Patient with changes in bowel/bladder function. A 70-year-old fem
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Get it written →Patient with changes in bowel/bladder function. A 70-year-old female is admitted to your unit for changes in bowel/bladder function. Her initial lab work was WNL. Her baseline vital signs were BP 124/62, HR 84, RR 20, Temp 98.4. The MDperformed a bowel resection after it was determined that the pt has colon cancer. Post-operativelythe pt is taken to a medical/surgical unit. She has an IV of NS at 100ml/hr., and an NGT to intermittent suction, a foley catheter, and a midline abdominal dressing that is dry and intact. You are assigned the patient post-op day one. Her VS @ 0700, BP 100/60, HR 104, RR 24, Temp. 99.2 orally. the pt is alert and oriented; her color is pale. the NGTis draining brownish-green mucous, the abdominal dressing is D/I, and the IV is at 100 ml/hr. The pt says, Im so tired and I feel so nauseous, and it hurts to move.? The physician ordered the pt to be out of bed. When sitting at the bedside at 1000, the pt states, I dont feel very well.? after waiting 30 seconds, the nurse assists the pt to the chair. The pt becomes dizzy and her bp is 90/64, HR 114, and the urine output has been 70 ml since 0600. 1) What would you do first with this pt? List 3 priority interventions you would implement at this time? 2) List 2 categories of medications that you may be administering to this pt and give an example in each category? (remember, the pt has an ng tube) 3) State 2 priority nursing diagnoses?A 70-year-old female is admitted to your unit for changes in bowel/bladder function. Her initial lab work was WNL. Her baseline vital signs were BP 124/62, HR 84, RR 20, Temp 98.4. The MDperformed a bowel resection after it was determined that the pt has colon cancer. Post-operativelythe pt is taken to a medical/surgical unit. She has an IV of NS at 100ml/hr., and an NGT to intermittent suction, a foley catheter, and a midline abdominal dressing that is dry and intact. You are assigned the patient post-op day one. Her VS @ 0700, BP 100/60, HR 104, RR 24, Temp. 99.2 orally. the pt is alert and oriented; her color is pale. the NGTis draining brownish-green mucous, the abdominal dressing is D/I, and the IV is at 100 ml/hr. The pt says, Im so tired and I feel so nauseous, and it hurts to move.? The physician ordered the pt to be out of bed. When sitting at the bedside at 1000, the pt states, I dont feel very well.? after waiting 30 seconds, the nurse assists the pt to the chair. The pt becomes dizzy and her bp is 90/64, HR 114, and the urine output has been 70 ml since 0600. 1) What would you do first with this pt? List 3 priority interventions you would implement at this time? 2) List 2 categories of medications that you may be administering to this pt and give an example in each category? (remember, the pt has an ng tube) 3) State 2 priority nursing diagnoses?
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