Assignment 1: Lab Assignment: Assessing the Abdomen NURS 6512N-32

Assignment 1: Lab Assignment: Assessing the Abdomen NURS 6512N-32

Assignment 1: Lab Assignment: Assessing

the Abdomen

Photo Credit: Getty Images/Hero Images

A woman went to the emergency room for severe abdominal cramping. She was

diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan.

The CT scan revealed a growth on the pancreas, which turned out to be pancreatic

cancer—the real cause of the cramping.

Because of a high potential for misdiagnosis, determining the precise cause of

abdominal pain can be time consuming and challenging. By analyzing case studies of

abnormal abdominal findings, nurses can prepare themselves to better diagnose

conditions in the abdomen.

In this Lab Assignment, you will analyze an Episodic note case study that describes

abnormal findings in patients seen in a clinical setting. You will consider what history

should be collected from the patients as well as which physical exams and diagnostic

tests should be conducted. You will also formulate a differential diagnosis with several

possible conditions.

To Prepare

Review the Episodic note case study your instructor provides you for this week’s

Assignment. Please see the “Course Announcements” section of the classroom for your

Episodic note case study.

 With regard to the Episodic note case study provided:

o Review this week’s Learning Resources, and consider the insights they provide about

the case study.

o Consider what history would be necessary to collect from the patient in the case study.

o Consider what physical exams and diagnostic tests would be appropriate to gather

more information about the patient’s condition. How would the results be used to make

a diagnosis?

o Identify at least five possible conditions that may be considered in a differential

diagnosis for the patient.

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be

included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be

included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why

not?

4. What diagnostic tests would be appropriate for this case, and how would the results be

used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible

conditions that may be considered as a differential diagnosis for this patient. Explain

your reasoning using at least three different references from current evidence-based

literature.

By Day 7 of Week 6

Submit your Lab Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

 Please save your Assignment using the naming convention “WK6Assgn1+last

name+first initial.(extension)” as the name.

 Click the Week 6 Assignment 1 Rubric to review the Grading Criteria for the

Assignment.

 Click the Week 6 Assignment 1 link. You will also be able to “View Rubric” for grading

criteria from this area.

 Next, from the Attach File area, click on the Browse My Computer button. Find the

document you saved as “WK6Assgn1+last name+first initial.(extension)” and

click Open.

 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit

my paper(s) to the Global Reference Database.

 Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 6 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 6 Assignment 1 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 6

To participate in this Assignment:

Week 6 Assignment 1

Exam: Week 6 Midterm Exam

This exam is a test of your knowledge in preparation for your certification exam. No

outside resources, including books, notes, websites, or any other type of resource, are

to be used to complete this exam. You are expected to comply with Walden

University’s Code of Conduct.

This exam will be on to topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior to starting the

exam, you should review all of your materials. This exam is timed with a limit of 2 hours

for completion. When time is up, your exam will automatically submit.

By Day 7 of Week 6

Submit your Midterm Exam.

Submission and Grading Information

Submit Your Midterm Exam by Day 7 of Week 6.

To Complete this Exam:

Week 6 Exam

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

(2019). Seidel's guide to physical examination: An interprofessional

approach (9th ed.). St. Louis, MO: Elsevier Mosby.

 Chapter 6, “Vital Signs and Pain Assessment”

This chapter describes the experience of pain and its causes. The authors

also describe the process of pain assessment.

 Chapter 18, “Abdomen”

In this chapter, the authors summarize the anatomy and physiology of the

abdomen. The authors also explain how to conduct an assessment of the

abdomen.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health

assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO:

Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., &

Chapter 3, “Abdominal Pain”

This chapter outlines how to collect a focused history on abdominal pain.

This is followed by what to look for in a physical examination in order to

make an accurate diagnosis.

Chapter 10, “Constipation”

The focus of this chapter is on identifying the causes of constipation

through taking a focused history, conducting physical examinations, and

performing laboratory tests.

Chapter 12, “Diarrhea”

In this chapter, the authors focus on diagnosing the cause of diarrhea. The

chapter includes questions to ask patients about the condition, things to

look for in a physical exam, and suggested laboratory or diagnostic

studies to perform.

Chapter 29, “Rectal Pain, Itching, and Bleeding”

This chapter focuses on how to diagnose rectal bleeding and pain. It

includes a table containing possible diagnoses, the accompanying

physical signs, and suggested diagnostic studies.

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia,

PA: F. A. Davis.

Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.

These sections below explain the procedural knowledge needed to

perform gastrointestinal procedures.

Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487)

Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520)

Note: Download this Student Checklist and Abdomen Key Points to use

during your practice abdominal examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

(2019). Abdomen: Student checklist. In Seidel's guide to physical

examination: An interprofessional approach (9th ed.). St. Louis, MO:

Elsevier Mosby.

Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

(2019). Abdomen: Key points. In Seidel's guide to physical examination:

An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &

Document: Midterm Exam Review (Word document)

Optional Resource

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s

diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

 Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp.

445–527)

This chapter explores the health assessment processes for the abdomen,

perineum, anus, and rectosigmoid. This chapter also examines the

symptoms of many condition of the

urinary system.

Required Media (click to expand/reduce)

Online media for Seidel's Guide to Physical Examination

It is highly recommended that you access and view the resources included with

the course text, Seidel's Guide to Physical Examination. Focus on the videos and

animations in Chapter 17 that relate to the assessment of the abdomen and

gastrointestinal system. Refer to Week 4 for access instructions

on https://evolve.elsevier.com/

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