Case Scenario

Original Post
Your discussion assignment is intended to help you apply concepts to learn and to improve future performance. Each post should be answered independently and contain a minimum of 400 words. Writing must include formal language (i.e., professional language, medical terminology, spelling, punctuation, and grammar). Use evidence-based research to support your response (preferably Hinkle & Cheever, 2018).
1. When reflecting on the care of Stan Checketts, what are signs and symptoms you can assess in the next client you care for who might be at risk for dehydration?
2. Discuss assessment and expected findings in a small bowel obstruction.
3. What would you do differently if you were to repeat this scenario? How would your client care change?
Peer Response
As indicated in each discussion assignment, you are also required to read and reply to one other student. Your reply should offer new ideas or thoughtful questions that are evidence-based. Your peer post should be a minimum of 200 words. While I encourage you to write freely, please be courteous and respectful in your peer response.

Case
A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt “dizzy” and “weak” all evening. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn.
Diagnosis: Rule out preoperative Bowel Obstruction
Procedures
Expert Clinical Content from Lippincott Procedures
• Nasogastric tube insertion
Diagnostics
Expert Clinical Content from Lippincott Advisor
• Hematocrit test
• Potassium level, serum
• Chloride level, serum
Pharmacology
Expert Clinical Content from Lippincott Advisor
• Buprenorphine
• Ondansetron