Assessment of the abdomen

Kevin Valeri is a 64-year-old man who presents to the gastroenterologist’s office with constipation and abdominal bloating.Subjective DataPain level is a 4/10 location = right lower abdomenRetired EngineerStates he has been going to the bathroom with the help of laxatives, but not having regular movementsAppetite is decreased, some nauseaPMH: depression, anxiety, chronic constipationObjective DataVital signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58Bowel sounds hypoactive in all four quadrantsMedications: Lamictal 200mg daily, Lexapro 10 mg dailyWeight = 210 lbs, last visit weight = 195What other assessments should be included for this patient?What questions should the nurse ask with regard to the abdominal pain?From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?What should be included in the plan of care?What interventions should be included in the plan of care for this patient?APA FORMATREFERENCE REQUEIRED:Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.Chapter 21: Abdomenpp. 537–566 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)Chapter 24: Male Genitourinary Systempp. 691–710 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)Chapter 25: Anus, Rectum, and Prostatepp. 721–731 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)Chapter 26: Female Genitourinary Systempp. 737–763 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)

 

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