vSim for Nursing | Fundamentals CONCEPT MAP WORKSHEET: Sara Lin – Pain Management questions with correct answers

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Ultrasonography may show appendiceal inflammation. CT scan demonstratessuspected perforation or abscess. WBCs to see elevation = signs of infection PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS - Low-grade fever, diaphoresis, chills - Anorexia - Tachycardia - Fetal position to decrease pain - Guarding, voluntary and involuntary - Rightlower quadrant tenderness - Rovsing sign - Psoas sign - Obturatorsign ANTICIPATED NURSING INTERVENTIONS - pain assessment - transition Sara to oral medications - educate on incision care - educate on pain medication and antibiotics - educate on signs of infection - educate on activity restrictions - educate on surgical follow-up - Encourage the patient to ambulate - Encourage the patient to cough while splinting the abdomen, to breathe deeply, and to change positions frequently. - Auscultate for bowel sounds in all four quadrants. - Inspect the abdomen for distention - Perform surgical-site dressing changes, as ordered. Also, inspect surgical site dressing Appendicitis: - Inflammation of the vermiform appendix, a bulge from the apex of the cecum - Mucosal ulceration triggers inflammation, which temporarily obstructs the appendix. - Obstruction with stool, tumors, or foreign bodies causes mucus outflow, increasing pressure in the distended