J.P. is a 50-year-old man who presents to the gastroenterologist with cramping and diarrhea. Subjective Data Pain level is a 6/10 location = right and left lower abdomen Works as a union construction worker, has missed 1 day of work States he has been going to the bathroom about 8 to 10 times a day for past 2 days Appetite is decreased PMH: Crohn’s disease, depression, anxiety Objective Data Vital signs: T 37 P 80 R 14 BP 120/68 Bowel sounds hyperactive in all four quadrants Medications: Infliximab (Remicade) infusions every 6 weeks, fluoxetine (Prozac) 25 mg per day Weight = 145, last visit weight = 152 Questions
1. What other assessments should be included for this patient?
2. What questions should the nurse ask with regard to the abdominal pain?
3. From the readings, subjective data, and objective data, what is the most probable cause of the abdominal pain?
4. Develop a problems list from the subjective and objective findings.
5. What should be included in the plan of care?
6. What interventions should be included in the plan of care for this patient?
7. How to do you position and prepare for an abdominal assessment?
8. Inspection of the abdomen include:
9. Why is the abdomen auscultated after inspection?
10. How do you auscultate the abdomen? What are the characteristics of bowel sounds?
11. What sound heard predominately when percussing over the abdomen?
12. What organ can be palpated? 7. Palpation techniques include?
13. Explain visceral and somatic pain.
14. What is rebound tenderness?
15 How do you assess for costovertebral angle tenderness?

The Current Procedural Terminology (CPT) code system provides a reference for coding outpatient services such as vaccinations, ear canal irrigation, and osteopathic manipulation services.

The Current Procedural Terminology (CPT) code system is a standardized medical code set used to describe and report medical, surgical, and diagnostic procedures and services provided by healthcare professionals in outpatient settings in the United States.

The CPT codes are maintained by the American Medical Association (AMA) and are regularly updated to reflect changes in medical practices and technology. CPT codes are used for billing and reimbursement purposes by insurance companies, Medicare, and Medicaid, and they provide a common language for communication among healthcare providers, patients, and payers.

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The correct options are (1) Hyoglossus: the muscle name meaning below the tongue, (2) Stylo-hyoid, (3) Peroneus Brevis, (4) Brachioradialis, and (5) Semitendinosus.

The muscle name meaning 'below the tongue' is Hyoglossus. It is a thin quadrilateral muscle situated on the side of the neck. It arises from the hyoid bone and consists of three portions; a lateral, an intermediate, and a medial.

The muscle connecting the hyoid bone to the styloid process of the temporal bone is Stylohyoid. It is a slender muscle that arises from the styloid process of the temporal bone of the skull and descends obliquely to reach the hyoid bone.

The shorter of the muscles over the fibula is Peroneus Brevis. It is a muscle located in the lower leg. It runs alongside the fibula, connecting to the ankle and foot bones.

The muscle extending from the arm to the lateral forearm is the Brachioradialis. It is a muscle of the forearm that flexes the forearm at the elbow. It originates in the arm and attaches to the lateral aspect of the forearm.

The hamstring that becomes tendinous midway along its length is the Semitendinosus. It is a long muscle in the thigh that is one of the three hamstring muscles. It is so named because it has a very long tendon of insertion.

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The medical assistant should administer 12 ml of the heparin solution to deliver 35 mg of heparin.

To administer 35mg of heparin using the concentration of 17.5mg/6ml, we can use a simple proportion:

17.5mg/6ml = 35mg/x ml

Cross-multiplying, we get:

17.5mg * x ml = 35mg * 6ml

Simplifying, we get:

x ml = (35mg * 6ml) / 17.5mg

x ml = 12ml (rounded to the nearest tenth)

Therefore, the medical assistant should administer 12ml of the heparin solution to deliver 35mg of heparin.

What is heparin solution?

Heparin solution is a medication used to prevent and treat blood clots. It works by blocking the formation of blood clots and by preventing existing blood clots from growing larger. Heparin solution is usually administered by injection into a vein or under the skin. It is often used in hospital settings, such as during surgery or in patients who are immobilized for extended periods of time, to reduce the risk of blood clots forming. Heparin solution comes in various concentrations and is available by prescription only.

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It is true that nonverbal signals can sometimes contradict the verbal message being conveyed by a speaker.

In some cases, listeners may be more likely to rely on nonverbal behavior if they perceive the speaker to be more credible or trustworthy based on their nonverbal cues. However, in other cases, listeners may be more likely to trust the verbal message if they perceive the speaker to be more knowledgeable or authoritative.

Overall, it is important to consider both verbal and nonverbal communication when trying to understand someone's message, as they both play an important role in conveying meaning.

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