You are caring for a 45-year-old woman who is 3 days post-op open hemicolectomy secondary to a gunsh. Question
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Asked by elcrisal100
You are caring for a 45-year-old woman who is 3 days post-op open hemicolectomy secondary to a gunshot wound. Vital signs are: temp 101 degrees, heart rate 109, blood pressure 140/88, respiratory rate 10 breaths per minute, O2 sat is 92% on room air, and has a loose cough. She is complaining of nausea and has had two episodes of emesis in the last 3 hours. Abdominal assessment reveals hypoactive bowel sounds and abdominal distention that is tender upon palpation.
Questions:
What problem do you suspect this client is experiencing? List ONE.
List the most relevant and important information about this client that is related to the problem you believe the client is experiencing. This could include specific past medical and social history, subjective and objective assessment information etc. Do not repeat unrelated information provided in the case study.
What is your priority action? List ONE action you as the nurse will implement. Describe what you will do and why you will do it. This can be a further assessment, nursing intervention, communication with a healthcare provider asking for a specific medical intervention, etc.
Describe your expected outcomes. Explain how will you know if the intervention you implemented has been effective?
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You are caring for a 45-year-old woman who is 3 days post-op open hemicolectomy secondary to a gunsh
