, a 42-year old elementary school teacher who is married and the mother of two children, has undergone an elective abdominal cholecystectomy for…

Question Answered step-by-step Ms. A., a 42-year old elementary school teacher who is married andthe mother of two children, has undergone an elective abdominal cholecystectomy for gallstones. The surgery under general anesthesia was uncomplicated. A Jackson-Pratt drain was placed in the gallbladder bed and brought out through a stab wound adjacent to the right upper quadrant abdominal incision. Her surgeon has written these postoperative orders: Nasogastric tube to low intermittent suction; irrigate prn. Follow present 1000 ml 5% D/W with 1000 ml Ringer’s lactate q 8 h and alternate with 1000 ml 5% D/W with 40 mEq KCl q 8 h. Turn, cough, and deep breathe every one hour Ambulate this P.M. and then qidVital signs per routine from RR, then every 4 hours. Morphine sulfate 10 mg IM every 4 hours prn Change dressing over drain prn INTRAOPERATIVE/POSTOPERATIVEWhat nursing measures should be taken in the recovery room to protect Ms. A. from hazards during post-anesthesia recovery?  -How would you determine that she was sufficiently recovered from general anesthesia to be transferred to her room?  -What is the purpose of ambulating this client on the evening of the surgery?  -What factors may particularly predispose Ms. A. to the following postoperative problems? a. atelectasisb. wound infectionc. abdominal distension d. hyponatremia  -What type of drainage would you expect from the incision and from the JP drain during the first three postoperative days?  -What nursing observations would indicate to the surgeon that her Levine tube could be removed and oral intake resumed? Describe how you would implement the following doctor’s orders: remove nasogastric tubesips of water to diet as tolerated D/C IV  -If Ms. A. complains of cramping abdominal pain on the third postoperative day, what measures would you use to relieve it? Why?  -Identify her basic needs as nursing diagnosis statements and goals for care.  -Chart information for post-op day one using record form from skills lab.  Health Science Science Nursing NURS 211L Share QuestionEmailCopy link Comments (0)