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Millie Larson is an 80 year old widow being seen in the Emergency Room. She complains that she hasn’t been feeling well the past few days. Your RN assessment is as follows: Chief complaint—”decreased appetite, not sleeping well, fatigue, abdominal pain off and on, constipation.” Past medical History: Hypertension, Atrial Fibrillation (A-fib), osteoporosis, anemia, Past Surgical History: Appendectomy, C-section x 2 Home Medications: Aspirin 81 mg daily, Metoprolol 100 mg daily, Oxycodone 5 mg q 4 hrs PRN pain, daily vitamin Social History: Widowed less than 1 year. Retired School teacher and housewife. Has 1 daughter and 1 son. Has 3 grandchildren and is active in the church. Denies tobacco and alcohol use. Assessment findings— thin faced, ill looking, obese, elderly female, Vitals: T-102.7 (Temporal), P-125 irregularly -irregular, R-20, BP- 176/90 O2 Sat- 90% RA Pain: 7/10 to left abdomen. Sometimes hurts above the “belly button”. Described as dull achy. Lung Sounds with fine crackles to bilateral posterior bases. Denies SOB (shortness of breath), or cough. Bowel Sounds Hypoactive to upper quads and lower right quad, absent to left lower quad. Pt denies passing flatus. Abdomen is firm and round. Pt states, Stools have been somewhat soft-loose with some blood in them. Skin intact, no edema noted. All pulses present. Laboratory Results: WBC 18 Potassium (K+) 2.1 HGB 8.0 Stool sample + for blood Diagnostic Studies: CT with contrast of abdomen shows a solid mass in the descending colon measuring 8cm x 6cm EKG shows ST segment sagging, T wave depression, and U wave elevation. Millie Larsen will be admitted to the Acute Care Floor for hypokalemia with EKG changes and abdominal pain Answer the following questions. What subjective data is provided? What objective data is provided? Can you identify safety concerns for Millie Larson? Determine 3-4 nursing interventions that can be implemented for Millie Larson.

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