ia Akintola is 24-year-old female (who’s birthday

ia Akintola is 24-year-old female (who’s birthday is on April 17th) who has presented to the emergency department, at 1200, after 6 hours of increasing persistent abdominal discomfort. Lia states the pain has moved from the middle of her abdomen to the right lower quadrant. She has rebound tenderness and is finding it increasingly difficult to find a comfortable position. Lia has stopped her gastrostomy feed yesterday at 2200. A urinalysis, midstream urine specimen and urine hCG is requested by the ED medical officer and CBE and hCG bloods are sent to pathology. Lia was diagnosed with cerebral palsy at 6 weeks of age and has a permanent gastrostomy tube. She has had a recent upper respiratory tract infection over the past 2 weeks. On presentation to the ED, 1200, her vital signs are as follows: Temperature: 39.2oC BP: 135/70 mmHg Pulse: 96 beats per minute Respirations: 26 breaths per minute SpO2: 94% on air Pain Score: 9/10, R) Lower abdominal quadrant 1330 Lia is diagnosed with Acute Appendicitis and is required to be prepared for emergency theatre. As part of the pre-operative surgical orders, Lia is to be measured for anti – embolic stockings. 1400 Once in surgery, the surgeon discovers that Lia’s appendix has perforated and as a result, she will require IV antibiotic therapy postoperatively. Q7 Complete the following care plan for Lia in relation to two (2) postoperative actual or potential Problems using the headings outlined. S NYS Actual Potential Problem Nursing Diagnosis, expected outcome or goal Nursing Implementation Interventions (what the nurse could do) Rationale Evaluation SCIENCE HEALTH SCIENCE NURSING HLT E1224

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