Scenario: A 60-year-old obese female with a history of cholelithiasis and hypertension who saw her primary health care p

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Scenario: A 60-year-old obese female with ahistory of cholelithiasis and hypertension who saw her primaryhealth care provider 1 day ago for worsening intermittent rightupper quadrant pain and indigestion has now been admitted into thehospital for a diagnosis of acute cholecystitis. She now reportsconstant abdominal pain that radiates to her right shoulder. Usingthe pain intensity scale, the patient rates the pain 9/10. She alsostates that she has been nauseous for the past 24 hours and has notbeen able to eat or drink without vomiting. She now has anasogastric tube for gastric decompression that is connected to lowintermittent suction. She also has an IV of 5% Dextrose and 0.45%normal saline infusing at 125 mL/hour in her right basilic vein.The admitting nurse is planning care for the patient.
1. NGN Item Type: Cloze
Choose the most likely options for the informationmissing from the statements below by selecting from the list ofoptions provided.
Based on the patient’s current condition, the nurse recognizesthat the patient’s priority needs will be toprevent ____________, __________, and __________.
Options
Infection
Pain
Inadequate diet
Hypotension
Fluid and electrolyte imbalance
Cardiac dysrhythmias
Wound dehiscence
Rationale:
Cognitive Skill: Prioritize Hypotheses
2. NGN Item Type: Extended Drag and Drop
Use an X (or drag and drop) to indicate which actionslisted in the left column would be included in the plan of care forthis patient.
Nursing Actions
Relevant Nursing Actions
Prepare to administer antibiotics.
Obtain urine specimen for culture and sensitivity.
Monitor intake and output.
Monitor serum electrolytes.
Collaborate with dietician to provide low fat diet.
Frequently assess patient pain level.
Rationale: