HESI Pharmacology
Review the H&P, nurse's notes, flow sheet, and prescriptions below. For each assessment finding, mark whether it represents (A) a therapeutic result of the bisacodyl administered, (B) a non-therapeutic side effect, or (C) an unrelated finding. Orders: Hospitalization Day 1 — Admit to the surgical floor; regular diet; bedrest; vital signs every 4 hours; ibuprofen 800 mg PO every 8 hours for pain 1--3/10; morphine 1 mg IV every 4 hours for pain greater than 4/10; record daily intake and output. Hospitalization Day 4, 0800 — Bisacodyl 10 mg suppository rectally daily. History and Physical: 44-year-old female with multiple traumatic injuries from an assault (struck in the legs with a baseball bat); multiple leg fractures; wrist fracture; abrasions on the right arm; Buck's traction applied and stabilized. Flowsheet: Day 1 — Intake 1,800 mL, Output 1,680 mL, no bowel movement. Day 2 — Intake 2,000 mL, Output 2,100 mL, no bowel movement. Day 3 — Intake 1,900 mL, Output 1,900 mL, no bowel movement. Day 4, 0800 — Heart rate 74, respiratory rate 15, blood pressure 110/65. 0930 — Heart rate 104, respiratory rate 17, blood pressure 135/81. Nurses' Notes: Day 4, 0800 — Client on her right side; reports itching in her legs; pain 7/10; skin pink and well perfused around Buck's traction; morphine, ibuprofen, and bisacodyl given. 0930 — Semifluid stool, 400 mL; reports burning in the anus; itching on legs has increased; bed bath given; non-blanchable red area found on the right buttock near the anus; pain now 2/10; heart rhythm sinus tachycardia.
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