Question

A sixteen-year-old male presents to the hospital with complaints of nausea and vomiting. He states that...

A sixteen-year-old male presents to the hospital with complaints of nausea and vomiting. He states that the onset of the symptoms was last night. His vital signs are; blood pressure 132/85, pulse 101, temperature 101.1 and respirations 18. He is diaphoretic (sweating) and his face is erythematous(red). Upon assessment, you note that his skin turgor is poor. He is wearing sleep pants and a shirt, but reports feeling cold. As the nurse taking care of him you suspect a fluid volume deficit due to excessive output and no intake of fluids. You know that you can either attempt to get the client to drink some fluid or start intervenous fluid to provide the needed liquid. Based on your clinical judgment, you request an order for intervenors fluid from the provider. Additionally, you give him some medication to control the nausea and vomiting. After the IV has been running for a while, you reassess the client. Upon assessment, you notice that he appears more comfortable and his skin turgor has improved, his pulse is now 88, and his temperature is 99.2.

Utilizing the scenario above please explain the steps of the nursing process that are being used in his care. Each step of the process should have a short answer.

Science   Nursing   
0 0
Add a commentTranscribed image text
Next >

Homework Answers

Answer #1

The steps of nursing process consists of five components namely Assessment ,Diagnosis, Planning,Implementation ,Evaluation

Assessment :

The subjective data provided by the patient are nausea and vomiting since last night,feeling cold . The objective data are T:101.1,P:101,R:18, BP : 132/85, diaphoretic, facial erythema ,poor skin turgor

Nursing Diagnosis

Fluid volume deficit related to altered gastrointestinal system as evidenced by nausea ,vomiting

Plan:Fluid volume deficit requires intravenous fluid replacement. Antiemetics to reduce and prevent nausea and vomiting .

Implementation

Administer intravenous fluid to treat dehydration .Administration of antiemetics drugs to treat vomiting.Maintaining intake and output chart to monitor the progress of the patient.

Evaluation

The patient has improved skin tone ,reduced body temperature,nirmal pulse and comfortable .

0 0
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Log In

Sign Up

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
69-year-old male who presented to the Emergency Department 4 days ago with complaints of nausea, vomiting,...
69-year-old male who presented to the Emergency Department 4 days ago with complaints of nausea, vomiting, and severe abdominal pain and was admitted for emergent surgery for bowel perforation.He underwent a hemicolectomy. He has a midline abdominal incision without redness, swelling, or drainage. He is tolerating a soft diet without nausea or vomiting. Bowel sounds are present in all four abdominal quadrants. He had a bowel movement yesterday.Last urinary outputwas400 ml at 6 a.m. He is reluctant to use the...
he client presents with loss of appetite, nausea, vomiting and no bowel movement for 5 days....
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. Discuss specific teaching the nurse will provide to the client regarding his ileostomy including: stoma care, stoma health and...
A 60 year old male truck driver was taken to the nearest hospital because of vomiting...
A 60 year old male truck driver was taken to the nearest hospital because of vomiting and mild abdominal A pain that caused him to shake vigorously and lose consciousnes. Upon arrival, his vital signs were taken: Vital Functions​​Blood pressure​​​90/50 mm Hg Resting heart rate​​110 beats per minute Resting respiration rate​​18 breaths per minute Body temperature​​98oF Blood analysis​​RBC count​​​normal ​​​WBC​​​​normal ​​​Platelets​​​​normal ​​​Erythropoietin​​​elevated ​​​PaCO2​​​​50 mm Hg high ​​​PaO2​​​​60 mm Hg low Because heart attack was initially suspected, the patient was given...
A 30-year-old man male arrives at the emergency room with shortness of breath, malaise, and nausea....
A 30-year-old man male arrives at the emergency room with shortness of breath, malaise, and nausea. History reveals that he had pharyngitis two weeks ago, but his throat does not bother him anymore. He did not see a doctor at that time Physical examination: bilateral crackles over both lungs, bilateral edema of the feet. Pulse: 82             body temp: 37 c          respirations: 18/min      B/P: 120/85 mmHg Blood Tests: pH: 7.32      Albumin/ blood: 2.2g/L     hematocrit: 35.4% WBC : 12.900/mm    BUN : 51...
“A hospital emergency room received a 23-year-old male with complaints of severe diarrhea, abdominal cramping, nausea,...
“A hospital emergency room received a 23-year-old male with complaints of severe diarrhea, abdominal cramping, nausea, and “just not feeling too good.” He reported that similar symptoms had been present for the past ten days, but the intensity of the current bout of symptoms had frightened him and he felt the ER was a better choice than his regular doctor. ​His history revealed no significant previous illness except for a similar, milder GI attack six months prior, as well as...
a 49-year-old man who complain with severe abdominal pain for a week . he states he...
a 49-year-old man who complain with severe abdominal pain for a week . he states he has intermittent abdominal pain.He describes the pain as an intermittent “gas-like” pain in the epigastric region. He says he feels like he needs to “burp.” He took two tablets of Naprosyn late in the evening to reduce his typical aches and pains in his knees and ankles, which feel better. He reports mild nausea but has not vomited. His last bowel movement was yesterday....
A 52 year-old male with history of non-insulin-dependent diabetes, presents to your clinic with complaints of...
A 52 year-old male with history of non-insulin-dependent diabetes, presents to your clinic with complaints of facial pain and discharge. Two days ago he noticed a rash developing anterior to his right ear that has now spread along his cheek. He states that this rash started as red and itchy, however is now blistered, leaking clear fluid, and is exquisitely tender. Upon examination, you note anterior to his ear has become increasingly reddened and draining yellow, honey colored discharge. 1....
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints...
Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest....
Question Mrs. Nygyen is a 60-year-old patient who has been diagnosed with chronic kidney disease. Mrs....
Question Mrs. Nygyen is a 60-year-old patient who has been diagnosed with chronic kidney disease. Mrs. Nygyen's past medical history includes diabetes mellitus type 2, osteoarthritis, and hypertension. 1.      When performing an initial assessment, which body systems does the nurse recognize are impacted by chronic kidney disease (CKD)? List 3 body systems and explain how CKD impacts each. Upon intake assessment, the nurse notes that Mrs. Nygyen has very dry skin and mucous membranes, mild ecchymosis to the lower extremities, and...
A 23-year-old homeless male with a strong history of IV Methamphetamine abuse presents to the emergency...
A 23-year-old homeless male with a strong history of IV Methamphetamine abuse presents to the emergency department after being found unconscious outside of a local community college. He was found by a group of students lying in a pool of his own vomit, with a large needle in the right arm. The ambulance was immediately called, and he was given naloxone (Narcan) On route to the emergency department, which was unsuccessful in resuscitating him.   Upon arrival, the patient’s blood pressure...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT