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Urinary Elimination Unfolding Case Study
A 22-year-old patient was admitted to a cardiac stepdown unit for right upper quadrant pain,
nausea, and vomiting. The patient states the pain is a 9 out of 10 to RLQ and radiates to their right
flank area. The patient stated, Im in so much pain, I took all the acetaminophen extra strength
tablets I could find before I came to the Emergency Department. The patient has a medical history
of kidney stones, bipolar depression, and primary hypertension. Their surgical history reveals a
tonsillectomy two years ago. VS are BP 160/100, P 90, R 20, T 99.2 F, and O2 sat is 98%. ECG
monitor shows a normal sinus rhythm with slight ST elevation and a rate of 92. Current home
medications are acetaminophen 500 mg 1 to 2 tablets PRN pain, sertraline 100 mg one PO daily,
quetiapine 200 mg one PO q HS and lisinopril 20 mg one PO daily. HCP orders home
medications, a CT scan of the abdomen and hydrocodone 5 mg/acetaminophen 325 mg one or
two tablets PO every 6 hours PRN for moderate pain and morphine 2-4 mg IVP q 2 hours PRN for
severe pain.
1. Highlight the above assessment findings that require immediate follow up by the nurse.

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Urinary Elimination Unfolding Case Study A 22yearold pati.pdf

  • 1. Urinary Elimination Unfolding Case Study A 22-year-old patient was admitted to a cardiac stepdown unit for right upper quadrant pain, nausea, and vomiting. The patient states the pain is a 9 out of 10 to RLQ and radiates to their right flank area. The patient stated, Im in so much pain, I took all the acetaminophen extra strength tablets I could find before I came to the Emergency Department. The patient has a medical history of kidney stones, bipolar depression, and primary hypertension. Their surgical history reveals a tonsillectomy two years ago. VS are BP 160/100, P 90, R 20, T 99.2 F, and O2 sat is 98%. ECG monitor shows a normal sinus rhythm with slight ST elevation and a rate of 92. Current home medications are acetaminophen 500 mg 1 to 2 tablets PRN pain, sertraline 100 mg one PO daily, quetiapine 200 mg one PO q HS and lisinopril 20 mg one PO daily. HCP orders home medications, a CT scan of the abdomen and hydrocodone 5 mg/acetaminophen 325 mg one or two tablets PO every 6 hours PRN for moderate pain and morphine 2-4 mg IVP q 2 hours PRN for severe pain. 1. Highlight the above assessment findings that require immediate follow up by the nurse.