What should the nurse practitioner do next for a patient with severe abdominal pain and a bulging hernia?

In the scenario of a patient presenting with severe abdominal pain and a bulging hernia, referring the patient to the emergency department is the most appropriate immediate action. This decision is vital because a bulging hernia, particularly if it is associated with severe pain, raises the suspicion of complications such as incarceration or strangulation. Both conditions can lead to bowel ischemia and peritonitis, which are surgical emergencies.

Emergency departments are equipped to perform rapid assessments, including advanced imaging and surgical consultations, to manage such urgent conditions appropriately. This prompt evaluation is crucial for timely intervention and reducing the risk of serious complications.

While ordering an abdominal CT scan, taking a complete blood count, or performing an abdominal ultrasound might be useful in diagnosing certain abdominal issues or providing additional information, these actions do not address the potential urgency of a bulging hernia with severe pain. The priority should always be ensuring the patient receives immediate and appropriate care to prevent adverse outcomes.