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SDL DAY 2: Gastrointestinal bleeding

Mr. S, a 50-year-old man, has driven himself to the emergency


department (ED) after vomiting bright red blood twice within 6 hours. He
arrives alert and oriented × 3 but appears anxious.
He is able to provide only a vague history but admits to drinking “a few”
last weekend. He knows that he is “supposed to stop drinking” and takes
“something for his stomach,” but he cannot recall the name of the
medication. He reports intermittent dizziness and fatigue that has been
worsening over the past 2 days. His skin is dry and pale. His abdomen is
slightly distended. He reports pain (4 on a scale of 10) in the mid
epigastric area.
Capillary refill is longer than 3 seconds, blood pressure is 140/90 mm Hg,
pulse rate is 110 beats/min, respiratory rate is 24 breaths/min, and
temperature is 99° F (37.2° C).
QUESTIONS:
1. What would be the possible priority nursing diagnosis of this client?
(Give 3 and its intervention)
2. Give the possible appropriate action in the care of this patient
(minimum of 5 and maximum of 10)
3. The physician orders an NG tube insertion with saline lavage.
Please give the correct sequence of this procedure
4. Give simple pathophysiology of this gastrointestinal bleeding
Please: computerized your answer and pass it on my table
Note: pass the printed SDL on Friday including(sld 1,2,3) in a folder
PLEASE PUT A TITLE IN EVERY SDL.(GIVEN) AND PUT A DATE
WHEN THIS SDL GIVEN.(FRIDAY MORNING LATE MINUS 5)

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