A 56-year-old male client received an open cholecystectomy three…

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Question Answered step-by-step A 56-year-old male client received an open cholecystectomy three… A 56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical unit. During the morning assessment, the nurse auscultated diminished lung sounds anteriorly in the right lung base and the client complained of a cough. Vital signs are: blood pressure 138/89, pulse 126, respirations 26, temperature 101.1oF, and an oxygen saturation of 88%. The surgeon ordered a STAT chest x-ray, complete blood count (CBC), a basic metabolic panel (BMP), arterial blood gases (ABGs). Arterial blood gas results are pH of 7.3, PCO2  of 55, and HCO3 of 26. The nurse completed the assessment. The client has refused to get out of bed due to unrelieved pain. What are the abnormals and their clinical significance?Prioritize the top 3 abnormals.List the 5 most important interventions for the top priority (from question #2) and provide the rationale for each intervention.What are 3 potential complications that could happen with this client?What are potential causes of the client’s symptoms?The nurse understands the client requires additional teaching in the use of incentive spirometry when he states:”I only have to use it when I can’t breathe.””I am to use it every hour 10-20 breaths while awake.””I can continue to use it once I go home to keep my lungs clear.””I am able to use it without assistance from the nurse.”(Opinion Question) Could this client have avoided this complication post-operatively? Provide rationale for your response. Health Science Science Nursing NURSING 186 Share QuestionEmailCopy link Comments (0)

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