Post Operative Case Scenario Kelly Patel is 65-year-old client admitted to through the emergency department 5 days ago w

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Post Operative Case Scenario Kelly Patel Is 65 Year Old Client Admitted To Through The Emergency Department 5 Days Ago W 1 (149.36 KiB) Viewed 38 times

Post Operative Case Scenario Kelly Patel is 65-year-old client admitted to through the emergency department 5 days ago with abdominal pain, abdominal distention, nausea, and vomiting x 3 days. The patient/client was diagnosed with a small bowel obstruction and underwent a small bowel resection. The patient/client is postoperative day (POD) # 3. The patient/client's condition was complicated post-operatively with an ileus which has since resolved. Previous Medical History: Hypertension. Ht./Wt.: 5'8"/185 lbs. Allergies: lodine Resuscitation: Full Code Fall Risk: High Language: English Most recent vital signs were 99.9 Tympanic, Pulse 80 bpm and regular, Resp Rate 18 breaths/min, BP 140/80 mm Hg Right Arm, Lying, 93% SpO2 on Room Air. Pain: 4/10, was medicated with prn oral pain medication for incisional pain. Neurological: Alert and oriented x 4 Cardiac: S1 and S2 auscultation. TED hose and SCDs in use. Respiratory: Diminished breath sounds to bases bilaterally. Weak ineffective cough noted. Gastrointestinal: Bowel sounds hypoactive; client is tolerating a low sodium diet. Passing flatus. Genitourinary: Up to the bathroom with minimal assistance Musculoskeletal: Ambulates with 1-person standby assist Integumentary: Skin dry and intact. Abdominal incision is approximated with staples/sutures. Abdominal binder in place. Diagnostic Testing: This morning's labs Lab Value Normal Range Result WBC 11 000 mm3 Hgb/Hct 11g/dL and 33% Complete the following activities: 1. What would you include in a focused assessment of the client/patient. Identify expected versus unexpected findings for this post-operative client/patient. 2.Include 3 nursing interventions. 3. Include 2 orders you would anticipate from the HCP. 4.Complete patient/client teaching to prevent operative complications (hint see Table 16-4).