Question

An older male reporting abd pain is admitted from a facility. It has been 7 days since his last BM and his abd is distended, and he just vomited 150ml of dark brown emesis. In what order should the nurse implement these interventions?

Answer 1

The interventions should be prioritized starting with assessing and monitoring vital signs, followed by inserting an NG tube, administering IV fluids, obtaining blood tests, conducting imaging, consulting with gastroenterology, and finally managing constipation with a bowel regimen.

Step-by-step explanation:

For an older adult male reporting abdominal pain, who was admitted to the hospital with symptoms of constipation, distended abdomen, and dark brown emesis, it is essential to address the most life-threatening issues first. In the scenario presented, the priority of interventions should focus on stabilizing the patient's condition and addressing the potential causes of his symptoms.

1. Assess and monitor vital signs - This is crucial for determining the patient's hemodynamic stability and urgency of care required.
2. Insert a nasogastric (NG) tube - Given the vomiting of dark brown emesis, this step will help relieve gastric pressure and prevent aspiration.
3. Administer intravenous fluids - These will address dehydration resulting from vomiting and provide stability.
4. Obtain a blood test - This will help in identifying any underlying infections, electrolyte imbalances, or renal issues.
5. Organize an abdominal X-ray or CT scan - These imaging studies can identify potential causes of the abdominal pain and distention.
6. Consult with gastroenterology - A specialist's opinion may be necessary for diagnosing and managing the underlying condition.
7. Initiate a bowel regimen - After the acute issues are addressed, managing the constipation is important.

Priortizing these interventions properly can avoid complications and improve patient outcomes.

The Question is incomplete. The complete question is

An older adult male reporting abdominal pain is admitted to the hospital from a long-term care facility. It has been 7 days since his last bowel movement, his abdomen is distended, and he just vomited 150 mL of dark brown emesis. In what order should the nurse implement these interventions? (Arrange with the highest priority intervention on top, and lowest priority intervention on bottom.)