[Verified Answer]: Case #4: P.P

Case #4: P.P. is an 85-year-old retired teacher presenting with abdominal pain and nausea and vomiting for the past 12 hours. Medical history information is obtained through her grandson as P.P. speaks very little English and a translator is unavailable. P.P. has a history of osteoarthritis, colon cancer, colectomy, and ventral hernia repair. No known allergies. She takes an acetaminophen or ibuprofen rarely for arthritis pain. Vital signs are 99.0F-92-20-132/88-97% on room air. D51⁄2NS with 20 mEq KCl is infusing at 100 mL/hr through a 20-gauge PIV in her left forearm. Pulmonary, neurological, and cardiovascular assessment findings are expected. Her upper abdomen is distended with frequent, loud, high-pitched bowel sounds. Last bowel movement was 2 days ago, and it was “normal”.