SOLVED1589

Nurses’ Notes 1300: Client admitted from provider’s office with report of vomiting brown emesis. Oriented to person, place, and time. Reports dizziness with movement. Skin is warm and moist. Decreased turgor. Dry mucous membranes. Pulse is rapid; S1S2 heard on auscultation. Peripheral pulses weak. Respirations rapid, rate 28/min, unlabored. Chest is clear on auscultation. Abdomen distended, client reports tenderness throughout with pain of 3 on a 0 to 10 pain scale. Hyperactive bowel sounds x 4 quadrants. Denies melena. Reports urination with no difficulty, “not much in the past few hours.” Blood drawn for laboratory analysis per admission prescription. Client oriented to room, call bell in reach, side rails x 2. Instructed to call for needs or assistance. Client verbalized understanding. 1345: Client vomited 250 mL of coffee ground emesis. Vital signs obtained. Call placed to provider with update and laboratory results. Prescriptions received.
SCIENCE
HEALTH SCIENCE
NURSING

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