32 UNITI Introduction to Mental Health and Mental Illness "More Than One Problem" acute upper left abdominal pain, abdom

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32 Uniti Introduction To Mental Health And Mental Illness More Than One Problem Acute Upper Left Abdominal Pain Abdom 1 (72.22 KiB) Viewed 54 times

32 UNITI Introduction to Mental Health and Mental Illness "More Than One Problem" acute upper left abdominal pain, abdominal distention, febrile, elevated WBC, nausea, and vomiting. Initial med. John, a 48-year-old unemployed mechanic, is admitted to the emergency room with the following symptoms past 6 months. John is given sedation prior to the emergency abdominal surgery performed. When John return also has a diagnosis of chronic schizophrenia, undifferentiated type and has lived in a group home milieu for the ical assessment leads to a diagnosis of a perforated diverticulitis of the splenic flexure with peritonitis. The client to the medical-surgical unit, he has a nasogastric tube connected to intermittent suction, a left triple-lumen sub- clavian IV line, a right jugular IV line with TPN infusion, and an open abdominal incision with wet-to-dry packing secured with ABD pads and Montgomery straps. anesthesia and surgery. What response might the nurse expect as John emerges from sedation and Because John also has a diagnosis of schizophrenia, his behavior may be altered by the events of anesthesia? How might he misinterpret the array of "tubes" connected to his body? Do you think John will understand that the pain is related to his surgery? What approach might the nurse use to help John understand the reality of the pain? Ho What N The second postoperative day, John begins to question the invasive equipment lines entering his body. The nurse nurse he was thirsty, and "that hose was siphoning all the water out of my body to water the plants neglected by enters his room to find him drinking water with his nasogastric tube lying on the floor beside the bed. He tells the my inability to turn the shower on, and I got some water so I can water the shower. What tune of nsuchotic behavior is seen in John's actions? Ho T in