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Bowel Elimination Unfolding LPN Case Study An 81-year-old client is being seen by the nurse in an extended care living facility. The client is stating

Bowel Elimination Unfolding LPN Case Study An 81-year-old client is being seen by the nurse in an extended care living facility. The client is stating they are having abdominal pain and describes his pain as sharp, 8/10 and in the hypogastric region. The client stated that the pain has been off and, on all night, and does not radiate. Denies any vomiting, diarrhea, or nausea during the night. LBM was yesterday. Volded 680 mL of clear yellow urine in urinal this morning. Left arm has contractures. The client states they have pain to left leg where lower leg used to be and describes that pain as a 4/10. The client can transfer from bed to wheelchair with assistance pivoting on their unaffected right leg. The client has a past medical history of a CVA, LBKA, hypercholesteremia, rheumatoid arthritis, chronic atrial fibrillation, Type II Diabetes, and hypertension. Current medications Include atorvastatin 40 mg one PO QHS, aspirin 325 mg daily, clopidogrel 75 mg daily, acetaminophen 650 mg two tabs PO BID, methotrexate 6 tabs once weekly, folic acid 0.8 mg one PO daily, semaglutide 0.5 mg subcut weekly, metoprolol 50 mg one PO daily and multivitamin one daily. The client's breakfast tray is served. The client calls the nurse to the room because after eating sausage served on their tray, they state the pain to their abdomen is now a 9/10. They describe the pain as a burning, stabbing pain to their hypogastric area. The patient's breath has a foul odor and they state they are nauseated. The nurse calls the HCP. New orders received include lansoprazole 15 mg one PO daily, ondansetron 4 mg ODT q 4 H, CBC and H. Pylori lab test. AM VS 100/70, P 100, R 18, T 98.4 F, 02 94%. The client is given pantoprazole and ondesetron. The client has a large black tarry stool. The client states their nausea is relieved, but their pain is still unchanged

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