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

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 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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