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Question : what is the smart goal of nursing for small bowel obstruction?
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- Q1: Fei has a newly formed ileostomy post op. describe in detail the nursing care required for emptying and changing an ostomy bag, while ensuring privacy, dignity and being culturally respectful. Include in response the education to provide to Fei on caring for the stoma and emptying and changing the ostomy bag independently. Please do not plarized no hand written thank youCase study: Constipation and pharmacological management of peptic ulcer A 75-year-old female patient has visited the clinic with a presenting history of not having had a bowel movement for four days. She states that she is ‘always regular or every day. She lives in a residential home and suffered a sprained ankle two weeks ago, for which she has been taking co-codamol, which has been effective in managing the pain. She admits that the injury has restricted her movements, and she has been unable to ‘get about’ as she usually does. She also reveals that she has been experiencing heartburn regularly, especially after a spicy meal or after a glass of whisky, which she sometimes takes to help her to relax since the injury. She has been taking an antacid for the last few days, which initially helped, but she is still experiencing indigestion. She has a past medical history of hypertension and persistent atrial fibrillation (AF), for which she takes digoxin 125micrograms od, aspirin 75mg od,…A 55-year-old female patient who is positive for MR SA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. Which category of medications will be used during the "Intraoperative cholangiography" segment of the procedure? Name three medications from this category.
- CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a. State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b. Identify all;…what is the Narrative documentation of the following senario? Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.Provide a definition of constipation (easy and simple)
- Discuss and Explain on how to prepare for (4-5 sentences each): 1. Plasma 2. SerumName: Terrance smih Date: A2a/21 Anatomy and Physiology Period: Exam #8 ningo Instructions: Read the following items carefully. Use the material given in class and answer each item correctly. 1. The pH of food is change in the small intestine. This change is possible due to the secretion of which of the following... Snoihogib Isoimo а. Реpsin ebaslg ohen Sarch ars b. Saliva abralg avilaed food. c. Pancreatic enzymes d. Bile juice 2. Villi are finger-like projections richly supplied with blood vessels. They help in absorption of food in the small intestine. This is possible due to the following characteristic... Hq ort aouie a.-The increase of surface-areahi dodes awob zlendo Whi b. The increase of surface-volume niagoq aotevitosob bswter end electrolytes, fom ads The decrease of surface-area с. d. The decrease of surface-volume Sboon 3. During food digestion, multiple enzymes are needed to breakdown food. The intestinal juice contains many of the enzymes needed. Which of the following…R.T. is a 64-year-old man who went to his primary care provider's office for a yearly examination. He initially reported having no new health problems; however, on further questioning, he admitted to having developed some fatigue, abdominal bloating, and intermittent constipation. His physical examination was normal except for a stool positive for guaiac. R.T. was referred to a gastroenterologist for a colonoscopy. A 5-cm mass found in the sigmoid colon was diagnosed as an adenocarcinoma of the colon. The pathology report described the tumor as a Dukes’ stage B, meaning cancer extends into the muscle or connective tissue and invades adjacent organs and lymph nodes. A distant metastatic workup is negative, and R.T. is being referred for surgery. Vital Signs BP: 148/82, R: 89, R: 20, T: 99° F .Lab Results: CBC wnl, BMP wnl and carcinoembryonicantigen (CEA) 4.7 Medications: Morphine IV, leucovorin (folinic acid) 10 mg IM, and irinotecan (Camptosar) injectionMarcia Clinical…
- What is the nursing intervention for a patient with bowel removal?coon 2 em 126 of 145 126. A 26-year-old man comes to the physician because of a 3-month history of abdominal pain after the eats foods such as popcom or com on the cath. He has a history of maron-caled stools. His vital signs are within normal limits. Abdominal examination shows distention and tendemess of the umbilical region radiating to the right tower quadrant Test of the stor blood is positive. A barium study shows a blind-ending pouch on the antimesenteric side of the distal ileum. Incomplete regression of which of the following structures during entranc development is the most likely cause of these findings? A) Allantois OB) Amniotic membrane OC) Cloacal plate OD) Primitive streak OE) Yolk sac4) Docusate sodium100mgtwice a day per gastric tube is ordered for a constipated patient. The docusate sodium syrup is supplied in a 10mgper milliliter concentration. How many milliliters would the nurse administer with each dose?
