Short Answer 
The assessment of Ms. White’s gastrointestinal health reveals potential bowel obstruction or severe constipation, likely aggravated by opioid use. Monitoring her vital signs, particularly elevated blood pressure and fever, is crucial to identify complications, while close monitoring and potential adjustments to her analgesic dosage are necessary for effective pain management and to avert further issues.
Assess Gastrointestinal Health
Examine Ms. White’s gastrointestinal assessment closely, as she shows signs of bowel obstruction or severe constipation. The absence of bowel sounds along with a tender and distended abdomen suggests these issues, which can be exacerbated by opioid analgesics like Vicodin. Recognizing this is crucial since opioids can worsen constipation, leading to further complications if not addressed.
Evaluate Vital Signs
Monitor Ms. White’s vital signs for any abnormalities, particularly her elevated blood pressure (160/95) and fever (38 degrees Celsius). These indicators may reveal potential complications, such as infection or increased pain levels. Any significant changes in vital signs may require a revision of her analgesic dosage to ensure effective pain management while avoiding risks.
Implement Close Monitoring and Adjustments
Given the findings, it is vital to perform continuous monitoring of Ms. White’s condition. This includes checking her gastrointestinal status and vital signs regularly. Be prepared to make dosage adjustments to her analgesic regimen if necessary to ensure both safe and effective pain relief while preventing any potential complications related to her condition.