NRNP 6531 Week 7 iHuman Assignment - Evita Alonso

Course : Walden
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  • NRNP 6531 Week 7 iHuman Assignment - Evita Alonso

Week 7 iHuman Assignment –

 

Student Name

 

Evita Alonso

 

48-year-old female 5’6” 170 lbs.

 

Reason for encounter: “My stomach has really been hurting over the last two days and I haven’t been able to go to work.”

Questions:

    1. How can I help you today?
      1. My stomach has really been hurting over the last two days and I haven’t been able to go to work.
    2. Any other symptoms or concerns?
      1. I’ve vomited three times in the last two days and haven’t felt like eating anything. I’ve only been drinking water and Gatorade, so I’m really only throwing up clear-looking

liquid.

    1. How severe is your nausea and/or vomiting?
      1. Well, I’m not keeping much of anything down.
    2. Does anything make your nausea and/or vomiting better or worse?
      1. No. The nausea is pretty much there all of the time.
    3. What treatments have you had for your nausea and/or vomiting?
      1. Antacids – but that didn’t help/
    4. Does the pain in your abdomen keep you from sleeping?
      1. Yeah, it’s gotten bad over the last two days. I do get some sleep though.
    5. Have you been having fevers?
      1. Yes, off and on over the last two days. I’ve felt feverish. I haven’t taken my temperature, but it is definitely up.
    6. Do you have diarrhea?
      1. No.
    7. Have you lost weight?
      1. Yes. My weight loss program is going really well. 15 pounds since I was here last. Look at my chart. I’m proud of that.
      2. 4 months ago – Weight 185 lbs.
    8. Have you had any yellowing of the skin or eyes (jaundice)?
      1. No.
    9. What treatments have you had for your abdominal pain?
      1. Nothing really. I have taken antacids and ibuprofen, but neither seems to help much.

 

    1. O=Onset, circumstances surrounding start of symptom ........ Continue

 

 

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