Roja is a 23-year-old female who has Down Syndrome. She had an…

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Question Answered step-by-step Roja is a 23-year-old female who has Down Syndrome. She had an… Roja is a 23-year-old female who has Down Syndrome. She had an emergency appendectomy yesterday. Her parents are worried about her prognosis as they believe appendicitis is rare for those diagnosed with Down Syndrome. Roja’s primary language is Tamil, she has minimal understanding of English. Subjective Data • Roja’s parents are at the bedside and tell you Roja is increasingly restless and pulls at her surgical dressing • The parents also tell you Roja declined her dinner as she vomited greenish fluid Objective Data • Vital signs: T – 37.7 °C, P – 80, R – 20, BP – 110/78, pulse oximetry – 98 % • Surgical dressing is clean, dry and intact, bowel sounds are hypoactive • At 1800 when Roja declined her dinner due to emesis of green fluid, she was given Metoclopramide 10 mg IVPB • Intake: Oral = 100 IV = 900 IVPB = 100 • Output: 400 Collaborative Care • IV D5/0.9 NS 1000 ml infusing at 125 ml/hr into left forearm (LFA) #20 g with 200 ml left in the bag • Medications o Cefoxitin 1 Gm IVPB Q8H o Metoclopramide 10 mg IVPB Q6H PRN for nausea and vomiting • V/S Q4H • Clear liquid diet • Ambulate with assistance. what will be the best nursing actions for this scenario ? Health Science Science Nursing NURS 1062 Share QuestionEmailCopy link Comments (0)

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