Question

PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North...


PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute chole
Care of the Patient with Atelectasis Nursing Diagnosis Nursing Diagnosis Interventions Interventions Positive Outcomes Positi
PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall Suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet D5 in normal saline with 40 mEq potassium to run at 125 mL, per hour Turn, cough and deep breathe every 2 hours while awake Incentive spirometry every 2 hours while awake Dangle in AM, ambulate in PM Morphine sulfate 10 mg IM every 4 hours prn for pain Ampicillin (Omnipen) Gm 2 IVPB every 6 hours Tylenol 325mg rectal suppository every four hours for temperature above 100.4 Chest X-ray in AM 1. Explain the rationale for the use of incentive spirometry for this patient 2. Explain why you would need to turn off the suction when assessing bowel sounds 3. Identify the GI complication that may result from one of the medications the patient is receiving postoperatively 4. State the two (2) most common respiratory related complications for patients with abdominal or respiratory surgery 5. Explain the differences in suction between a Levine tube and a Salem sump. 6. Explain the rationale why this patient would have gastrointestinal suction 7. Identify the specific electrolytes complications and acid-base balance disturbances when the patient has gastric suctioning and defend your answer You know that Mrs. North is at risk for atelectasis and/or pneumonia 8. Discuss the pathophysiology of telectasis is and why this patient is at risk. 9. Discuss the difference(s) between pneumonia and atelectasis
Care of the Patient with Atelectasis Nursing Diagnosis Nursing Diagnosis Interventions Interventions Positive Outcomes Positive Outcomes Negative Outcomes Negative Outcomes Evaluation Evaluation
0 0
Add a comment Improve this question
Answer #1

1) Incentive spirometry is a non invasive device helps the patient to regain the lung volume after recovery from lung illnesses like COPD,bronchial asthma,pneumonia and also it is very beneficial for the post operative patient. Postoperatively due to the usage of anesthesia the lung compliance reduces,to promote the improvement in lung compliance spirometry is administer for the patient postoperatively. In the given scenario patient is at second postoperative day and has undergone cholecystectomy. Taking a deep breath is challenging secondary to surgical incision and weakness. To overcome the difficulty the incentive spirometry is used to assist patient to take deep breath in an equal interval.

2) Abdominal sounds forms as a result of movement of intestines to propel the food from the stomach. Bowel sounds are auscultated using stethoscope. Absence of bowel sounds is common in ileum. Hypoactive bowel sounds commonly occurs secondary to general anesthesia,drugs like anticholinergics,opiate analgesics also interact with bowel sounds. Nasogastric tube a flexible thin tube that is inserted through the nostrils into the stomach. The placement of NG tube can be confirmed by X-ray. The purpose of NG tube is to provide nutrients and to do gastric decompression. Before auscultating bowel sounds the abdominal tube connected to the suction must be disconnected as the suction noise will obscure with the normal bowel sounds.

3) Morphine sulfate 10 mg administered for pain will results in GI complications. It is a narcotic analgesics administered to control postoperative pain. The common side effects includes light headedness,diarrhea, depression,anxiety. The complication affecting secondary to morphine sulfate is Narcotic bowel syndrome characterized by frequent stomach pain.

4) The most common respiratory complications after respiratory and abdominal surgery are atelectasis and acute respiratory distress syndrome.

5)

Add a comment
Know the answer?
Add Answer to:
PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North...

    PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to...

  • Mildred North is ad PN 200 Fundamentals of Nursing II Case Study: Care of the Patient...

    Mildred North is ad PN 200 Fundamentals of Nursing II Case Study: Care of the Patient with Atelectasis this admitted with acute cholecystitis, elevate white blood cell count and a Srees. She has under cholecystectomy and has been transferred to your day postoperatively. She has a nasogastric tube to continuous low wall Meral IV in her left hand, and a large abdominal dressing. Her orders are as unit. It is her second day posto follows: Progress diet to low fat...

  • care of a patient with Atelecasis Case Study: Care of the Patient with Atelectasis Mildred North...

    care of a patient with Atelecasis Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count anda fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low...

  • Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate...

    Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet Ds in ½...

  • Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate...

    Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet D5 in normal...

  • Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate...

    Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet DS in /4...

  • Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate...

    Case Study: Care of the Patient with Atelectasis Mildred North is admitted with acute cholecystitis, elevate white blood cell count and a fever of 102 degrees. She has undergone a cholecystectomy and has been transferred to your unit. It is her second day postoperatively. She has a nasogastric tube to continuous low wall suction, one peripheral IV in her left hand, and a large abdominal dressing. Her orders are as follows: Progress diet to low fat diet DS in '%...

  •                                  Case study: Care of the patient with Atelectasis mildred

                                     Case study: Care of the patient with Atelectasis mildred north is admitted with acute cholecytittis, elvate white blood cell count and a fever of 102 degrees. she has undergone a cholecytectomy and has been transferred to your unit. its is her second day postoperatively. she has a nasogastric tube to continuous low wall suction, one peripheral iv in her left hand, and a large abdominal dressing. her orders are as follows: progress diet to low fat diet d5 in ½...

  • Care of Patient with Atelectasis

    mildred north is admitted with acute cholecytittis, elvate white blood cell count and a fever of 102 degrees. she has undergone a cholecytectomy and has been transferred to your unit. its is her second day postoperatively. she has a nasogastric tube to continuous low wall suction, one peripheral iv in her left hand, and a large abdominal dressing. her orders are as follows: progress diet to low fat diet d5 in ½ normal saline with 40 meq potssium to at...

  • PN 200 Fundamentals of Nursing II Concept Map: Care of the Patient with A Stage IV...

    PN 200 Fundamentals of Nursing II Concept Map: Care of the Patient with A Stage IV Pressure Ulcer You are the nurse working in a medical intensive care unit and take the following report from the emergency department. There is a patient to be admitted to your unit; Rosa Long is an 82 year old frail woman who has been in a nursing home. Her admitting diagnosis is sepsis, pneumonia, dehydration, and she has a stage VI pressure ulcer. Her...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT