SOLVED1236

An emergency department (ED) nurse is assessing an elderly female client who immediate follow-up by the ED nurse. Select all that apply. has come to the ED with complaints of abdominal pain, severe constipation, Assessment findings that require immediate follow-up and no bowel movement in 7 days. The client is alert and oriented and guarding her abdomen. Her bowel sounds are hypoactive. She lives with her daughter ■ 1. Alert and oriented and family, eats three meals a day but admits to having low dietary fiber con- ■ 2. Abdominal pain is 7/10 sumption. Her vital signs are temperature 98.8º F (37.1º C), pulse = 92 beats per ■ 3. Severe constipation with no bowel movement in 7 days minute, respiration = 24 breaths per minute, blood pressure = 132/78 mm Hg. Her ■ 4. Pulse = 96 beats per minute pain level is 7/10 on a 10/10 scale. ■ 5. Respirations = 24 breaths per minute Which of the following client assessment findings require immediate fol- ■ 6. Blood pressure = 132/78 low-up by the nurse? ■ 7. Edematous abdomen ■ 8. Hypoactive bowel sounds
SCIENCE
HEALTH SCIENCE
NURSING

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