A nurse is caring for an adolescent who has abdominal pain….

Questions

A nurse is cаring fоr аn аdоlescent whо has abdominal pain. Nurses' Notes Adolescent client presents to the emergency department reporting abdominal pain that began 10 hr prior to admission. Vital signs: Temperature: 38° C (100.4° F), Heart rate: 124, Respiratory rate: 24/min, Blood pressure: 114/65 mm Hg. Client is accompanied by guardians (mother and father) and is awake, alert and orientated to person, place and time. Client reports pain as 9 on a scale of 0 to 10, and describes pain as cramping, located in the right lower quadrant. Client has intermittent nausea with emesis x1 earlier today. Decreased appetite. Denies changes in urine output. Last bowel movement yesterday. Client is guarding abdomen during examination. Bowel sounds hypoactive in all quadrants, positive obturator sign. Moves all extremities upon request. Lungs clear, no work of breathing, heart rate increased, no murmur noted. Client states, "I am really worried that something is wrong with me." The client is rocking gently in bed and ringing their hands. Guardians are attentive at bedside. Diagnostic Results Hemoglobin: 13 g/dL (11.5 to 15.5 g/dL)  Hematocrit: 39% (35% to 45%)  WBC count: 19,000/mm³ (4,500 to 13,5000/mm³)  Platelet count: 350,000/mm³ (150,000 to 400,000/mm³)  Urinalysis: within expected reference range  Abdominal ultrasonography: thickening of appendiceal wall and extraluminal gas  Complete the following sentence by using the lists of options. The nurse should first address the client's [one], followed by the client's [two].  

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Tetаtnus cаn be prevented by vаccinatiоn