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Health History Nurses’ Notes Vital Signs | Lati Tests 1455: Presented to the ED with report of increasing epigastric pain throughout the day. Pain started after dinner last night and usual medication did not help. States has been treated for gastroesophageal reflux disorder (GERD) for over 5 years with a variety of drugs, most recently omeprazole 40 mg orally twice a day. Other medications include: Ibuprofen 800 mg orally every morning for osteoarthritis Amlodipine 10 mg orally every day for hypertension MVI 1 tab every day for general health Famotidine 20 mg orally before meals PRN 1530: While waiting to be examined by the physician assistant, client vomited 175 ml coffee-ground emesis. States feeling “a little dizzy.” HR increased to 94 BPM; BP 128/78 lying down and 112/62 sitting. Stat blood work drawn. Based on the client information, complete the following sentence from the lists of options provided. The nurse analyzes the client’s relevant findings and determines that the client has which, if not managed effectively can lead to [- ]. – a potentially life-threatening complication pancreatitis ventricular fibrillation peptic ulcer disease bowel obstruction gastrointestinal bleeding . metabolic syndrome . cholecystitis hypovolemic shock A: Cholecystitis which, if not managed effectively, can lead to bowel obstruction. O B: Gastrointestinal bleeding which, if not managed effectively, can lead to ventricular fibrillation. C: Pancreatitis which, if not managed effectively, can lead to metabolic syndrome. O D: Gastrointestinal bleeding which, if not managed effectively, can lead to hypovolemic shock. E: Peptic ulcer disease which, if not managed effectively, can lead to hypovolemic shock.on 7
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