Question

he client presents with loss of appetite, nausea, vomiting and no bowel movement for 5 days. He is diagnosed with a bowel obstruction. Patient states, "I feel so bloated...". He vital signs are BP 164/80, RR 28, P 96, T 99, pain is 3/10. He is scheduled for surgery for lysis of adhesions with potential ileostomy placement and a nasogastric tube.

• Identify subjective and objective findings from the nurse’s assessments.
• Describe nursing One Intervention that should be performed based on the Subjective and Objective findings.

Answer 1

Bowel obstruction it is a blockage in the intestine, which makes the intestinal matter is prevented to remove of the body.

Ans in the case patient is complaining about bloating

The bloating is due to obstruction, as cleint is not able to Pass and which leads to abdominial distended accompanied by pain.

Assessment

Subjective data- client is complaining of pain due to bloating.

Objective data- his vital is unstable due to pain and his pain is 3/10 which means he is having mild pain.

Ans2.

Nursing interventions for acute pain

- assess location, weight and type of pain

- provide bed rest and changing position.

- Set a comfortable position and diversional therapy

-. Administration of analgesic if required as per doctor prescription

- don't give enema chances of perforation increases

Alternative

Subjective data- client is complaining of nausea and vomiting

Objective data- patient is having bowel obstruction due to this he is having sensation and episode of vomitting

Interventions

1. Assess sign and symptoms of dehydration

2. Monitor vitals

3. Administration of IV fluid as per order

4. Strict intake and output charting

5. Administration of antiemetic as per doctor ordered.

FOR ANY DOUBT POST A QUESTIONS IT WILL BE HIGHLY APPRECIATED ?