Colon Resection: Diverticulitis Pre-op and Post-op Care

Scenario: An otherwise healthy 60-year-old male, with diverticulosis that was diagnosed during a colonoscopy 5 years ago, was admitted into the hospital today with complaints of extreme left lower abdominal pain, bloating, nausea, and vomiting. A CT scan done in the emergency department confirmed his diagnosis to be diverticulitis. The nurse documents the following assessment findings:

· Reports abdominal pain of 9/10 on a 0-10 pain intensity scale

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· Blood pressure 142/70

· Heart rate 115 bpm

· Temperature 101.3

· Absent bowel sounds in left lower quadrant

· Reports he has had no food in the past 12 hours

· Reports a history of excess flatulence

· Drowsy but arouses easily with verbal stimuli

NGN Item Type: Enhanced Hot Spot

Highlight the assessment findings that require follow-up by the nurse.

Rationale for your choices above:

Cognitive Skill: Recognize Cues

NGN Item Type: Cloze

Choose the most likely options for the information missing from the statement, below, by selecting from the list of options provided.

The nurse recognizes that, based on the assessment data and patient’s history, the patient is currently at risk for complications, including ______, ______, and ______.

Options

· Abscess

· Skin breakdown

· Peritonitis

· Constipation

· Malnutrition

· Gastrointestinal bleeding

· Urinary retention

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