Joe is a 42 - year-old male who presents to the emergency department (ED) with severe mid-epigastric abdominal pain, nausea, and vomiting. He has a history of hypertension. On physical assessment, he is noted to have abdominal distension and tenderness, palpation. The physician questions his social history with alcohol, smoking, and illicit drugs. He admits to drinking a few beers and smoke a pack of cigarettes every day. Joe’s wife has privately spoken to the physician to inform him that he actually drinks at least a six-pack of beer daily with an even higher intake on the weekends. This past weekend, he and his friends drank heavily while watching football.
The physician orders to admit him to the medical ward with the following orders:
- Best rest
- NPO (Strict)
- To take laboratory tests that are Complete Blood Counts (CBC), Liver Function test (LFT), Glucose (BS), Calcium (Ca+), Lipase
- On IV fluid of Lactated Ringer's 1000 cc. rate 120 cc/hr.
- CT scans of the abdomen.
- Losec 40 mg (omeprazole) IV every 12 hours.
- Morphine 3 mg IV every 4 - 6 hours PRN
- Fingerstick blood sugars (DTX) every 6 hours
- Retain Foley catheter then record urine output every 1 hour, if urine output<30cc/hour please notify

Which of rapid response nurses do with the patient on the medical ward as follows::

1) Order: Blood test and on IV fluid
2) Order: Losec 40 mg (Omeprazole) IV every 12 hours., and Morphine 3 mg IV every 4 - 6 hours PRN.
How does calculate the dose of Losec and Morphine to be given in ml. (cc.)
3) Order: Retain Foley catheter then record urine output every 1 hour, if urine output<30cc/hour please notify
4) Order: Fingerstick blood sugars (DTX) every 6 hours

5) Briefly explain why strict NPO is enforced for a patient with pancreatitis.

6) Identify the nursing diagnosis and rationale of this assignment case (at least 3 nursing diagnosis)