Country : Australia
Assignment Task:

Task:

Clinical Scenario
You are required to read the following scenario:

Elenore is a 16 year old who attended the rural accident and emergency department (ED) complaining of lower abdominal pain. Accompanied by her mother, Elenore was initially triaged by the registered nurse (RN) who recorded her vital signs and found them to be within normal parameters, and also recorded a pain score of 3 out of 10. The RN also tested Elenore’s urine and no abnormalities were detected, hence, she was asked to sit in the waiting room with her mother until she could be seen by a medical officer. At that point, a number of people were admitted to the ED as a result of being injured in a motor vehicle accident (MVA) that had involved a number of cars and a motorcyclist, therefore, Elenore was kept waiting. The motorcyclist had major head, leg and chest injuries whilst the other patients had a number of significant but not so critical injuries. Elenore and her mother were informed by the nurse of the accident and advised that there may be a delay. While they waited, they noticed how short staffed the department appeared to be and so did not want to complain.

Four hours after her initial presentation, Elenore was called through to the treatment area of the ED where a doctor commenced her examination. By this time her pain score had increased to 5 out of 10, and her vital signs were indicative of her discomfort. Prior to completing his examination, the doctor was called to attend to one of the patients in the MVA who was deteriorating. Unfortunately, the cause of Elenore’s abdominal pain at this point was unknown but as he left the doctor ordered her to be kept nil by mouth (NbM), to have intravenous (IV) fluids, pain relief and a full blood count. The RN explained the treatment and the plan of care in full to Elenore and her mother, following which she commenced IV fluids and organised for a full blood count to be done along with continued monitoring of the patient’s vital signs. However, Elenore declined pain relief advising that she may be pregnant and that she did not want her mother to know. The nurse did however, inform the doctor who ordered an urgent ultrasound scan, confirming pregnancy but no fetal heartbeat.

 

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  • Uploaded By : Pearl
  • Posted on : April 20th, 2019
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