NURSING ASSESSMENT & NOTES06/06 2100 Neuro/Cognitive: Alert and oriented to person, place, time, and situation. Gastrointestinal: BS present x 4 quadrants. Abdomen diffusely tender, distended. Last bowel movement x 1 day ago. +nausea/vomiting. Bilious colored emesis. Rates 9/10 constant epigastric pain.06/06 2105 Situation: Ms. Sigmund is in room 5. She just checked in, and I performed her assessment. She is vomiting up bilious emesis about every 5 minutes. She is reporting 9/10 abdominal pain located in the epigastric region. Background: Ms. Sigmund is a 39-year-old female with a history of alcohol abuse and gallstones. She is a current everyday smoker. Assessment: Her abdomen is distended and tender. She has a fever of 101.1°F. Other vital signs are all normal. Recommendation: I am requesting a prescription for pain and nausea medicine. I would like you to see the client as soon as you can step away. Question 2 Not complete Marked out of 33.34 Question text Before answering this question, review the client’s health information in the EHR. Identify the rationale for placing a nasogastric tube to low intermittent suction. Select all that apply. Question 2Answer Provide a route for enteral tube feedings. Reduce vomiting. Provide comfort. Gastric decompression. Replace the need for IV fluids. Rest the stomach and bowels. Reduce digestive enzymes secretion.
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