Acute abdomen and its complication
nursing assessment related to topic Correct Answer: History:type of pain, nature and onset of pain, location, quality (sharp, dull, crampy) changes in bowel habits, Hx of trauma, gyne
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Acute abdomen and its complication
nursing assessment related to topic Correct Answer: History:type of pain, nature and onset of pain, location, quality (sharp, dull, crampy) changes in bowel habits, Hx of trauma, gynecological Hx, anorexia, malaise, tachycardia, hypertension, fever, nausea/vomiting, inspect- look, listen, feel abdomen
Acute abdomen and its complication
priority nursing interventions and rationale Correct Answer: Give pain meds, keep patient quiet, assess for trauma, treat trauma if indicated
Acute abdomen and it complication
data to report to physician Correct Answer: Pain: level, location, quality, duration, onset, time, change, bowel habits, blood pressure, temperature, respiratory status, pulse, N/V, last menstrual period, trauma findings if indicated
Acute abdomen and its complication
orders anticipated physician Correct Answer: Pain meds, NPO, labs, IV fluids, NG suction, antiemetics, narcotics and or analgesics, surgical consultation
Acute abdomen and its complication
misc. info (labs and meds) Correct Answer: CBC, urinalysis, pyuria, hematuria, glucosuria, ketones, serum lipase, serum HCG, serum electrolytes and glucose, gonorrhea & chlamydia, if over 40 EKG, KUB, chest x-ray, abdominal CT, guaiac
CHF and its complication
nursing assessment findings and related to topic Correct Answer: Auscultate lung fields & heart sounds, blood pressure, temperature, pulse, history, recent weight gain, activity limits, sleep pattern, edema
CHF and its complication
priority nursing interventions with rationale Correct Answer: O2, raise head of board, IV access, cardiac monitor, pulse oximetry, antiembolism stockings
CHF and its complication
data to report to physician Correct Answer: BP, respiratory status, pulse, recent weight gain, activity limits, sleep pattern, current medications, edema
CHF and its complication
orders anticipated from physician Correct Answer: O2, ECG, chest x-ray, ABG's, cardiac monitor, diuretics, potassium, labs- electrolytes, BUN & creatinine, BNP, cardiac enzymes, echocardiography
CHF and its complication
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