*PBDS Study Guide NOTES QUESTIONS AND ANSWERS ALL CORRECT

*Acute abdomen and complications* NURSING ASSESSMENT Correct Answer: History of: -Type of pain, nature and onset, location, quality. -LBM, Change in bowel habits. -Ask about history of trauma, gynecological history, anorexia, malaise. Assess for tachycardia, HTN, fever, nausea/vomiting. *Inspect*- look for bruising (pancreatitis) listen - for bowel sounds feel - for boggy (hemorrhage) *Acute abdomen and complications* PRIORITY INTERVENTIONS Correct Answer: Administer pain medications - to alleviate pain Keep the patient calm & quiet and not under stress Assess for trauma - bleeding, blunt, crushing, piercing Treat the trauma if this is indicated *Acute abdomen and complications* DATA TO REPORT Correct Answer: Pain - level x/10, location, quality, duration, onset Change in bowel habits Respiratory status, pulse, and blood pressure can indicate active bleeding and/or shock Trauma findings, if any *Acute abdomen and complications* ANTICIPATED ORDERS Correct Answer: Pain medications - pain is a primary concern here NPO - do not introduce any new food or stimulus into the altered abdomen. Nasogastric suction Meds: antiemetics, narcotics, analgesics, IV fluids Labs: CBC, UA, pyuria, HCG, guaiac RAD: KUB, CXR, EKG, CT abd *Acute abdomen and complications* MISCELLANEOUS INFORMATION Correct Answer: Check CBC for H/H Urinalysis (UTI - pyelonephritis/-osis) Check for pyuria (pus), hematuria, glucosuria, ketones *Serum HCG (pregnancy)* Electrolytes and glucose >40 years EKG, KUB Chest x-ray Abdominal CT Stool guaiac test