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PBDS Cards questions with complete solutions

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*Acute abdomen and complications* NURSING ASSESSMENT Correct Answer: Should take a *history* - Type of pain, nature and onset, location, quality. Change in bowel habits. Ask about history of traum... a, gynecological history, anorexia, malaise. Assess for tachycardia, hypertension, fever, nausea/vomiting. *Inspect*- look, listen, feel *Acute abdomen and complications* PRIORITY INTERVENTIONS Correct Answer: Administer pain medications Keep the patient quiet and not under stress Assess for trauma - bleeding, blunt, crushing, piercing Treat the trauma if this is indicated *Acute abdomen and complications* DATA TO REPORT Correct Answer: Describe the pain - level x/10, location, quality, duration, onset Change in bowel habits, temperature should be conveyed Respiratory status, pulse, and blood pressure can indicate active bleeding and/or shock Trauma findings, if any *Acute abdomen and complications* ANTICIPATED ORDERS Correct Answer: Pain medications - pain is a primary concern here NPO - do not introduce any new food or stimulus into the altered abdomen Nasogastric suction Meds: antiemetics, narcotics, analgesics, IV fluids Labs drawn *Acute abdomen and complications* MISCELLANEOUS INFORMATION Correct Answer: Check CBC for H/H Urinalysis (UTI - pyelonephritis/-osis) Check for pyuria (pus), hematuria, glucosuria, ketones *Serum HCG (pregnancy)* Electrolytes and glucose >40 years EKG, KUB Chest x-ray Abdominal CT Stool guaiac test *Congestive heart failure and complications* NURSE ASSESSMENT Correct Answer: Auscultate lung fields for edema Measure blood pressure [Show More]

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