The nurse is caring for a 40 year old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications
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Get it written →The nurse is caring for a 40 year old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The clients V/S are 97.2 F, HR 105, RR 24,
B/P 110/50. The client has had only 30mL urine output since arriving at the post- operative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medications was given to the client just before leaving the surgical unit.
Respond to the following questions and provide an evidence-based rationale.
Identify relevant subjective and objective assessment findings. (assessment)
Identify both expected and unexpected findings in the client assessment. (analysis)
Identify the potential complications the client may experience. (analysis)
What is the client’s priority problem at this time? (analysis)
Identify the client’s optimal outcomes? (planning)
Identify age related considerations when caring for this client. (planning)
What nursing actions should be carried out at this time? (implementation)
Identify assessment findings that indicate the plan of care successfully met the desired client outcomes. (evaluation)
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