NURS 6630 Assessment and Care of Patients with Conditions of the Acute Abdomen, Stomach/Duodenum, and Appendix Week 6

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NURS 6630 Assessment and Care of Patients with Conditions of the Acute Abdomen, Stomach/Duodenum, and Appendix Week 6 Essay Assignment Paper

NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology | Week 6

Jordan Lemke woke up one morning with a fever and severe abdominal pain on his right side. Concerned, Jordan’s parents rushed him to the hospital, where blood tests and a CT scan were ordered. Providers quickly diagnosed Jordan with a ruptured appendix and immediately scheduled him for surgery (Aspirus Medford Hospital, 2014). Like many patients with conditions related to the acute abdomen, stomach/duodenum, and appendix, Jordan benefited from the prompt response of his health care team. The immediate care needs of these disorders require that you, as the advanced practice nurse, be able quickly to identify the various presentations, signs, and symptoms.

This week, as you study the pre- and post-operative care of patients with acute abdominal, stomach/duodenal, and appendicular disorders, you examine strategies for assessment, diagnosis, and treatment.

Learning Objectives

By the end of this week, students will:

  • Evaluate medical and surgical patients with conditions of the acute abdomen, stomach/duodenum, and appendix
  • Develop differential diagnoses for medical and surgical patients with conditions of the acute abdomen, stomach/duodenum, and appendix
  • Develop treatment plans for medical and surgical patients with conditions of the acute abdomen, stomach/duodenum, and appendix
  • Assess patient evaluation, diagnosis, and treatment in acute medical and surgical settings

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures (1st ed.). Philadelphia, PA: F. A. Davis Company.

 

  • Chapter 115, “Abdominal Paracentesis”
  • Chapter 116, “Gastric Lavage”
  • Chapter 117, “Inguinal Hernia Reduction”
  • Chapter 119, “Percutaneous Endoscopic Gastrostomy (PEG) Tube Reinsertion”

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

 

  • Chapter 21, “The Acute Abdomen”
  • Chapter 22, “Peritoneal Cavity”
  • Chapter 23, “Stomach & Duodenum”
  • Chapter 28, “Appendix”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.

  • Chapter 8, “Abdomen”

Gay, S. B., Lambert, D. L., & Reynolds, R. (n.d.). Introduction to abdominal plain radiographs. Retrieved from http://www.med-ed.virginia.edu/courses/rad/PlainAbdomen/index.html

Gay, S. B., & Sheeran, D. (n.d.). Cross sectional anatomy of the abdomen. Retrieved from http://www.med-ed.virginia.edu/courses/rad/CTAbdominalAnatomy/

Document: Test Taking Strategies to Prepare for Your Certification Exam

Note: All nurses who review this presentation will earn one contact hour.

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Assignment: Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Acute Abdomen, Stomach/Duodenum, and Appendix

Acute abdominal, stomach/duodenal, and appendicular disorders require a high level of care, because many are life-threatening. To ensure that you immediately recognize classic signs and symptoms of these disorders, it is critical that you have strong assessment and diagnostic skills. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with health conditions related to the acute abdomen, stomach/duodenum, and appendix.

To prepare:

  • Review this week’s Learning Resources. With acute abdominal, stomach/duodenal, and appendicular disorders in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
  • Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with abdominal conditions.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources

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