NRSG370: Melody King, 36, Peritonitis following ruptured appendix - Nursing Assignment

Internal Code: MAS4325

Nursing Assignment:

Ms Melody King presented to the Emergency Department with 2-3 days of severe Left Lower Quadrant abdominal pain, which required emergency laparoscopic surgery for removal of a ruptured appendix. She has a past medical history of asthma and depression, with her current prescribed and compliant medications list which includes: * Ventolin *Seretide * Sertraline Melody’s observations were as follows: * BP 95/45mmHg * HR 120 * Temp 38.3°Celcius * RR 22/min and shallow *SpO 2 95% on room air She complained of increasing nausea and centralised abdominal pain 7-8 on a scale of 0 to10. The physical assessment showed a distended abdomen and generalised abdominal guarding. To investigate her condition further, pathology results reveal a raised white blood cell (WBC) count and CRP. Questions: • Considering the person’s situation, collect, process and present related health information; • Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care; • Establish goals for priority of nursing care as related to the nursing problem/issues identified; • Discuss the nursing care of the person, link it to assessment data and history; • Evaluate your nursing care strategies to justify the nursing care provided; • Reflect on the person’s outcomes.