*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 trauma, gynecological his
...
*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 trauma, 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
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