The following case study is a short answer assignment. Consider the weight of marks as a guide to the detail
required for each answer. Please copy the assignment questions and include your answer under each
question. APA format. references for each question must be included with your work as well as a reference
page at the end of your case study.
Total reference- 6
mandatory reference
Urden, L. D., Stacy, K. M., & Lough, M. E. (2018). Critical care nursing, diagnosis and management (8th ed.).
St. Louis, Mo: Elsevier/Mosby. you can use 2017 edition as well.
Case Study Phase 1
Mr. Jones, a 57 year old male, arrived in the Emergency Department at 2030 hours and is complaining of acute
abdominal pain. The pain has been present for approximately 2 days but has increased in severity over the last
8 hours. The pain is localized to the upper-left abdominal quadrant with some radiation to the back. Mr. Jones
vomited four times in the last 8 hours with no relief from pain. Mr. Jones has a history of hypertension and
heavy alcohol use. He is accompanied by his wife and children; two daughters and one son, all in their mid to
late twenties.
Vital Signs: BP 131/77, HR 75 bpm, respirations 22 breaths/minute, temperature 38.1° Celsius.
At 0200 hours
Mr. Jones becomes anxious, unsettled and indicates that the pain in his abdomen has increased. Mr. Jones
then proceeds to vomit 125 mL of brown liquid emesis.
Vital Signs:
BP 105/61, HR 95 bpm, respirations 28 breaths/minute, temperature 38.6 Celsius
Mr. Jones is admitted to the Critical Care Unit post diagnostic tests. Diagnosis is pancreatitis.
Questions
- Discuss nursing priorities of the patient related to the clinical manifestations of pancreatitis. (4 marks)
- What blood work and diagnostic tests would you expect to be ordered for Mr. Jones and why? (4 marks)