NRSG370: Clinical Integration - Ms. Jacinta Rowe Case Study Assessment Answer

Internal Code: 1AFIGE Code: NRSG370

Ms. Jacinta Rowe Case Study Assessment Answer

Assignment Task: NRSG370

Jacinta Rowe, 20 years of age, Peritonitis following a ruptured appendix - NRSG370

Ms. Jacinta Rowe Case Study - Ms. Jacinta Rowe presented to the Emergency Department with a history of 2-3 days of severe Right Lower Quadrant abdominal pain, lack of appetite, nausea, and fever. NRSG370 She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes: NRSG370

• Ventolin
• Seretide
• Sertraline

Physical examination of the abdomen and an ultra-sound diagnosed a perforated appendix, which required emergency laparoscopic surgery. Jacinta is now 36 hours post-operative and her observations are as follows: NRSG370

• BP 90/45mmHg
• HR 136
• Temp 38.5°Celcius
• RR 24/min and shallow
• SpO₂ 95% on room air

She has been complaining of increasing nausea, feeling ‘bloated’ and increasing centralised abdominal pain, that is worse with any movement and respiration, giving it a score of 7- 8 on a scale of 0 to10. Physical examination identified a distended rigid abdomen, with generalised abdominal guarding and no bowel sounds. NRSG370 To investigate her condition further, an FBC, electrolytes, blood cultures and an abdominal X-ray were organised. Pathology results reveal a raised white blood cell (WBC) count and CRP, blood cultures are pending. Abdominal X-ray identifies oedematous and gaseous distention of the small and large bowel. NRSG370 You are the RN caring for Melody post-operatively on the surgical ward.

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