Question

Diagnosis: Peptic Ulcer Disease Question: What clinical findings require immediate intervention for this client? Select all that apply 1. Absence of bowel sounds 2. Board-like abdomen 3. Diaphoretic and skin cool to touch 4. Heart rate 5. Blood Pressure 6. Platelet count 7. WBC count Time 0830 1030 88 bpm Blood Pressure 120/82 100/64 Heart Rate 128 bpm Respiratory Rate 20/min 32/min Temperature 100.2 F 100 F 02 saturation 96% 91% Urine Output 150 ml's in 3 hours 60 ml's in 2 hours

Answer 1

The clinic finding which requires immediate attention are

• Absence of bowel sounds is an indicator that the bowel has stopped it's peristaltic movement which needs immediate interventions
• If abdomen is cool it means the patient is in pain
• Diaphoretic, cool skin occurs when blood glucose drops
• The blood pressure is drop but still in normal limits
• The vitals like tachycardia, tachypnea, fever has to be addressed immediately
• The rate of UO has decreased but it is normal if it is 30ml/hr
• Platelet and WBC counts are not mentioned

Ans

Absence of bowel sounds

Board like abdomen

Diaphoretic, skin cool to touch

Heart rate