hat lab tests are altered by Ileostomy? How are those lab tests affected? Does the altered lab test affect any physical assessment findings? ABNL. LAB TESTS: HOW LAB TESTS AFFECTED:
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- Give all answer Mary Beavers, a 36-year-old white woman, is admitted to the emergency department complaining of diffuse abdominal pain rated as a 5 on a scale of 1 to 5. Mary is 1 week post cesarean section. She states that she is constipated and has had only one small bowel movement since discharge. She denies fever, chills, vomiting, urinary frequency or dysuria, and states vaginal discharge is normal. Vital signs on admission are: HR 114 bpm BP 110/70 mm Hg Respirations 28 breaths/min Temperature 98.7oF orally Lab values: WBC 24,000 with 88% segs HBG 13.5 g/dl Amylase 75 U/L Lipase 302 U/L K 3.5 mmol/L Blood cultures are obtained. CT of the abdomen reveals the following: no evidence of obstruction or perforation, dermoid cyst in the right ovary with tooth embedded in area, and a markedly enlarged uterus with large amounts of fluid in the cul-de-sac. PMH includes gravida 4, para 4, three dilation and curettages (D&Cs), right knee ligament repair, and tonsillectomy. In the…Answer all the questions. Please explain thoroughly. Why should the mother give her baby special attention during feedings? What is morning sickness, and how can it be alleviated? Can this be truly a serious problem? Explain.Indrani Singh is a 52 yo woman who has been admitted to the emergency department. For the last couple of days, she has been vomiting small amounts, and has had abdominal pain that has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Collect cues Vital signs: RR: 14 bpm SpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpm Temp: 37 oC Pain assessment: P = upon movement and at rest Q = aching with occasional stabbing pain R = peri umbilical (central abdomen) S=8/10 T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scar Auscultation – absent bowel sounds Palpation – general tenderness and guarding Percussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool…
- Indrani Singh is a 52 yo woman who has been admitted to the emergency department. For the last couple of days, she has been vomiting small amounts, and has had abdominal pain that has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Collect cues Vital signs: RR: 14 bpm SpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpm Temp: 37 oC Pain assessment: P = upon movement and at rest Q = aching with occasional stabbing pain R = peri umbilical (central abdomen) S=8/10 T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scar Auscultation – absent bowel sounds Palpation – general tenderness and guarding Percussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool…Indrani Singh is a 52 yo woman who has been admitted to the emergency department. For the last couple of days, she has been vomiting small amounts, and has had abdominal pain that has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Collect cues Vital signs: RR: 14 bpm SpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpm Temp: 37 oC Pain assessment: P = upon movement and at rest Q = aching with occasional stabbing pain R = peri umbilical (central abdomen) S=8/10 T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scar Auscultation – absent bowel sounds Palpation – general tenderness and guarding Percussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool…what the nursing care plan of the following scenario? Ms. Dela Cruz, 25 years of age, presents to the triage nurse at the local emergency department complaining of severe generalized abdominal pain. She describes it as sharp and intermittent. She states, “Over the last four (4) days, I haven’t been able to have a bowel movement.” She states that she is able to drink liquids and urinates without difficulty. Bowel sounds are present in all four (4) quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, “Two weeks ago I feel that my back hurts. My doctor gave me a prescription of Tylenol #3 and I have been taking it every 6 hours for pain.” She denies pain at the present time. Abdominal x-ray reveals a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.
- Give typed explanation the nurse is aware that prolonged complications of bowel obstraction could result in tissue necrosis Nd bowel resection?A 52 yo woman who for the last couple of days has been vomiting small amounts, and has had abdominal pain. The pain has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Vital signs: RR: 16 bpmSpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpmTemp: 37 oC Pain assessment: P = upon movement and at restQ = aching with occasional stabbing painR = peri umbilical (central abdomen)S = 8/10T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scarAuscultation – absent bowel soundsPalpation – general tenderness and guardingPercussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool to the touchCap refill > 3secsReduced skin turgor – tongue furrowedDry mucous…Why the lack of oxygen can put pressure on heart. Name the disease when the heart cannot get enough O2. read the article “Obesity Hypoventilation Syndrome” https://www.thoracic.org/patients/patient-resources/resources/obesity-hypoventilation-syndrome.pdf
- A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discolorationA nurse caring for patients with bowel alterations formulatesa nursing diagnosis for a patient with a new ileostomy. Whichdiagnosis is most appropriate?a. Disturbed Body Imageb. Constipationc. Delayed Growth and Developmentd. Excess Fluid VolumeThe client performs self- peritoneal dialysis. What should the nurse teach the client about preventing peritonitis? Select all that apply. Broad-spectrum antibiotics may be administered to prevent infection. Clean technique is permissible for prevention of peritonitis Peritonitis is characterized by cloudy dialysate drainage and abdominal discomfort. Antibiotics may be added to the dialysate to treat peritonitis.