Nursing situation Postoperative

PostoperativePatient ProfileC.H. is a very active 64-year-old white woman. She volunteers several days a week at the local senior center. She has recently developed increasing abdominal pain, accompanied by a 25-pound weight loss. A magnetic resonance image (MRI) scan showed a large mass in the fundal area of the stomach. A subtotal gastrectomy was performed. She is now day 1 into her postoperative recovery.Subjective DataStates her abdominal pain is a level 8, on a 1 to 10 scaleObjective DataPhysical ExaminationBlood pressure 155/74, pulse 104, temperature 100° F, respirations 20Alert and oriented to person, place, and timeDiminished breath sounds and crackles in bilateral lower lobesOxygen saturation 93% on room airSkin is warm and dryBowel sounds absent in all four quadrantsAbdomen tender and slightly distendedNasogastric tube to low continuous wall suction draining brownish-green drainageLactated Ringer’s solution infusing at 100 mL/hrAbdominal wound is clean and dry, dressing is intactDiagnostic StudiesPreoperative chest x-ray was clear, free of any infiltrates or fluidDiscussion Questions1. What are some possible postoperative complications that C.H. could experience?2. From the data given, which postoperative complication is C.H. likely experiencing?3. What assessment data led the nurse to make this decision?4. What are the priority nursing interventions that the nurse should implement to address this postoperative complication?5. What diagnostic test might be indicated and why?6. Identify three outcomes that would indicate that C.H.’s condition is improved as a result of the interventions.

 
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