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Original Question

CHIEF COMPLAINT Gabriel, 5 years old, had a difficulty to pass bowel movement. He had less than 3 (three) bowel movement for 7 days. Poor Appetite. He is irritable, fidgeting, and restless. He verbalizes that his tummy hurts. PHYSICAL EXAMINATION Vital signs: PR- 96 bpm, RR- 34cpm, BP- 90/60 mmHg Inspection: Anus not perforated Palpitation: distended/bloated abdomen Percussion: dull Auscultation: less frequent bowel movement DOCTOR’S ORDER Start D5IMB 500ml at 35ml/hr Monitor vital signs every 4 hours and record Monitor stool output, character, and consistency High Fiber Diet; No Dairy products Increase Fluid Intake Bisacodyl Bisacodyl (Dulcolax) 5mg per rectal @ AM INSTRUCTIONS: 1) Identify one nursing problem and formulate a nursing care plan. 2) Identify three doctor’s order and provide the rationale of each.

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