Abdominal Results | Turned In
Health Assessment and Promotion - November 2019, NUR 304
Return to Assignment (/assignments/283852/)
Subjective Data Collection: 24 of 24 (100.0%)
Relevant Medical History
Your Results
...
Abdominal Results | Turned In
Health Assessment and Promotion - November 2019, NUR 304
Return to Assignment (/assignments/283852/)
Subjective Data Collection: 24 of 24 (100.0%)
Relevant Medical History
Your Results Lab Pass (/assignment_attempts/5857557/lab_pass.pdf)
Overview
Transcript
Subjective Data Collection
Objective Data Collection
Documentation
Student Survey
Indicates an item that you
found.
Indicates an item that is
available to be found.
Category Scored Items
Experts selected these topics as essential components
of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield
better patient data. The following details are facts of the
patient's case.
Asked about current stomach and bowels Denies current abdominal issues
Asked about typical bowel habits Reports a bowel movement every two days
Reports last bowel movement was yesterday
morning
Asked about constipation Denies constipation
Denies hard stools
Denies straining during bowel movement
Asked about diarrhea Denies diarrhea
Followed up on stool characteristics Reports stool is formed
Reports color is medium-brown
Denies blood in stool
Denies mucus in stool
Asked about gassiness Denies excessive gassiness
Denies bloating
Asked about nausea Denies nausea
Hover To Reveal...
Hover over the Patient Data items
below to reveal important
information, including Pro Tips and
Example Questions.
This study source was downloaded by 100000831988016 from CourseHero.com on 05-22-2022 10:03:02 GMT -05:00
https://www.coursehero.com/file/52128211/Tina-Jones-Abdominal-Subjectivepdf/
Risk Factors
Review of Systems
Asked about vomiting Denies vomiting
Asked about food intolerance Denies food intolerance
Asked about appetite changes Reports recent increase in appetite
Reports appetite increase started about a month
ago
Asked about GERD and heartburn Denies heartburn
Denies chest pain
Denies history of GERD
Asked about urinary problems Reports increased urination
Reports waking up to urinate during the night
Denies incontinence
Denies painful or difficult urination
Asked frequency and duration of increased
urination
Reports urinating every hour or two during the day
Reports waking up to pee more than once per
night
Reports frequent urination started a few months
ago
Asked about character of urine Reports urine is light yellow or clear
Denies blood in urine
Denies abnormal odor to urine
Asked about fluid intake Reports increased water intake
Reports increased thirst
Asked about typical meals Reports typical breakfast is cereal, bread, or a
muffin
Reports typical lunch is a sandwich and chips
Reports typical dinner is chicken, a vegetable or
potatoes, and bread
Reports typical snack is pretzels, French fries,
c
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