University of Baghdad /College of Nursing

Adult nursing 1​st​ semester 2020-2021

Dr. Hussein Hadi
-:Case study about hernia
Sami is (40) years old, man admitted to third surgical ward in Baghdad
Teaching Hospital he has past history suffering from weakness of abdominal
wall he working with heavy lifting now he suffer from severe abdominal
pain, abnormal bulging in the right inguinal region and constipation ​Severity
of pain was rated 7 on a scale of 1 to 10, with one being no pain and 10
being the most pain possible​.
Vital signs are: Temp:- 38° c; HR 82, B/P 112/70; Resp. 20 and shallow.
Lung auscultation.
Patient height=170 cm, Weight= 80 kg

Q1:-Answer the following?

1- What is the medical diagnosis of this case?
2- What are the types of this case according to area?
 3- Give scientific rational?
A- Assess for respiratory status?
B- Avoid flexion at the waist in positioning the patient?
C- Measures for scrotal edema or swelling (daily weight)?
D- Eat small and frequent meals?
E- Avoid lifting, bending, straining, and coughing​?

Q2. Classify the patient’s S&S into objective & subjective.

Objective Subjective

Q3. Calculate the pulse pressure & the pulse deficit of Sami.
Q4. Calculate BMI & classify it according to the body weight category.
Q5. Write down an essay explaining what are the basic nursing teaching
instructions that you should give to Sami before discharge
 Report

Patient Name: Gender: Age:

Medical Diagnosis:

1. Definition of medical diagnosis.

2. Anatomical & physiological changes due to disease process.

3. Etiology & Risk factors:

From the textbook From the Patient

4. Signs & Symptoms:

From the textbook From the Patient

 5. Diagnostic tests & procedures:

Diagnostic tests & Findings / Results /Conclusion Normal Ranges

Procedures

6. Intravenous fluids:

Intravenous fluids Indications Nursing Consideration

Name:

Dose:

Frequency:

Name:

Dose:

Frequency:

7- Medications:

Medication Name

Dose and Frequency

Form

Indications

Side Effects

Nursing Consideration
Medication Name

Dose and Frequency

Form

Indications

Side Effects

Nursing Consideration

Medication Name

Dose and Frequency

Form

Indications

Side Effects
Nursing Consideration

8- Nursing Care Plan

Nursing Implementation Rational Evaluation

Diagnosis

Related to / as
manifested by