Highlights
Mr. Ahmed Mohammed, a 25-year old gentleman, attended accident and emergency (A&E) department at Al Qassimi hospital on February 20, 2017 complaining of severe RLQ abdominal pain. He was examined by Dr. Nasir who indicated that he has positive rebound tenderness. Dr. Nasir requested a CT scan and a blood sample for Complete Blood Count (CBC) with differential.
At 09:00, Ahmed was admitted to male surgical ward (MSW) with hospital number AQ207999. You are the nurse taking care of Mr. Ahmed. At 09:15, you assessed Ahmeds vital signs and your assessment indicated Temp 38°C, pulse rate110 beats per minute, respiratory rate 32 breaths per minute, blood pressure 95/60. He was sweating and a frowned facial expression was noted. When you asked Ahmed, "How do you feel now? he replied, I have severe pain in my abdomen". He looked anxious and kept on asking, "Please help me, what is wrong with me?
Later, the CBC values for Ahmed indicated a high white blood cell (WBC) count of 13000 cells/ mm3 with elevated neutrophil count of 78%. His CT scan report showed that he has inflamed appendix. He was diagnosed by Dr. Nasir as a case of acute appendicitis and was scheduled for appendectomy.
During your preoperative preparation for Mr. Ahmed, and as you informed him that he is scheduled for surgery, he stated that he does not understand why the doctor scheduled him for surgery and expressed that he has never been hospitalized before.
Develop a nursing care plan that is appropriate for Mr. Ahmed including the following:
1. Assessment (subjective and objective data)
1. Nursing diagnoses (of at least two actual problems)
2. Planning (Expected Outcomes) for each nursing diagnosis
3. Interventions (includes scientific rational)
4. Evaluation (client’s outcomes)
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