Assignment task:
Nursing note: 36 yr old client presents to the ED with complaints of abdominal pain x 1 day. • History: Chronic kidney disease, diverticulitis and a potential penicillin allergy (doesn't quite remember). Pain is sharp, stabbing, and worse when the client eats. Client has a history of cholelithiasis and occasional alcohol use. • Physical Examination: Skin appears jaundiced, Client is visibly guarding their abdomen. Client c/o pain 8/10, nausea and vomiting x1 day. Blood pressure 80/41, HR 123 bpm, RR 22 per minute, temperature 38.3°C SPO2 91% on room air. Lung sounds are clear • Diagnostic Results: Sodium 140 mEq/L, Potassium 3.8 mEq/L, BUN 18 mg/dL, Creatinine 0.7 mg/dL, WBC 11,000/mm3, RBC 3.8 million/mm3, Hemoglobin 11 g/dL, Hematocrit 30% 1. For each order, state whether the order is essential, nonessential, or contraindicated. Scoring 0-4 points Order Essential Contraindicated Nonessential CT of the abdomen with contrast Administer amoxicillin IV Type and cross match blood Initiation of the sepsis bundle