Patient CP is a 53-year-old man who

Patient CP is a 53-year-old man who had an ORIF of the right tibia fracture yesterday. Patient is complaining of severe burning pain in his abdominal area at a 7/10. Patient’s head-to-toe assessment is PERRLA, strong coordinated movement in all 4 extremities, S1 and S2, sinus tachycardia, hypoactive bowel sounds, blood glucose 92, patient uses a urinal for elimination of 350mls of yellow urine every 6 hours. Surgical site is warm and pink with minimal drainage. Vital signs are as follows: P 101, RR 18, MAP 78, O2 sat 93% RA, temp 37, pain 7/10. 0423 Upon further investigation the nurse notes that there is no protein pump inhibitor on the MAR. Peptic ulcer prevention protocol suggests a PPI should be used to prevent complications. Vital signs now are: P 110, RR 18, MAP 72, O2 sat 93% RA, temp 37, pain 8/10. The nurse notices the changes from 0213 to 0243. They begin to make a plan of care for the patient. Which interventions would be indicated? Potential Intervention Indicated Contraindicated Give Beta blocker Apply oxygen Consult with MD for appropriate PPI Give Tylenol for hyperthermia Call physician for treatment for DM2 Drag an X to indicate that the intervention would be indicated / contraindicated. Drag a – to indicate that cell should be left blank. SCIENCE HEALTH SCIENCE NURSING NURS 4130

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