A 64-year-old client is admitted with a small bowel obstruct…

A 64-yeаr-оld client is аdmitted with а small bоwel оbstruction. Information is as follows:Medical HistoryVital SignsNotesDiagnostic ResultsThe client is complaining of cramping abdominal pain, vomiting, and is passing blood and mucus without fecal matter present. History: Hysterectomy 2010 and Crohn’s disease since 2013The client denies continuous pain and states that it is midabdominal and not lower abdominal. Temperature: 38.3° C (101° F) Apical pulse 120/minRespiratory rate 20/minBlood pressure 90/54 mmHgPulse oximetry 93% on room air 0800: Alert and oriented x 3Reports pain in midabdominal regionAbdominal distention noted upon inspection. Tenderness noted on palpation. Hyperactive bowel sounds auscultated.Rates pain as an 8 on a scale of 0 to 10Skin pale and coolHeart tones S1S2 auscultated. Bilateral breath sounds clear.RBC 4.9 million/mm3 (4.7 to 6.1 million/mm3)WBC 12,000 mm3 (5,000 to 10,000 mm3)Hemoglobin 16 g/dL (14 to 18 g/dL)Hematocrit 48% (42% to 52%)Platelets 200,000/mm3 (150,000 to 400,000/mm3)Basic Metabolic Profile:BUN 45 mg/dL (10 to 20 mg/dL)Creatinine 1.0 mg/dL (0.6 to 1.3 mg/dL)Total Calcium 9.5 mg/dL (9.0 to 10.5 mg/dL)Carbon Dioxide 27 mEq/L (23 to 30 mEq/L)Chloride 10 mEq/L (98 to 106 mEq/L)Glucose 80 mg/dL (74 to 106 mg/dL)Potassium 5.1 mEq/L (3.5 to 5 mEq/L)Sodium 150 mEq/L (136 to 145 mEq/L)CT scan: CT scan shows marked distention of the small bowel with dilation of the small bowel loops