Kevin Valeri is a 64-year-old man who presents to the gastroenterologist’s office with constipation and abdominal bloating.
Subjective Data
Pain level is a 4/10 location = right lower abdomen
Retired Engineer
States he has been going to the bathroom with the help of laxatives, but not having regular movements
Appetite is decreased, some nausea
PMH: depression, anxiety, chronic constipation
Objective Data
Vital signs: T 37 degrees Centigrade, P 64, R 16, BP 124/58
Bowel sounds hypoactive in all four quadrants
Medications: Lamictal 200mg daily, Lexapro 10 mg daily
Weight = 210 lbs, last visit weight = 195
What 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?

William Smaile is a 65-year-old man who presents to his general practitioner’s office with complaint of right forearm swelling, redness, and pain. He was recently discharged from the hospital where he had been receiving intravenous antibiotics for a respiratory infection.
Subjective Data
Pain level is a 5/10 location = right forearm, aching
Retired foreman at a local industrial plant
Objective Data
Vital signs: BP 150/68, T 37 degrees Centigrade, P 80, R 16
Swelling and reddened right forearm, warm to touch
+ pulses, brachial and radial (R)
+2 capillary refill fingers right hand
What other assessments should be included for this patient?
From your readings, what is the most probable cause of the swelling?
What is your nursing diagnosis?
What would be included in the nursing care plan?
What interventions might be included in the plan of care for this patient?