C Age: 30 years old Gender: Male Source of Information: Primary (Client) Cluster Type of Nursing Problem Type Analysis Problem Diagnosis of Nursing...

Question DO NURSING DIAGNOSIS Nurse assessed the patient by taking his Vital signs.BP: 140/90mmHgRR: 22 cpmPR: 115 bpmO2 sat: 98%Pain Scale- 8/10Input and OutputEstimated Fluid Loss:Vomitus: 500ml (from 3 episodes)Watery Stool: 300ml (from 2 episodes)[8:08 AM] Gian Carlo De Jesus-Patient J.L.C., a 30-year-old male-No history of illness-No comorbidities-Epigastric pain-Guarding behavior-Facial grimace-Pain scale of 8/10-Vomiting and black tarry stools-Pain non radiating-Pain aggravated with food intake.-“Nurse, nurse masakit ang tiyan ko”-“Mahapdi ang sikmura ko”-“30 minutes after kong kumain ng pandesal at kape, sumuka ako”-“Dalawang beses ako dumumi, nung una kulay itim, nung pangalawa watery na.”Below are the additional data that the nurse gathered that was not shown in the video.-According to the patient, he managed to get through his illnesses through bed rest, taking herbal medicines, or over-the-counter drugs like Kremil-S for stomach pain and Loperamide for diarrhea-When he was around school age, he experienced common childhood illnesses like having stomach pain, diarrhea/ LBM.-The patient does not have any problems or complications at birth.-The patient claimed that ever since he started working as a construction worker he frequently experiences muscle and joint pain.-The patient usually buys street food for his meals.-Smoker 5-10 sticks a day for 10 years; Drinking 2 bottles of beer at least thrice a week due to stress caused by financial constraints.-He claimed that he did not receive any immunizations since birth.-The patient claimed that ever since he started working as a construction worker he frequently experiences muscle and joint pain and managed it by taking Naproxen Sodium (Skelan) at least once a day.-Feeling of weaknessQuestions:1. Based on the cues that you identified, cluster them according to their patterns and relationship, relevance, significance, to help you create inference on client’s concern.2. Draw conclusions about the meaning of each of the groups of cues through interpreting and analyzing data using literature to confirm your inferences. Now, what is your judgment?a. There is no problem.b. There is an actual problemc. There is a potential problemd. There is a possible problemHere’s the sample: Image transcription textName: J.L.C Age: 30 years old Gender: Male Source of Information: Primary (Client) Cluster Type of NursingProblem Type Analysis Problem Diagnosis of Nursing Diagnosis Pain/Discomfort There is an P – Acute NursingPain is cause by increased actual problem Pain Problem production of gastric acid which Subjecti… Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link Comments (0)