A nurse is caring for a male client who reports abdominal pain. Physical Examination Day 1 1900: •Chent presents
A nurse is caring for a male client who reports abdominal pain. Physical Examination Day 1 1900: •Chent presents with left lower quadrant (LLQ) pain, rated 9 on a 0 to 10 pain scale with nausea and vomiting since yesterday. • Chent states, 1 am unable to eat di drinking anything without vomiting.• Last bowel movement 3 days ago. Bowel sounds hypoactive in all 4 quadrants, abdomen distended, tender to palpation with guarding. •Client is alert and oriented to person, place, and time. Able to move all extremities. * 2 peripheral pulses. Lungs clear to auscultation. • 18 g peripheral IV catheter inserted to right forearm with 0.9% sodium chloride infusing at 75 mL/hr continuous via pump. Medical History. • Diverticulitis 5 years ago • Allergies: Penicillin OcOM For each potential provider’s prescription, click to specify if the potential prescription is anticipated, nonessential or contraindicated for the Chert Potential Order Type and cross match blood Administer ampicillin/sulbactam IV bolus. CT of the abdomen with contrast. Change IV fluids to 0.9 % sodium chloride with 20 KCL @ 125 mL/r. Administer enema now X1. Increase fiber intake.
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