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
After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the posterior right lower l


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 DS 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 atelectasis is and why this patient is at risk. 9. Discuss the difference(s) between pneumonia and atelectasis
After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the posterior right lower lung base, her right middle lobe and right lower lobe percuss dull She splints her right side when taking a deep breath. You suspect she is developing atelectasis. 10. Identify what most likely accounts for the patient's inspiratory related behavior II. List five (5) nursing interventions that might be used to prevent pulmonary complications postoperatively 12. Identify four (4) positive outcomes that you would expect for this patient as a result of your interventions and her increased activity Mrs. North sister questions you saying "I don't understand. She came in here with a bad gallbladder. What has happened to her lungs?" 13. Explain how you would respond to the question. 14. Discuss patient teaching about a low-fat diet and why this is important for this patient 15. Develop a 24-hour sample low fat diet for this patient. Revised 1/20
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) The rationale for the use of incentive spirometer in this patient is to prevent post operative pulmonary complications like atelectasis- partial collapse of the airway due to post operative hypoxemia (the most common complication) aspiration pneumonia , pulmonary collapse due to obstruction of the airways due to mucus secretions.

Incentive spirometry is the easy yet useful test that helps in preventing post operative pulmonary complications by teaching the patient to take long,slow, deep breaths, this helps in proper lung expansion and better gas exchange.

2) Turn off the suction while assessing the bowel sounds as it may mimic the sounds of peristalsis.

3) Morphine is an opioid analgesic that causes delay in gastric emptying, nausea and constipation. These are the common GI complications associated with opioid analgesics.

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

                                     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...

  • 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 '%...

  • 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...

  • After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the...

    After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the posterior right lower lung base, her right middle lobe and right lower lobe percuss dull. She splints her right side when taking a deep breath. You suspect she is developing atelectasis. v. Identify what most likely accounts for the patient's inspiratory related behavior 11. List five (5) nursing interventions that might be used to prevent pulmonary complications postoperatively 12. Identify four (4) positive outcomes...

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