Common Genitourinary Presentations
Fever, lethargy, confusion, urinary incontinence are common symptoms of this complication of a UTI
What is: Urosepsis?
ED presentation is commonly pain to RUQ that may radiate to midback or shoulder, often provoked by eating certain foods
What is: Cholecystitis (gallstones)
Serial Hgb may be ordered with this common ED presentation
What is: GI bleed
The 4 components of abdominal physical assessment listed in proper order
inspection, auscultation, palpation, percussion
3 Questions you would ask Bob during your interview/ assessment. (M)
What are: What Medications he is taking? Med HX/ Surgeries? PQRST assessment for pain-tender on palpation, location? Last BM/void? last oral intake?Intake and output for both urine and stool, Questions about bleeding? Drug or ETOH use, ? Foreign body? trauma?
Patients with BPH may present with this complication, necessitating catheter insertion.
What is: Urinary retention
List 3 care priorities or considerations for nurses caring for a patient with Gastroenteritis
What are: Symptomatic relief, Fluid replacement, I/O- measurement of gastric losses, may need electrolyte replacement, Infection control
Renal colic patients are commonly sent for these 2 DI tests.
What is: Renal U/S, and CT renal colic
Pain to the right upper quadrant on deep inspiration while palpating the right subcostal border positively demonstrates this clinical sign
What is positive Murphy's sign
The type of ED assessment Bob requires, given his presentation?
What is: A Full head to toe assessment.
A patient may present to the ED with this complication, after using drugs for erectile dysfunction
What is: Priapism
Symptoms of this disease process are often related to blood loss (dizziness, fatigue, pallor, weakness, hypotension, tachycardia, and palpitations)
What is: GI bleed?
Serum amylase and/or lipase over 3 times the upper limit is common with this disease process.
What is pancreatitis?
Nursing assessment reveals RLQ pain (Positive Mc Burney's sign) and rebound tenderness (positive Rosving's sign), nausea, fever- which may be indicative of this disease process
What is Appendicitis
List 3 things that would be assessed in Bobs case physical assessment (IPPA) of the abdomen?
What is: inspect 4 quadrants- observe for pulsation, masses, discoloration, Auscultate 4 quadrants- listen for bowel sounds- hyperactive, hypoactive or absent? particular areas of abd that are tender on palpation?, observe guarding? liver border palpable? quality and quantity of active losses (emesis, stool)
Common complication of Renal Colic, resulting from an obstructive stone (s)
What is: Hydronephrosis (swelling of one or both kidneys)
This GI disorder is often a result of age related hypomotility, or certain medications, and can lead to bowel obstruction if left untreated
What is: Constipation
This test is useful in the evaluation of infection inflammation, masses / malignancies and vascular abnormalities. It requires a 20G IV placed in a large vein and a recent Creatinine level
What is: CT with contrast
Your Renal Colic patient may report these common symptoms on assessment. List 3
What are: Nausea or vomiting, Acute pain in flank and/or abdomen, may radiate to groin, Dysuria, Urinary urgency, hesitancy, frequency, hematuria, Fever or chills
List 3 or more diagnostic / lab studies you might expect to be ordered on Bob.
What are:
DI: FOB, Digital exam by MD, Endoscopy, US, CT
Labs: CBC, Chem. Panel, Cross and Type, Liver panel, Coags
This medical emergency presents as testicular pain, swelling, and if left untreated can lead to sterility
What is: Testicular tortion?
Presentation of this disease process may include severe epigastric pain, radiating to the back, nausea, vomiting, and occasionally, jaundice -often aggravated by drinking alcohol
What is: Pancreatitis
When ruling out a perforated bowel, this diagnostic test is sometimes done first, before CT
What is: Upright Chest/Abd XR
Type of bowel sounds commonly auscultated with complete bowel obstruction, paralytic ileus, post op abdominal surgery, or narcotic use
What are: Hypoactive bowel sounds?
List 3 or more nursing care priorities or interventions for Bob.
What are: Stabilize ABC’s, IV access, Monitor vital signs frequently, Bleeding assessment
Pain assessment and treatment.
Has a medical directive been initiated/Send labs as ordered