SOLVED1197

ScenarioScenario #1 Mr. Smith has a history of Crohn’s disease and is 24 hours postoperative from a colectomy. His wife is at the bedside. She verbalizes, “I am so worried about is pain with that awful incision!” The primary care provider has ordered a PCA pump with morphine for pain and O2 2L per NC. As the nurse assumes care of Mr. Smith, he is alert and fully oriented, and states that his current pain is 4 on a 1-to-10 scale; VS: T 98.8; HR 92; RR 14; SpO2 94%; BP 110/62 Risks /Benefits • What are benefits of a PCA pump for administration of pain relief? • What are the risks? Problem The nurse monitors Mr. Smiths’ respiratory status and vital signs every 2 hours. Upon this assessment, the nurse observes the client is difficult to arouse, has shallow breathing, and VS reveals: T 98.2-HR 100-RR 8 BP 128/80 SpO2 90% • What further data should the nurse gather? • What is the problem? • What is the short-term expected outcome? • What are priority interventions to help meet the outcome? • How will the nurse evaluate if the outcome has been met?
SCIENCE
HEALTH SCIENCE
NURSING

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