A patient presents to the emergency department reporting a “burning, gaseous-like” pain in the epigastric region for the last 2 weeks, with pain getting progressively worse over the last 2 days. Per the patient report, “I seem to start feeling bad about an hour after I eat. Now, I’ve been unable to keep any meals down, and I throw up almost immediately after I eat. I’ve been using lots of over the counter antacids but they don’t seem to help”. Patient’s vital signs are as follows: T- 97.6, HR- 115 bpm, BP- 155/89 mm/Hg, RR- 20, SpO2 95% room air. Weight is 125 kilograms. (20 points each)  ·        Identify 3 priority nursing assessment(s) for the patient? Provide the rationale(s) for the assessment criteria identified.   ·        When completing the medication reconciliation assessment with the patient, what would the nurse identify as a contributing factor(s) to the patient’s current presentation? Provide the rationale(s).  ·        Upon assessment the nurse identifies a rigid, “board-like” abdomen. Bowel sounds are faintly auscultated in all quadrants. The patient screams in pain at the lightest soft palpation. Identify and prioritize interventions for this patient?   ·        The nurse receives orders to administer fluid replacement in a 1:1 ratio of hourly urine output. The most recent urine output is 1,050 mL, What urine output will the nurse anticipate in the first 30 minutes?  ·        “This stomach pain just won’t go away. I’ve never had camps this bad before”. Based on the patient’s comments, what could the nurse attribute to these symptoms? Provide your rationale. What lab value would the nurse look up to confim these findings? 

Question Answered step-by-step A patient presents to the emergency department reporting a… A patient presents to the emergency department reporting a “burning, gaseous-like” pain in the epigastric region for the last 2 weeks, with pain getting progressively worse over the last 2 days. Per the patient report, “I seem to start feeling bad about an hour after I eat. Now, I’ve been unable to keep any meals down, and I throw up almost immediately after I eat. I’ve been using lots of over the counter antacids but they don’t seem to help”. Patient’s vital signs are as follows: T- 97.6, HR- 115 bpm, BP- 155/89 mm/Hg, RR- 20, SpO2 95% room air. Weight is 125 kilograms. (20 points each)  ·        Identify 3 priority nursing assessment(s) for the patient? Provide the rationale(s) for the assessment criteria identified.   ·        When completing the medication reconciliation assessment with the patient, what would the nurse identify as a contributing factor(s) to the patient’s current presentation? Provide the rationale(s).  ·        Upon assessment the nurse identifies a rigid, “board-like” abdomen. Bowel sounds are faintly auscultated in all quadrants. The patient screams in pain at the lightest soft palpation. Identify and prioritize interventions for this patient?   ·        The nurse receives orders to administer fluid replacement in a 1:1 ratio of hourly urine output. The most recent urine output is 1,050 mL, What urine output will the nurse anticipate in the first 30 minutes?  ·        “This stomach pain just won’t go away. I’ve never had camps this bad before”. Based on the patient’s comments, what could the nurse attribute to these symptoms? Provide your rationale. What lab value would the nurse look up to confim these findings?  Health Science Science Nursing NURSING NUR 201 Share QuestionEmailCopy link Comments (0)