Abdominal pain that started one day ago following heavy alcohol use. The pain is localized to the epigastric region. Persistent nausea and vomiting were reported. Physical exam showed ecchymosis around the umbilicus and tenderness upon palpation.
Oral temperature 99.0° F (37° C)
Pulse 119
Respirations 22
BP 90/58
Pulse oximetry 95% on room air
➢ Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two priority actions the nurse should take to address that condition, and two priority parameters the nurse should monitor to assess the client's progress.
Action to Take: Obtain a prescription of 0.9% saline bolus | Inquire about the client’s alcohol drinking habits | Obtain a prescription for regular insulin | Establish peripheral intravenous (IV) access | Transport the client for an abdominal computed tomography (CT) scan
Potential Conditions: Acute Pancreatitis | Peptic Ulcer Disease | Diverticulitis | Peritonitis | Gastroenteritis
Parameters to Monitor: Level of Consciousness (LOC) | Bowel Sounds | Vital Signs | Serum Glucose Level | Daily Weights
Action to Take: Obtain a prescription of 0.9% saline bolus | Inquire about the client’s alcohol drinking habits | Obtain a prescription for regular insulin | Establish peripheral intravenous (IV) access | Transport the client for an abdominal computed tomography (CT) scan
Parameters to Monitor: Level of Consciousness (LOC) | Bowel Sounds | Vital Signs | Serum Glucose Level | Daily Weights
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