Unfolding Case Study: Gastrointestinal Assessment Background Information: You are a

Unfolding Case Study: Gastrointestinal Assessment Background Information: You are a nursing student assigned to the gastrointestinal unit. Your patient, Mrs. Rosa Martinez, is a 58-year-old woman admitted with complaints of severe abdominal pain, nausea, and vomiting. Mrs. Martinez has a medical history of type 2 diabetes and hypertension. She mentions she has been experiencing these symptoms for a couple of days, and they have progressively worsened. Part 1: Initial Assessment Scenario: Upon arrival, you find Mrs. Martinez looking pale and distressed in her hospital bed. She rates her pain as 8 out of 10 and describes it as a sharp pain localized in the lower right quadrant of her abdomen. Vital Signs: • Blood Pressure: 130/86 mmHg • Pulse: 102 beats per minute • Respiratory Rate: 20 breaths per minute • Temperature: 38.3°C (100.9°F) Tasks: • Conduct a thorough abdominal assessment. As you palpate her abdomen, particularly in the lower right quadrant, Mrs. Martinez experiences a sudden increase in pain and jumps in response, a sign indicative of rebound tenderness. • Observe for additional signs such as abdominal rigidity, guarding, or distension. Questions: 1. What does Mrs. Martinez’s reaction to the palpation suggest about her condition? 2. Based on the initial findings and Mrs. Martinez’s vital signs, what potential health issues could be indicated? Part 2: Diagnostic Testing • Scenario: o After your initial assessment, the attending physician orders an abdominal ultrasound and complete blood count (CBC). o Tasks: â–ª Explain the purpose of these tests to Mrs. Martinez. â–ª Prepare Mrs. Martinez for the ultrasound. o Questions: â–ª How do these tests help in diagnosing GI problems? â–ª What nursing responsibilities are associated with preparing a patient for an ultrasound Part 3: Results and Planning • Scenario: o The ultrasound reveals an inflamed appendix, and the CBC shows elevated white blood cells. o Tasks: â–ª Write how you would discuss the findings with your clinical instructor and the attending physician. â–ª How would you prepare Mrs. Martinez for possible appendectomy surgery. o Questions: â–ª What are the implications of these findings? â–ª How should you alter your care plan based on the diagnosis of appendicitis? Part 4: Patient Education and Safety • Scenario: o Mrs. Martinez expresses anxiety about the surgery and its potential complications. o Tasks: â–ª Provide education about the surgery, postoperative care, and recovery process. â–ª Implement safety measures to prevent complications. o Questions: â–ª What key information should you communicate to Mrs. Martinez about her surgery? â–ª What QSEN competencies are being applied in this situation to ensure patient safety and quality care? Part 5: Reflective Practice and Evaluation • Scenario: o Post-surgery, Mrs. Martinez is back in her room, and you are monitoring her recovery. o Tasks: â–ª Assess Mrs. Martinez’s postoperative condition. o Questions: â–ª How would you assess Mrs. Martinez’s postoperative condition? â–ª What are early warning signs that would indicate that Mrs. Martinez is having postoperative complications?

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