Does the patient have any problems urinating? Not only does the provider need more information from the patient about the chief complaint, he/she also needs the subjective review of systems (ROS) to complete a proper examination. The subjective ROS would be as follows: Subjective Review of Systems : GENERAL: No weight loss, fever, chills, weakness or fatigue. HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclera. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. RESPIRATORY: No shortness of breath, cough or sputum. GASTROINTESTINAL: Abdominal pain with nausea. Denies any vomiting. States he has had a lot of diarrhea.
NURS 6512 Week 6 Assignment 3 GENITOURINARY: Denies any urinary issues. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness. HEMATOLOGIC: No anemia, bleeding or bruising. LYMPHATICS: No enlarged nodes. No history of splenectomy. PSYCHIATRIC: No history of depression or anxiety. ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia. ALLERGIES: No history of asthma, hives, eczema or rhinitis. Additional Objective Information Needed In order to complete a thorough assessment regarding an abdominal complaint the advanced practice nurse must examine a number of different systems in addition to what has already been assessed. The provider must examine the patient’s groin area in order to exclude an incarcerated hernia or testicular torsion (Dains, et al, 2016). The provider should also percuss for tenderness in the flanks. Flank pain can indicate a kidney stone. Genital and prostate examinations should be performed in men in order to rule out sexually transmitted infections (STIs) and prostatitis. The advanced practice nurse must also look for frank blood or fecal occult blood. The presence of blood can indicate an acute process or carcinoma.
- Summer '15
- Week 6 Assignment