You have recently started working as a new graduate nurse in a medical ward of a private hospital. You are receiving bedside handover for the 2pm afternoon shift from the morning nurse about Stan Checkkets, a 72 year old who was transferred to the ward from the Emergency Department where he presented with complaints of abdominal pain and vomiting over the past few days. Stan presented complaining of feelings of being bloated, dizzy, and weak. Stan has a past medical history of cholecystectomy, appendicectomy, right inguinal hernia repair and takes Atorvastatin and Ramipril. When you walk into the room Stan is lying in bed. He looks pale and his abdomen is visibly distended. He is moving frequently, grimacing. Stan has IV fluids running and 2L of oxygen via nasal prongs. Stan’s last observations were taken at 10:00am. HR – 110 bpm BP- 125/75 RESP- 20 – talking sentences O2 sats – > 96% with oxygen Neuro- GCS=15 Temp- 37.4 degrees Pain 6/10 cramping intermittent cramping You notice that a GIT assessment has not been conducted since arrival on the ward and bowel sound assessment has not been recorded. The nurse informs you that during the handover from the emergency department, it was requested that a Nasogastric tube be inserted. However, this was not done overnight or in the morning. The nurse indicated that she did not think that it was urgent as the patient had passed some diarrhea in the morning. Stan complains of feeling unwell and has a large vomit. Identify the clinical problem ii. Explain why the problem exists (for example: knowledge or practice gaps, process inefficiencies, competing priorities, and conflicting systems). iii. Outline the significance and harm of the problem using the available literature. This must be done using current literature. iv. Use at least two supporting references. v. Use academic writing conventions including paragraph
[Expert Solution]: You have recently started working as a new…
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