complained of severe pain and his skin was very wet and angry-looking. Salem is known to have asthma since his childhood and has been diagnosed with cystic fibrosis for 2 years. He has no other...
Mr. DB is a 65-year-old retired construction worker who presents with complaints of chronic bilateral shoulder...
Mr. DB is a 65-year-old retired construction worker who presents with complaints of chronic bilateral shoulder pain that has worsened over the past few years and now decreased his ability to do light housework and yardwork. For his past medical history, DB has hypertension that is well controlled with hydrochlorothiazide. He is also on dispersible Aspirin 75mg daily. He has no surgical history and denies any psychiatric history. He is a denies any history of illicit drug use and addiction....
Case Study:     Gall bladder John Smith is a 65-year-old retiree who is admitted to your unit...
Case Study:     Gall bladder John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in...
HYPOTHETICAL SITUATION 24-year-old patient arrives at the emergency room at 9: am with severe pain in...
HYPOTHETICAL SITUATION 24-year-old patient arrives at the emergency room at 9: am with severe pain in the pelvic area when examined by the doctor on duty, the patient presents profuse bleeding of bright red color. He says that the pain started the night before. She refers to having a 22 week gestation, maintains prenatal control with her gynecologist, is her second pregnancy, is a consumer of cigarettes and alcoholic beverages. Patient presented vital signs BP 140-95 Pulse 120 R 15...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT