While as a nurse on a gastrointestinal (GI) unit, you receive a call from an affiliate outpatient clinic notifying you of a direct admission with an estimated time of arrival of 60 minutes. The clinic nurse gives youthe following information: A.G

is an 82-year-old woman with a 3-day history of intermittent abdominal
pain, abdominal bloating, and nausea and vomiting (N/V). A.G. moved from Italy to join her grandson and
his family only 2 months ago, and she speaks very little English. All information was obtained through her
grandson. Past medical history includes colectomy for colon cancer 6 years ago and ventral hernia repair
2 years ago. she has no history of coronary artery disease, diabetes mellitus, or pulmonary disease. she
takes only ibuprofen (Motrin) occasionally for mild arthritis. Allergies include sulfa drugs and meperidine.
A.G.'s tentative diagnosis is small bowel obstruction (sBO) secondary to adhesions. A.G. is being admitted
to your floor for diagnostic workup. Her vital signs (Vs) are stable, she is receiving an intravenous (IV)
infusion of d5 ½ Ns with 20 mEq KCl at 100 mL/hr, and 2 L oxygen by nasal cannula.
Based on the nurse's report, what signs of bowel obstruction does A.G. manifest?


A.G. has had abdominal pain with bloating or distention for 3 days. These are two of the primary
symptoms of intestinal obstruction. She also has nausea and vomiting.

Nursing

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The passageways of the kidney permit the urine to flow to the bladder and:

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