RUF Mr. Henderson Health Status Discussion

User Generated

foebja1999

Writing

Rasmussen University Fargo

Description


Activity Time:

2 hours; Additional Time for Study, Research, and Reflection: 1 hour

Scenario

As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.

  • Richard Henderson
  • 58 years old
  • Male
  • Admit diagnosis: GI bleed
  • History: no surgical history
  • Medical history: Gastritis & GERD
  • Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.

Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.

  • Lab assessments ordered: CBC and chemistry panel
  • CT of the abdomen shows no signs of free air (no perforation)

When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.

Instructions

In the discussion post, address the following:

  1. While receiving report, what concerns do you have regarding the client report?
  2. What type of shock is occurring?
  3. What stage of shock is the client experiencing?
  4. What is your next intervention and why?
  5. What additional lab assessments would you anticipate?
  6. Provide additional thoughts and insights.

In the initial posting provide one additional resource other than the required reading. When responding to one post, provide an evidence-based article in support of your response.

References

Jones, D., DeVita, M., & Bellomo , R. (2011). Rapid-Response Teams. English Journal of Medicine, 365, 139-146. Retrieved from Client Safety Network.

Explanation & Answer:
2 pages
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Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

1

Mr. Henderson Health Status

Student's Name
University
Course
Professor
Date

2
Concerns on the client’s report
The concerns that I shall have concerning the client shall be based on the causes of the
abdominal pain, the cause for the vomiting, which appears like the coffee grounds. That and the
earlier diagnosis that led to the BP medication administration will help the doctor attend to Mr.
Henderso...


Anonymous
Really helpful material, saved me a great deal of time.

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