While you are working as a nurse on a gastrointestinal/genitourinary (GI/GU) unit you receive a cal Show more While you are working as a nurse on a gastrointestinal/genitourinary (GI/GU) unit you receive a call from your affiliate outpatient clinic notifying you of a direct admission with an estimated time of arrival of 60 minutes.
While you are working as a nurse on a gastrointestinal/genitourinary (GI/GU) unit you receive a cal Show more While you are working as a nurse on a gastrointestinal/genitourinary (GI/GU) unit you receive a call from your affiliate outpatient clinic notifying you of a direct admission with an estimated time of arrival of 60 minutes.
She gives you the following information: A.G. is an 87-year-old woman with a 3-day history of intermittent abdominal pain abdominal bloating and nausea and vomiting (N/V). A.G. moved from Italy to join her grandson and his family only 2 months ago and she speaks very little English. All information was obtained through her grandson. Past medical history includes colectomy for colon cancer 6 years ago and ventral hernia repair 2 years ago. She has no history of coronary artery disease diabetes mellitus or pulmonary disease. She takes only ibuprofen (Motrin) occasionally for mild arthritis. Allergies include sulfa drugs and meperidine. A.G.s tentative diagnosis is small bowel obstruction (SBO) secondary to adhesions. A.G. is being admitted to your floor for diagnostic workup. Her vital signs (VS) are stable she has an IV of D5NS with 20 mEq KCl infusing at 100 mL/hr and 3 L oxygen by nasal cannula (O 2 /NC). Question-What measures do you participate to correct in each of the imbalances described? Show less
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