3 types of airway devices Correct Answer: OPA, NPA, ET Tube
What to do with an Infiltrated IV Correct Answer: D/C IV, warm compresses, notify MD and restart IV.
*Acute abdomen*
NURSING ASSESSMENT Correct Answer:
...
3 types of airway devices Correct Answer: OPA, NPA, ET Tube
What to do with an Infiltrated IV Correct Answer: D/C IV, warm compresses, notify MD and restart IV.
*Acute abdomen*
NURSING ASSESSMENT Correct Answer: Should take a *history* - Type of pain, nature and onset, location, quality.
Last bowel movement/Change in bowel habits
Ask about history of trauma, gynecological history, anorexia, malaise.
Assess for tachycardia, hypertension, fever, nausea/vomiting.
*Inspect*
Look - Assess for brusing around the umbilicus(pancreatitis/ectopic), Flank (hemorrhage)
Listen
Feel
*Acute abdomen*
PRIORITY INTERVENTIONS Correct Answer: Administer pain medications
Keep the patient calm and not under stress
Assess for trauma - Treat the trauma if this is indicated
Obtain IV access
*Acute abdomen*
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
Last menstrual period if woman
*Acute abdomen*
ANTICIPATED ORDERS Correct Answer: Pain medications (primary concern)
NPO - do not introduce any new food or stimulus into the altered abdomen
Nasogastric suction
Meds: antiemetics, narcotics, analgesics, IV fluids
Labs - CBC, urinalysis, pyuria
*Acute abdomen*
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
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