1) Identify the significant symptoms by underlining them in the assessment. 2) group the symptoms that are similar. Select possible nursing diagnoses for this client.
Lecture Notes Problem-Based Learning/Critical Thinking Case Study-Mr. McEldowney Gastric Bypass Case Scenario "This is awful. I hurt so much. I would not have had this surgery if I had known how much pain I would be in. " Mr. McEldowney held onto his abdomen and doubled over in pain. When questioned on how severe his pain was on a scale of 1 to 10, he told the nurse it was a 12. He is a 32-year-old man who has been diagnosed with morbid obesity. At 5'9" tall and 319 pounds, Mr. McEldowney has a body mass index of 47.2. Nursing Assessment Mr. McEldowney works as an accountant and is unmarried. His hobbies include gardening, reading, and attending Broadway shows. He has type 2 diabetes (for which he is currently taking medication), hypertension, and severely elevated lipid levels. His family has no history of diabetes, hypertension, or high cholesterol. His physician has recommended gastric bypass surgery because of health concerns for his client. On the first postoperative day, Mr. McEldowney had normal vital signs. He is now reporting incisional pain; he has a nasogastric tube, which the physician has ordered not to be manipulated or irrigated. The nasogastric tube will be discontinued today, and Mr. McEldowney will be placed on a clear liquid fluids diet at 30 mL every 2 hours as tolerated. He has no bowel sounds at this time A. ASSESS D
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