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5) - 1 .Nurse: Hello, Miss. What Can I Do For You? Patient: I've Been Having Bad Stomachache Lately Nurse: How Long Have You Been Having Them?

The patient has been experiencing stomach pain for about a month, especially after eating dinner and late meals. During an examination, the nurse determines the patient has gastritis from their spicy food habits. The nurse advises adjusting their diet, not eating late, and avoiding spicy foods, and will provide prescribed medication. A second patient has been coughing for 3 weeks without improvement. During an examination of their lungs, the nurse suspects tuberculosis due to the patient's family history and symptoms of coughing with blood. The nurse recommends a full lab examination including blood and sputum samples to confirm the diagnosis of TB and provides a four-drug treatment plan to take for 6 months.

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Fitri Hayati
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56 views4 pages

5) - 1 .Nurse: Hello, Miss. What Can I Do For You? Patient: I've Been Having Bad Stomachache Lately Nurse: How Long Have You Been Having Them?

The patient has been experiencing stomach pain for about a month, especially after eating dinner and late meals. During an examination, the nurse determines the patient has gastritis from their spicy food habits. The nurse advises adjusting their diet, not eating late, and avoiding spicy foods, and will provide prescribed medication. A second patient has been coughing for 3 weeks without improvement. During an examination of their lungs, the nurse suspects tuberculosis due to the patient's family history and symptoms of coughing with blood. The nurse recommends a full lab examination including blood and sputum samples to confirm the diagnosis of TB and provides a four-drug treatment plan to take for 6 months.

Uploaded by

Fitri Hayati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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2).

On that Sunday the day I came to the Lunto Paddy Hospital to do the practice, we were escorted by
the campus bus and that was my first experience in practice after I entered college.

The next day was Monday and we were told to gather in the surrender room, arguably the seminar
room and that day I was very nervous, but I believe I could definitely deal with it.

  and on that same day we were released to go down to field practice and come in direct contact with
pasian, and it was very anxious and afraid that first day we were determined which practice room and I
could be in the operating room for the first week to the third week and for the first day we were also
introduced to senior brother in the room and the equipment section in the operating room.

a week had passed and I was a little used to the situation, I got a morning, afternoon and night shift, and
I little by little had begun to understand what could be done at the hospital.

During my practice at the Lunto Paddy Hospital, I learned a lot from being scolded by Senior Brother
when I made a mistake and I have started to take medical actions such as installing an IV, installing a
catheter, replacing IV fluids and many others.

3). how to deal with patients who are difficult to control by the way we do the therapeutic approach first
with us building therapeutic communication will be easier for us as nurses to control these patients,
because communication is the most important thing in building patient care.

4). honestly if asked how far the readiness in dealing with patients we will not be able to be ready
because of the great responsibility that we bear when we are around the patient, for example, in
addition to taking medical action we must maintain patient privacy about the disease suffered by the
patient, may be in said the readiness is around 50%, we must be prepared even though we are not fully
prepared.

5). 1

.Nurse : Hello, miss. What can I do for you?

Patient: I’ve been having bad stomachache lately

Nurse: How long have you been having them?


Patient: For about a month ago, as I remember. It just feels a little bit worse this week.

Nurse: Okay. Do you get this after every meal

Patient: It’s usually after dinner and late for a meal.

Nurse: What do you usually have for dinner?

Patient: I usually have fast food.

Nurse: Something spicy?

Patient: Yes, Hot and spicy food at eight.

Nurse: At eight? What time do you have your lunch?

Patient: Usually at 12. I always feel nauseated in the morning so I usually just skip the breakfast.
Sometimes I’ll just grab some chips, and I’ll have my lunch at 12. If I’m feeling hungry, I
will get more snacks in the afternoon.

Nurse :all right please lie down on the bed I will check your stomach

Patient : what will the nurse do ?

Nurse : I will do a check on the miss stomach by prssing or palpating

Patient : ok nurse

Nurse :alright, please lift the clothes a little, so i can chekc them easily

( The patient follows the instruktions given by the nurse,and the nurse starts pressing the
patient’ stomach )

Nurse : whta you feel when yuor stomach is pressed ?

Patient :I feel a little pain in the solar plexus

( action has been completed the patient is welcome to sit bakc and the result of the explains
the results of the examination obtained )

Nurse :alright miss, from the examination results obtained by the miss experiencing gastritis

Patient : is it bad enough nurs ?


Nurse : this still a mild ulcer category. So from now on you have to adjust your diet, don’t be
late, and avoid foods that are too spicy. Later I will gat later the medicine that has been
prescribed by the doctor.

Patient : ok thank’s nurse

Nurse : you’re welcome miss.

2.

Patient: Good morning nurse.

Nurse: Good morning. Is there anything I can help ?

Patient: Yes nurse. I have been coughing for 3 weeks, but it has not healed.

Nurse: Have you taken cough medicine?

Patient: Yes, I bought medicine at the pharmacy, but it doesn't heal

Nurse: Alright, I understand. Now I will examine your lungs first, please open the shirt first, sir.

(the nurse takes a stethoscope, then starts to do auscultation technique to listen for chest wall
movements)

patient: ok

nurse: well, now try to breathe normally. (nurse listens to the sound of lungs to find out the
disease from the patient)

Patient: (patient breathes normally)

Nurse: well, it's finished. Please put your clothes back on.

Nurse: Is your cough mixed with blood?

patient: yes nurse.

Nurse: do you have a cough in your family?

patient: there is a nurse, my mother has TB.

Nurse: OK,You have some symptoms of TB. I suggest for a complete labor test. Tuberculosis
(TB), also known as TB, is a lung disease caused by the bacteria Mycobacterium
tuberculosis. TB will cause symptoms in the form of a cough that lasts longer (more than
3 weeks), usually phlegm, and sometimes bleeding. TBC can be detected through sputum
examination. Some other tests that can be done to detect this infectious disease are chest
X-ray, blood test, or skin test (Mantoux).Tuberculosis can be cured if the sufferer is
obedient taking medication according to the doctor's prescription.

Nurse: do you agree to have a complete labor examination

patient: i agree nurse.

Nurse: well, please lie down first, I will take the equipment for blood and sputum sampling. (The
nurse takes blood samples and sputum of the patient)

nurse: the lab results are out and you have TB

Nurse: I will give you 4 types of drugs that will be consumed for 6 months and should not be
interrupted, each package has been given a guide on how many times it should be taken.

Nurse: Do you have another question?

Patient: No, thank you nurse

nurse: You're welcome

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