Part 1:
A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. The client gives a history of experiencing bloating and gas after eating and heartburn during the night. The client had a colonoscopy done 5 years ago that revealed six polyps, which were removed, biopsied, and found to be negative for cancerous cells. Upon interviewing the client, the nurse notes that the abdominal pain increases when the client eats fried and spicy food, drinks alcoholic beverages, or engages in strenuous activity. The client works as a package delivery carrier for a major parcel company. Picking up packages that weigh 25 to 50 lbs is an expectation of his job. Lately, this has become difficult. The clients family history is positive for cancer. The clients mother died from stomach cancer, and the father had prostate cancer that benefited from proton therapy treatm
ents. During the examination of the abdomen, the nurse finds that the clients abdomen is guarded and distended.
Questions:
1a. Associated signs and symptoms may provide diagnostic evidence to support or rule out a particular origin of pain. Therefore, what other factors should the nurse consider when assessing this client?
1b. The nurse is teaching a nursing student how to perform an abdominal assessment. Explain the order for the abdominal assessment.
Part 2:
Visit the Health People 2030 website for the topic Sexually Transmitted Diseases. Select and review two specific goals. Discuss your overall impression of the information presented and give some issues to consider with your patient population you work with or would like to work with in the future. How would you deliver the information on the two chosen goals in the best way possible? (Remember STIs affect all populations from adolescents to the elderly).