Ms. M is a 80 year old female post-op uncomplicated bowel resection

Question Answered step-by-step Ms. M is a 80 year old female post-op uncomplicated bowel resectionto repair damage and scarring of the bowel secondary to a traumatic automobile accident 5 years prior. Ms. M has smoked a pack of cigarettes a day for the last 60 years and has a history of chronic obstructive lung disease (COPD) and diabetes (controlled with oral medications). The patient arrived from the post anesthesia care unit (PACU) and according to report the surgery and PACU stay were without significant event. The patient is drowsy but easily aroused. The patient has a Patient Controled Analgesia (PCA) pump already set up for the patient. Morphine 1mg/1mL; dose-1 mg every 30 minutes; lockout of 10 mg in 4 hours. The patient received 2 mg of morphine intravenous push 20 minutes ago in the PACU. The PCA pump has not been used at all as of admission to the unit.  The patient currently reports pain of 3 on a scale of 0-10 with 0=no pain and 10=worst pain ever. The dressing is dry, clean, and securely in place. The patient is without any visual indications of distress at this time. The patient’s oxygen saturation is 95% on 2 liters oxygen per nasal cannula. Vital signs are: blood pressure 118/62 mm Hg, pulse 78 beats per minute, respiratory rate 22 breaths per minute with respiration of normal depth and chest expansion equal bilaterally. The patient’s 60 year old daughter is at bedside and verbalizes concern that her mother will experience pain and discomfort from the surgery. Questions:1.      What are the patient’s risk factors for post-operative complications?2.      Which post-operative complications are the patient at high risk for? Why?3.      What is the nurse’s priority nursing diagnosis? 4.      What priority patient/family education should be completed at this time? Why? Health Science Science Nursing NRS 202160 Share QuestionEmailCopy link Comments (0)