Case Scenario Nader Age 21 Years Is Doubled Over With Night Lower Quadrant Pain And Severe Rebound Tendemoss Over Mcbu 1 (30.41 KiB) Viewed 151 times
Case Scenario Nader, age 21 years, is doubled over with night-lower quadrant pain and severe rebound tendemoss over McBurney's point. Nader immediately admitted to surgical floor for a suspected ruptured appendix Quest. 1: Identify the priority interventions for the patient admitted with acute appendicitis: (select all that apply) A. Prepare the patient for surgery B. Maintain NPO (nothing orally) status C. Administer an enema preoperatively D. Insert an intravenous (IV) catheter and begin IV fluids E. Notify the surgeon if the pain becomes more diffuse F. Insert a nasogastric (NG) tube Quest. 2: What other assessment is important to rule out peritonitis as a complication of a ruptured appendix? (Multiple-choice) A Blood pressure (BP) B. Pulse C. Respiration D. Temperature Nader is taken from the surgical floor to surgery, and an appendectomy is done. He is admitted to the Gl inpatient unit for the night. On the following day, Nader is being prepared for discharge. He has a postoperative appointment for the clinic, but he suddenly starts vomiting, Khalit, the nurse, notifies the physician, who orders the placement of an NG tube. Quest.3: Trace on the diagram how you should measure a nasogastric (NG) tube:
Quest. 4: What is considered the most accurate method for verifying placement of the nasogastric (NG) tube? (Multiple-choice) A. Aspiration of stomach contents B. Bolus of air and listen for the gurgle as injected C. Check the pH of aspirated contents D. X-ray verification Khalil attached the NG tube to suction to remove any further gastric contents. The orders are to keep Nader NPO for at least 24 hours before discontinuing the tube and providing fluids orally. Quest. 5: What other diagnostic evaluation procedure should be run for Nader! Quest. 6: What are the most common complications for appendicitis. 1) 2) 3) Quest. 7: What nursing instructions will you need to consider when planning Nader's discharge from the hospital? 1. 2. 3. Quest. 8: list 2 clinical signs indicate that patient have an appendicitis? Good Luck Dr. Bahaeddin M. Hammad
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