The lower part of the bone behind the ears.

Questions

The lоwer pаrt оf the bоne behind the eаrs.

Nursing 12/16 0730 Neurо/Cоgnitive: Alert/оriented x 4. Speаks Brаziliаn Portuguese. Calm, cooperative with exam. Cardiovascular: S1/S2 present. HR regular and even. Normal sinus rhythm on telemetry monitor. Respiratory: Breathing regular, even, unlabored. Breath sounds clear bilaterally. Gastrointestinal: BS present x 4 quadrants, normoactive. Abdomen soft, non distended, surgical incision tenderness. No guarding. +flatus. 18 French nasogastric tube – 54 cm at R nare. Pain: 2/10 abdominal pain on Wong-Baker scale. Reports feeling improved with NG tube insertion. VITAL SIGN TREND Date Temp HR RR BP SpO2 O2 12/15 1400 98.6 °F(37.0 °C) 111 22 143/92 96% RA 12/15 1900 98.6 °F(37.0 °C) 87 18 135/85 98% RA intake and output Date Intake Source & Amount Output Source & Amount Total 12/15 2300 IV 400 mL NGT 400 mL 800 mL 12/16 0650 N/A NGT 750 mL 750 mL   Provider 12/15 1840 Prescriptions: Place NG tube to low intermittent suction Admission: Medical-Surgical – Diagnosis: bowel obstruction CBC, CMP – daily in morning VS every 4 hr Diet: Nothing by mouth Continuous remote telemetry Nursing assessment every shift DIAGNOSTIC TEST RESULTS Date Diagnostic Test Findings 12/15 1820 CT Abdomen/Pelvis Clinical Information: abdominal pain, recent surgery Comparison: none Findings: Lung bases: normal in appearance, free of disease Liver: No focal lesions, no intrahepatic biliary duct dilation Spleen: unremarkable Pancreas: Normal in appearance Adrenals: No nodules Kidneys: No solid lesions, calculi, or hydronephrosis Bowel: dilated bowel loops present. Appendix is not visible Peritoneum: unremarkable Pelvis: Absence of uterus, consistent with hysterectomy Vasculature: Normal without aneurysm or atherosclerosis Impression: Small bowel obstruction Other 12/16 0900 Client & Family Education: Print materials for education in Brazilian Portuguese. Verbal instructions provided via telephone interpreter. Teaching covering bowel regimen, pain management using both narcotic and non-narcotic interventions, proper antiemetic use. Bowel rest and nothing by mouth diet – eventual transition through progressive diet. When to call the doctor or go to the emergency room for help, managing pain, nausea, or other symptoms effectively and safely at home. Review EHR and then fill in the drop downs. When preparing to insert a nasogastric tube, the nurse should first measure from the ear, then to the [blanka]. [blankb] should be monitored as a priority during the procedure due to risk for [blankc]. Once the nurse hits the client's gag reflex, the client should [blankd]. Official confirmation of the insertion is identified by [blanke].

I cаn use Grаmmаrly, Gemini, ChatGPT, CоPilоt, and оther AI generative software in this class.