nr324 nancy gilbert
For each error, explain A.Respiratory acidosis from inadequate ventilation, B.Respiratory alkalosis from anxiety and hyperventilation, C.Metabolic acidosis from calcium loss due to broken bones, D.Metabolic alkalosis from taking analgesics containing base products. To has an 80-pack year history of cigarette smoking and lives with her husband. The client needs to stop smoking and drink adequate fluids for general health and for thinning secretions. Which assessment finding indicates that the client is developing fluid volume overload? order to make them feel more at ease and safe while caring for them. Market-Research - A market research for Lemon Juice and Shake. The arterial blood gas analysis indicates respiratory acidosis. 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Mrs. Gilbert has an 80-pack-year history of cigarette smoking (2 packs per day, for 40 years) and lives with their husband who continues to smoke in their home. Lethargic Tachypnea is defined as a rapid respiratory rate and indicates respiratory distress. Photo from 'Western Film and TV Annual' about 1957 or 1958. occurs 15-30 after eating The scenario takes place on Wednesday at 14:00. Used when normal elimination routes impaired. Assess for perfusion problems (shock), listen to bowel sounds (diminished/absent) may mean bowel obstruction. Abdominal contour and perianal area for intact skin, hemorrhoids. Mrs. Gilbert has an 80-pack-year history of cigarette smoking (2 packs per day for 40 years) and lives with their husband who continues to smoke in their home. (44 years old). 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Which of the following K level, if noted in the client's record, should be reported before giving the due medication? Mosby. a way to view the gastric and duodenal mucosa and determine the degree of the ulcer. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. Prolonged contact with bile causes damage to the gastric mucosa, chronic gastritis, and recurrence of PUD. b. pH 7.34, PaO2 45 mm Hg, PaCO2 65 mm Hg, c. pH 7.42, PaO2 90 mm Hg, PaCO2 43 mm Hg, d. pH 7.46, PaO2 92 mm Hg, PaCO2 32 mm Hg. Nancy Gilbert Financial consultant , Accounting and bookkeeping, Financial recording & reporting, Budgeting and forecasting, Asset Management, budgetary controls, Financial management, Risk . In a patient with sodium imbalances, the primary clinical manifestations are related to alterations in what body system? promote effective communication, the nurse or any member of the team can provide the patient NR-324 Adult Health I (NR324) Institution Chamberlain College Of Nursing NR-324 Adult Health I NR 324: Exam 1 Practice Quiz A client is experiencing 8/10 incisional pain, resulting in a poor cough effort, and has course scattered rhonchi after a thoracotomy. You must be knowledgeable about the patients condition and able to dictate orders obtained and. The nurse plans to do which of the following? The client with fluid volume deficit has been recieiving 0.9% sodium chloride IV infusion at 50 mL/hr for the past 4 hrs. Nancy Gilbert (I) Actress IMDbPro Starmeter See rank Nancy Gilbert is known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Christophers (1952). , esophagitis, hemorrhage, stenosis, ulcerations, regurgitation with aspiration. - asymptomatic until advanced, dysphagia as progresses (starts with meat, then soft foods, then liquids), pain (substernal, epigastric, or back area, increases with swallowing, may radiate to the neck, jaw, ears, and shoulders). - examination of large intestine; give laxatives before and monitor stool after procedure, What is a Esophagogastroduodenoscopy (EGD), - visualize esophagus, stomach, duodenum; keep NPO after procedure until gag reflex returns, - examination of colon, biopsies and polyps removed; bowel prep before and observe for perforation, - nutrition, medication and decompression; proper technique during use, verify placement, - nutrition, medication; proper technique for use, verify placement, monitor for infection, HOB elevated. This lasts less than 1 hours after eating. Lower GI: Assess for problems with eructation, flatulence, hemorrhoids, hernia. Which action should the nurse take first? removal of stomach (differing parts/amounts). CBC, U/A, abdominal x-ray, ultrasound, CT, pregnancy test. The nurse is caring for a patient with pneumonia. Common causes include a ruptured appendix, perforated gastric or duodenal ulcer, severely inflamed gallbladder, and trauma from gunshot or knife wounds, What is are he two types of irritable bowel syndrome. The client is most likely to experience what type of acid base imbalance? water is the fluid of choice for rehydration by mouth. The client with fluid volume deficit has been recieiving 0.9% sodium chloride IV infusion at 50 mL/hr for the past 4 hrs. We're available through e-mail, live chat and Facebook. The stoma should be dark pink to red, may be swollen the first 2-3 weeks and a smaller pouch may be needed once swelling is decreased. A client went to the ER with sudden onset of high fever and diaphoresis. the client is experiencing weakness and an irregular hear rate. On Tuesday morning, Nancy, was admitted to the medical unit with pneumonia and placed in contact isolation for Methicillin- Resistant, Staphylococcus Aureus (MRSA). c. Creatine kinase-MB is the isoenzyme specific to the myocardium. E. Report any ankle or foot swelling to your PCP, F. Drink plenty of fluids to stay hydrated and keep your secretions thinner. Practice materials Comfort the patient by maintaining eye contact and reassuring them. D. Locate a community pool to join so that you can swim at least 3 times a week. Motility or manometric studies to assess pressure of esophagus and LES motility, - Lifestyle (no smoking, alcohol, stress reduction). B-Determine the time of the last digoxin dose, weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. New combination approaches to combat methicillin-resistant Get Notified when Gilbert W Pacheco's info changes. Home Jobs Part-Time Jobs Full-Time Jobs Internships Babysitting Jobs For what should the nurse assess the patient? Which assessment findings would support that the client is experiencing fluid volume deficit? In 1997, she was selected as Arizona Biology Teacher of the Year. The gravitational force on the box is 29.4N29.4\text{ N}29.4N. When the box reaches a speed of 2.5m/s2.5\text{ m/s}2.5m/s , you start pushing on one edge of the box at a 4545^\circ45 angle (use degrees in your calculations throughout this problem) with a constant force of magnitude 23.0N23.0\text{ N}23.0N, as shown in the figure below. are pancreatitis, appendicitis, cholecystitis, ectopic. By clicking "Create Alert" I agree to the Uloop Terms of Use. MRSA can run rampant, particularly in a Resistant Staphylococcus Aureus (MRSA). NY Times Paywall - Case Analysis with questions and their answers. Vomiting relieves it. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present? We Terms of Use ABC's. Effective Communication in Patients with Tracheostomies In 1962 she became a teacher. Select all. Not sure of Copyright here as no information or dates in this book. It occurs when abdominal organs perforate or rupture and release their contents (bile, enzymes, and bacteria) into the peritoneal cavity. This is the most common type of hiatal hernia. Which health teaching would the nurse include? a. pH 7.32, PaCO2 58 mm Hg, PaO2 60 mm Hg, HCO3 30 mEq/L, b. pH 7.30, PaCO2 45 mm Hg, PaO2 55 mm Hg, HCO3 18 mEq/L, c. pH 7.40, PaCO2 40 mm Hg, PaO2 70 mm Hg, HCO3 25 mEq/L, d. pH 7.52, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 35 mEq/L. Phone Numbers. How do you Management nausea and vomiting, : medications, assess vomitus, progressive nutrition, non-pharmacological measures, weight, I&O. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Carolyn Jarvis; Pat Thomas; Kevin Strandberg, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Addresses. Course Hero is not sponsored or endorsed by any college or university. Biopsies to rule out cancer and to test for H. pylori, stool testing, IgG antibody testing, urea breath test to identify active infection (urea is a by product of H. pylori), to diagnose gastric outlet obstruction or for ulcer detection, for anemia, liver enzymes to check cirrhosis, amylase to rule out pancreas problems, What are the medications that are used in PUD. will also go over interventions when treating someone with MRSA and discuss nutritional A unique and lasting tribute for a loved one. skin: focused GI assessment. ectopic pregnancy Acute paraesophageal hernia is a medical emergency. stool is liquid to semiliquid; fluid requirements increased; may be from ulcerative colitis, Crohn's, trauma, cancer, semiliquid, increased fluid requirements, from trauma, tumors) (transverse - semiliquid to semiformed, possibly increased fluid requirements - from trauma, tumors) (sigmoid - formed, no change in fluid, can regulate bowel patterns, from cancer or trauma), assessment of stoma and pouching system that protects the skin and contains drainage and odor. Causes include damage to organs in the abdomen and pelvis, which leads to inflammation, infection, obstruction, bleeding, and perforation. McRae J, Fox R, Morgan S. (2021). Take the patients mental capacity and level of understanding into account when talking to the patient. Hemoglobin 12 g/dL Obtain date of last dental exam and results if possible. A. 10/s41598-021-82550- Candace Mike, MSN, RN, CPN, CRRN You will serve as the point person for communication and can anticipate speaking with the physician or, other primary care provider, ancillary support services, and others directly involved with the care being, provided. Occurs 2 hours after eating. Arthritis, gallstones, kidney stones, liver disease, osteoporosis, thromboembolism, colorectal cancer, CBC, electrolytes, stool culture, barium enema, ultrasound, CT, MRI, colonoscopy. Dallas County Community College District NURSING Course Notes: NURSING 324 NR324 MED SURG 1 SIMULATION | Uloop Review Dallas County Community College District course notes for NURSING NURSING 324 NR324 MED SURG 1 SIMULATION to get your preparate for upcoming exams or projects. Her husband Nancy Gilbert is an actress known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Gene Autry Show (1950). Surgery is reduction of the herniated stomach into the stomach, herniotomy (excision of hernia sac), herniorrhaphy (closure of the hiatal defect), gastropexy (attachment f the stomach subdiaphragmatically). The patient has had COPD for years, and his ABGs usually show hypoxia (PaO2 <60 mm Hg or SaO2 <88%) and hypercapnia (PaCO2 >45 mm Hg). Malignant neoplasm of the esophagus. This occurs when the patient is supine, and the hernia usually goes back into the abdominal cavity when the patient is standing upright. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! August 4, 2021 Nancy Gilbert Biography. You can send your sympathy in the guestbook provided and share it with . What are the clinical manifestation of Dumping syndrone. a nurse is assessing a client who has dilated cardiomyopathy. Valley View Memorial Park 4400 W 4100 S, West Valley City, UT 84120. all of the actions are indicated, but d needs to be done first. 153 Cards - 6 Decks - 1 Learner What Lifestyle changes can you do to help with PUD, high alcohol (stimulates acid and causes mucosal lesions), coffee (stimulant of gastric acid), stress, smoking (delays ulcer healing). The exact cause is unknown, but is thought to be due to environmental factors like NSAIDS, smoking, stress and genetic. Surgical consult, diagnostic laproscopy. ", Determine whether the following program segments contain errors. These findings indicate: ABG results for your patient yield the following results: pH 7.32, Pa CO2 40 mm Hg, HCO3 20 mm Hg. eat and drink foods and fluids that don't cause distress, eliminate caffeine, hot or spicy foods. What are the most common causes of acute pain. It is with deep sorrow that we announce the death of Jami Lynn Gilbert (West Valley City, Utah), who passed away on August 4, 2021, at the age of 44, leaving to mourn family and friends. Gilbert's Current Address 1500 W Parkway Ave West Valley City, UT 84119 . Hemostasis/Platelet Disorder when reduction of platelets below 150,000, can be genetic, but most are acquired. Which diagnostic tests will help to identify any altered fluid balance in the body? Place the obturator in the tracheostomy tube. The documentation nurse is responsible for recording of all patient event activities during the simulation with, the exception of medication administration. 90% oxygen saturation, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Linda A. LaCharity; Candice K. Kumagai; Barbara Bartz, Mariann M. Harding; Jeffrey Kwong; Dottie Roberts; Courtney Reinisch; Debra Hagler, The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Which laboratory findings should the nurse expect in the patient with persistent vomiting? Esophageal perforation with fistula into the lung or trachea. Which result would indicate the patient has later stage COPD? During this scenario, students, will have the opportunity to assess a patient with moderate respiratory distress and implement sterile. Nancy Gilbert is a patient with a 5-year history of laryngeal cancer requiring a permanent tracheostomy and, continuous supplemental oxygen. Symptoms are epigastric distress that increases after meal. Receive obituaries from the city or cities of your choice. A nurse is teaching a client who is starting to take an ace inhibitor to treat hypertension . The patient reports abdominal cramps, hyperactive intestinal peristalsis, and the urge to defecate. Select all that apply. Trivia (1) She left the entertainment industry in the late 1950s and entered the convent of the Sisters of Charity of the Blessed Virgin Mary in Dubuque, IA, and became a nun. course. which of the following actions should the nurse take first. Other indicators of severe asthma include absence of wheezing because of limited airflow; arterial blood gas results with decreased PaO2 (< 80 mm Hg) and increased PaCO2 (> 48 mm Hg); and peak expiratory flow rate at or below 40% of personal best. MRSA Nursing Interventions A nurse in an emergency department is caring for a client who had an anterior MI . Suite 400 Second, we can ensure frequent hand hygiene before entering the, Faan, H. D. P. R. A. C. C. A., Faadn, C. R. P. M. H. M., Faanp, K. J. D. M. R. A. F., Cne, R. D. NR 324 ADULT HEALTH University Chamberlain University NR 324 ADULT HEALTH Follow this course Documents (376) Messages Students (841) Book related documents Physical Examination and Health Assessment Carolyn Jarvis; Pat Thomas; Kevin Strandberg Lecture notes Date Rating year Ratings Show 8 more documents Show all 124 documents. Authorize the publication of the original written obituary with the accompanying photo. Cancer can also metastasize. Assess pain, bowel habits. M. H. (2021). Methicillin resistant Staphylococcus aureus, Vancomycin resistant Staphylococcus aureus, NR324/NR329 Nancy Gilbert Student Instructions. hoarseness or voice changes that might indicate the presence of a tumor, any difficulty swallowing, and the presence or absence of tonsils. involve any segment of the GI tract (mouth to anus) and fistulas can develop between bowel/bladder, etc. : an American History (Eric Foner), NR 324 Chapter 017 Med Surg electrolytes sheet-3, Hesi pn exit exam test bank 2020 2021 v1 latest grade a gold rated, Basic Concept safe medication Administration error reduction, Nursing skill Fluid imbalances net fluid intake, NR 324 Week 2 Lab Prep - NR 324 Week 2 Lab Prep, Urinary Catheter-Skillsn Reasoning WK2 NR325, Patho exam 2 review of ch 1, 2, 21, 7, 20,5,6, Medication Template Isophane Insulin NPH (Humulin N, Novolin N), Week 4 Case study Covid-19- Skinny Reasoning-Part-1, Week 2 Clinical learning activity Kennedy Polk, RUA Medication Teaching Plan - Abolanle Salami, Sample Brunner Suddarth Medical Surgical 14th Hinkle 2017, Health-Illness Concepts Across the Lifespan I (NUR 1460C), Introduction to Human Psychology (PSYC 1111), Child and Early Adolescent Development and Psychology (ELM 200), Business Systems Analysis and Design (IT210), Ethical and Legal Considerations of Healthcare (IHP420), Advanced Medical-Surgical Nursing (NUR2212), Maternity and Pediatric Nursing (NUR 204), The United States Supreme Court (POLUA333), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Final Exams - Selection of my best coursework, ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9. tracheostomy suctioning while maintaining contact isolation precautions. RR 24 breaths/minute Appetite: Assess any changes in appetite, food in tolerances, and the presence of nausea and/or vomiting. The scenario takes place on Wednesday at 1400. used to replace water losses, helps prevent ketosis, Contains Na, K, Chloride, Ca, and lactate, Contraindicated w/: liver dysfunction, hyperkalemia, and severe hypovolemia, Limit of dextrose concentration that may be infused peripherally, stay in vascular space and increase oncotic pressure, Include: human plasma products (albumin, fresh frozen plasma, blood) , semi synthetics (dextran and starches). how to correct it. surgical enlargement of the pyloric sphincter to facilitate the easy passage of contents from the stomach. diarrhea, bloody stools, weight loss, abdominal pain, fever, fatigue. Mini Bio (1) Nancy Gilbert is known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Christophers (1952). The wife verbalized that this has been happening for the past 3 days. We will discuss how to interact with Mrs. communication definite and to the point. for color, lesions, scars, petechiae, etc. Feeding patients with tracheostomies. Therefore, the first action the nurse should take is to elevate the head of the client's bed to reduce blood pressure and promote oxygenation. A patient treated for vomiting is to begin oral intake when the symptoms have subsided. hospital environment. which of the following findings should the nurse expect. Echovita Inc is a registered trademark. Pouch to collect and a charcoal filter helps with flatus odor. we cannot establish the vital relationship between the patient and the healthcare team. to prevent the transmission of this disease, nurses can adhere to proper hand hygiene and contact precautions. D. grasp the retention suture to spread the tracheostomy opening. Remember no fluids with meals , no high carbs. - pain, universal sign is tenderness over the involved area. A nurse is caring for a client who was admitted for a treatment of left-sided heart failure with intravenous loop diuretics and digitalis therapy. Get notified when Gilbert's info changesit's free! problems with bleeding gums, dental caries, abscesses, and use of dentures and partial plates. the nurse should instruct the client to notify his provider if he experiences which of the following adverse effects of this medication. : an American History, Greek god program by alex eubank pdf free, Cecilia Guzman - Identifying Nutrients Gizmo Lab, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Prioritization Delegation and Assignment: Practice Exercises for the Nclex Examination, Therapeutic Procedure Chest Physiotherapy, Respiratory Opioids Meds Drug Class Matching Activity, NR324 Med Surg Math Packet with Added KEY, Updated 13pgs - Clinical patient care documentation - Altered gas exchange, 1st 13pg - Clinical patient care documentation - Altered gas exchange, Adult Health (NR324) e Dapt Nursing Care of Altered Fluid Balance, Simulation Nancy Gilbert Keola A Concept Map, NR 324 EXAM 2 (Final Exam) Study Guide March 22, Bowel Elimination Administering a Cleansing Enema. IBD is classified as either Crohn's Disease or ulcerative colitis based on clinical manifestations. You may also light a candle in honor of Jami Lynn Gilbert or send a beautiful flower arrangement to the funeral service. Biopsies to rule out cancer. In later stage COPD, the patient will have a low or low normal pH, a high normal or above normal PaCO2, and a high normal or above normal HCO3-. Nancy Gilbert is an actress known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Gene Autry Show (1950). Here is Jami Lynn Gilbert's obituary. The nurse is reviewing the lab results of a client receiving digoxin (lanoxin) and notes that the result is 2.5 ng/mL. a localized or generalized inflammatory process of the peritoneum. pain in Midepigastric region beneath xiphoid process, Back pain - if located in posterior aspect, 2-5 hours after meals, "Burning or cramplike", Tendency to occur, disappear, reoccur, What are the Three major complications of PUD, Hemorrhage (upper GI bleeding), Perforation (from large penetrating ulcers that can lead to peritonitis), Gastric outlet obstruction (obstruction in the distal stomach, projectile vomiting, constipation) - All considered emergency situations. Student Instructions for Standardized Simulation, The following information is to be used in guiding your scenario preparation, implementation, evaluation and. A client is admitted in the emergency department due to episodes of defecating stools with some streaks of blood. Pain high in epigastrium, 1 to 2 hours after meals, "Burning" or "gaseous", Food aggravates pain as ulcer has eroded through gastric mucosa. ulcer, soreness, dysphagia, difficulty speaking, surgery, radiation, chemotherapy, palliative treatment, pain control, nutrition, prevent aspiration, communication techniques. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Write your message of sympathy today. Nancy Gilbert is a very famous star. B. Crackles upon auscultation on the bases of the lungs. Here, lets get to know the basic information about Nancy Gilbert! hypovolemic shock, sepsis, abscess, acute respiratory distress syndrome, death, CBC, peritoneal aspiration, abdominal x-ray, ultrasound, CT, peritoneoscopy, - antibiotics, NG suction to decrease distention and further leakage into peritoneum, analgesics, IV fluid, surgery (might be NPO in case), I&O, antiemetics, monitor VS frequently, abdominal surgery Which of the following values would you expect to see? Saliva secretion decreases , inhibiting the digestion of complex carbs - gum and tooth loss making nutrition difficult- Peristalsis in the esophagus is no longer triggered with each swallow and there is delayed entry of food into the stomach causing a premature feeling of fullness- heart burn and reflux- Constipation is common due to decreased intake and decreased intestinal motility. Prep for a quiz or learn for fun! Nancy Gilbert is a 65-year-old Caucasian female with a 5-year history of laryngeal cancer requiring a permanent, tracheostomy and continuous supplemental oxygen. Mrs. Gilbert got admitted to the medical unit for The nurse reviews a clients record and determines that the client is at risk for developing a potassium deficit if which situation is documented? Elevated creatine kinase-MB indicates myocardial muscle injury. assist with implementation if needed. - Goal is to identify the problem, treat it and prevent complications (like shock). D.Grasp the retention sutures to spread the tracheostomy opening. Medications (proton pump inhibitors - prilosec; histamine receptor blockers - Pepcid; antacids - Tums), - fundus of stomach is wrapped around the lower portion of the esophagus to reinforce and repair the defective barrier. Which action should the nurse take first? The importance of saying "I love you" during COVID-19, Effective ways of dealing with the grieving process, Solutions to show your sympathy safely during the Covid-19 pandemic. the nurse should recognize that which of the following interventions is contraindicated. A patient is admitted to the ED with a severe exacerbation of asthma. During a severe exacerbation of asthma the patient may not be able to speak (or may speak in words, not sentences) because of difficulty breathing; the patient may also be perspiring profusely. Learn Nr324. from class lectures. Top Nr324 Flashcards Ranked by Quality. pain, n/v, diarrhea, constipation, flatulence, fatigue, fever, bloating, fetal position (with peritoneal irritation, like appendicitis), restless (bowel obstruction, gall stones), What kind of test can you do for abdominal pain, H&P, describe pain and accompanying symptoms, physical assessment of abdomen, rectum, and pelvis.