Nursing Care Case Study

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Nursing Care
Preoperative care for a patient with appendicitis, the nurse would focus on relieving the pain and preventing infection. For relieving the pain, the nurse would monitor the pain level and note the location, extent and if there was any pattern to the pain. The nurse would assist the patient in finding a comfortable position such as “semi-fowlers and knees up” (Huether & McCrance, 2017). This would also include attempting to reduce any activity that induced pain such as “coughing or ambulation” (Huether & McCrance, 2017). They might also give the patient an ice pack to place on the abdomen to relieve some of the pain. The nurse might also administer any pain medications that can be given before the patient’s procedure however, it
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The nurse would also assess the wound and “advise position change” ("Nursing care plan for preoperative and postoperative appendectomy," 2011). It would also be important to auscultate the bowel and make sure that there are some bowel noises present which would confirm proper function and movement within the intestines. Nurses would also be responsible for administering pain medications after surgery and managing the patient’s pain. The nurse would also encourage fluids after surgery as well. If the patient is having problems breathing due to the carbon dioxide used for the surgery – the nurse would note that the patient is experiencing an ineffective breathing pattern which would indicate that their respirations should be monitored as well as auscultating the lung sounds. At some point after surgery, when the patient is stable, it would be important to get the patient up and walking to help to get the systems …show more content…
“Within the first 24 hours the pain shifts to the right lower quadrant of the abdomen” (Huether & McCrance, 2017). When assessing the patient, it is important to still conduct a head to toe assessment regardless of a medical diagnosis of appendicitis. Once the nurse gets to the abdomen, it is important to listen to bowel sounds and to palpate lightly in the four quadrants of the stomach, noting any temperature change, pain, discoloration, or masses of the stomach. During this time the patient could also rate the pain during palpation to indicate if the area of pain worsens with palpation. It would also be important to ask the patient when their last bowel movement occurred and if it was normal compared to what it normally is for that

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