the physical assessment 的一段对话,懒得翻译了,打上去后没校正,有错误请指出。
Miss Chen is admitting Mr.Clinton,a 44-year-old,pale,male with c/o abdominal pain for 2 1/2 days.Now she is beginning the physical assessment.
Miss Chen:Mr.Clinton,I now need to do a physical assessment.Would you please change into this patient gown and lie down on the bed?
Mr.Clinton:Certainly.
(While Mr.Clinton is changing,Miss Chen washes her hands.)
Miss Chen:Please lie on your back.Let me put your head up a little.Is that more comfortable?
Mr.Clinton:Yes.It also is less painful if I bend my knees a little.
Miss Chen:First I am going to listen to your abdomen.Do you feel any pain when I push on your abdomen?
Mr.Clinton:Yes.
Miss Chen:Take a deep breath in through your nose and let it out through your mouth.This will help you relax.
Mr.Clinton:Yes,it does.
Miss Chen:Do you have any trouble with constipation or diarrhea?
Mr.Clinton:Usually,I am quite regular.But I haven't had a bowel movement for three days.
Miss Chen:Now I will check your feet.Please push down against my hands.
(As Miss Chen checks the symmetrical strength of the feet,she checks the skin color and temperature and the pulses,)
Mr.Clinton:Is everything okay?
Miss Chen:Yes.Now I need to listen to your heart.Please don't talk.(Miss Chen assessment the heart sounds.)Now I am going to listen to your lungs.Please sit up.Please take a deep breath in,hold it,and let it out.Again,Again.Now breathe normally.Thank you.
Mr.Clinton:What is going to happen next?
Miss Chen:I am going to start an IV to give you fluids.You are NPO,that means you cannot eat or drink anything.I'll be taking your temperature every four hours.In the morning you will have more blood tests and x-rays.Since we don't know the cause of the pain,we cannot give you any pain medicine.It might hide your symptoms.
Mr.Clinton:What if it becomes worse?
Miss Chen:Whenever you feel pain,you can do deep breathing.It will help you to relax.I need to prepare the IV now.I'll be back soon.