25-year-old Pima Indian female has come to the ED c/o nausea, vomiting, dehydration, tachycardia, tachypnea, and...

25-year-old Pima Indian female has come to the ED c/o nausea, vomiting, dehydration, tachycardia, tachypnea, and jaundice.

1. As an ED nurse what will be your first interventions in care?

2. What questions would you ask about personal and medical history? Would questions be appropriate to ask about culture, if so what kind of questions? Show in detail.

3. What diagnostic tests and lab tests would be expected to be completed? Give the ranges of the test and what to expect.

4.Would there be surgery expected? If so, what surgery?

5.What education would you be providing to this woman?

6. Do a Head-to-Toe Assessment and describe in detail using medical appropriate terms.

7. Describe the outcome of this scenario.

Solutions

Expert Solution

Going in a gist manner,justbmentioning the key points.

Answers :- 1)Intervation :- to correct dehydration and control nausea,vomiting.So at first saline line has to be provided contain 0.9% NS.

2)What to ask in Personal history :- -Lifestyle -Alcohol consumption -Nutrition

Medical history :- -Drugs for tachycardia or tachypnea if any taken earlier,Any treatment going on for jaundice,any other disease associated with proper prescription details if any.

To ask about culture is necessary to know the type of diseases prevalent in that culture.For the same reason Religion is asked while taking history.

3)Diagnostic tests and Lab tests :- -CBC,-Liver Function Test,ECG,Kidney Function Test,Stool and Urine Examination.Depending on the stage of jaundice,various results may come.

4)If Liver is damaged then a liver transplant surgery may occur.

5)To have a good lifestyle.Avoid consumption of alcohol and have nutritious diet.

6)Head to Toe assesment :-Eyes yellowish sclera due to jaundice,skin yellowish,body shrinken due to dehydration,trebling of hands may be present.

7)The patient has to be admitted in the ward.

Nightingale answered 2 years ago

Next > < Previous

Related Solutions

A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling...

A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time. Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period. A. What nursing care will you provide to this young lady if she is pregnant. B. What nursing diagnoses will apply to this situation? C. What are some expected outcomes?

A 15 year-old female has come to the urgent care complaining about nausea, vomiting and feeling...

A 15 year-old female has come to the urgent care complaining about nausea, vomiting and feeling tired all the time. Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period . A) what nursing care will you provide to this young lady if she is pregnant? B) What nursing diagnoses will apply to this situation? C) What are some expected outcomes?

A 78-year-old female was arrived tired to the emergency room with the following symptoms: nausea, vomiting,...

A 78-year-old female was arrived tired to the emergency room with the following symptoms: nausea, vomiting, decreased respiration, hypotension, and low pulse rate (46), The skin was not sweaty, it was warm, she is DM, swelling, she take some medication like metfromin 850mg, some diuretics, The patient had been treated for constipation and heartburn (antacids) within the last 24 hours. Laboratory investigation resulted in the following: Na+ 133 mmol/L (136-145 mmol/L) K+ 5.3 mmol/L (3.4-5.0 mmol/L) CL- 95 mmol/L (98-107...

Lilly Davenport is a 70 year old female, admitted with acute abdominal pain, nausea, and vomiting....

Lilly Davenport is a 70 year old female, admitted with acute abdominal pain, nausea, and vomiting. CT scan of the abdomen shows diverticulitis. What treatment do you anticipate for Mrs. Davenport? What risk factors (known and assumed) predispose Mrs. Davenport to diverticulosis? What are the possible complications referred to as diverticular diseases? What teaching will you give to help Mrs. Davenport avoid diverticulitis in the future? Mrs. Davenport asks you, “Why do the doctors use so many different words for...

Chief Complaint: Nausea, vomiting, progressive weakness, and weight loss History of Present Illness: 68-year-old female presented...

Chief Complaint: Nausea, vomiting, progressive weakness, and weight loss History of Present Illness: 68-year-old female presented to Emergency Department with nausea and vomiting for several days following weeks of poor appetite and increasing weakness. Patient is dehydrated and complains of generalized abdominal pain. CT of abdomen shows mass in right lower quadrant of abdomen. Allergies: Sensitivity to penicillin and cephalosporins Past Medical History: Patient has a history of rectal polyps, atrial fibrillation for the past 8 years and severe osteoarthritis...

Chief Complaint: Nausea, vomiting, progressive weakness, and weight loss History of Present Illness: 68-year-old female presented...

A 23-year-old woman was admitted to your institution with abdominal pain with nausea and vomiting for...

A 23-year-old woman was admitted to your institution with abdominal pain with nausea and vomiting for the past 2 weeks. She immigrated to the United States 1 year ago from a Latin American country, has limited English skills, and has not been able to work. As her nurse, you attempt to engage her in conversation. She rarely makes eye contact and has a flat affect. You note that she is holding onto a rosary What pertinent data can you gather...

An 18-year-old woman presents with a new onset of abdominal pain, nausea, and vomiting over the...

An 18-year-old woman presents with a new onset of abdominal pain, nausea, and vomiting over the past 18 hours. She is accompanied by her mother. She is tearful and in distress. This patient is not new to your practice. You have followed the entire family for years. CC: “The pain is getting worse.” Physical includes: Blood pressure, 100/60; pulse rate, 96 beats/min respiration rate24/min temperature, 100.6°F Pale and in acute distress. Guarding. Average height and weight. Pain is periumbilical, Some...

1. A 28-year-old woman complaining of lower abdominal pain, nausea & vomiting. She has noticed increased...

1. A 28-year-old woman complaining of lower abdominal pain, nausea & vomiting. She has noticed increased white vaginal discharge for 4 days. She is febrile. On pelvic exam, you note CMT (Cervical Motion Tenderness) and abdominal pain with palpation. Her diagnosis is pelvic inflammatory disease. a. What will you prescribe? She is allergic to penicillin. What would you prescribe if she was not allergic to penicillin? b. Discuss pathophysiology of the disease or physiology of the organism that the drug(s)...

Cathy, a 20-year-old college sophomore, visits the student health center complaining of nausea, vomiting, and extreme...

Cathy, a 20-year-old college sophomore, visits the student health center complaining of nausea, vomiting, and extreme abdominal pain. She says the pain came on suddenly after a meal, so she is concerned about food poisoning. During the patient history, Cathy discloses that she is sexually active and has more than 10 sexual partners per year. She uses oral contraceptives as her primary method of birth control and does not rely on her partners to use condoms. Cathy has a past...

Subjects