A 22-year-old male was admitted to a cardiac stepdown unit for right upper quadrant pain, nausea and vomiting. The clien

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A 22 Year Old Male Was Admitted To A Cardiac Stepdown Unit For Right Upper Quadrant Pain Nausea And Vomiting The Clien 1 (147.27 KiB) Viewed 28 times

A 22-year-old male was admitted to a cardiac stepdown unit for right upper quadrant pain, nausea and vomiting. The client states their pain is a 9 out of 10 to RUQ and RLQ and radiates to his right flank area. The client stated "I'm in so much pain, I took all the acetaminophen extra strength tablets I could find before I came to the Emergency Department". The client has a medical history of kidney stones, bipolar depression, and primary hypertension. Their surgical history reveals a tonsillectomy two years ago. VS are BP 160/100, P 90, R 20, T 99.2 F, and 02 sat is 98%. The telemetry technician states the ECG monitor shows a normal sinus rhythm with a rate of 92. Current home medications are acetaminophen 500 mg 1 to 2 tablets PRN pain, sertraline 100 mg one PO daily, quetiapine 200 mg one POq HS and lisinopril 20 mg one Po daily. HCP orders home medications, a CT scan of the abdomen and hydrocodone 5 mg/ acetaminophen 325 mg one or two tablets PO every 6 hours PRN for moderate pain and morphine 2-4 mg IVP q 2 hours PRN for severe pain. 2. Use an X to indicate which potential assessment finding is associated with each of the listed client's health problems. All assessment findings should be used and can be used only once. Elimination (urinary) Perfusion Assessment Finding Pain of 9 out of 10 to RLQ History of kidney stones BP 160/100 ECG shows NSR Lisinopril 325 mg PO daily Morphine 2-4 mg IVP 9 2 hours Nausea and vomiting