Reference no: EM133843317

Question

A. Mrs. Jackson is a 72-year-old female that had bowel resection surgery this morning for colon cancer.

 Her orders include the following:
- Diet: NPO
- Oxygen prn
- Incentive Spirometer Q1 hour while awake
- JP (bulb) Drain
- Foley catheter to gravity
- D5½ NS @ 125mL/hr
- Potassium 500mg po BID
- Synthroid 125mcg po daily
- Vancomycin 1gm IVPB Q8hrs
- Percocet 2 po q4hrs prn

B. Mrs. Jackson was admitted to the surgical unit. Her daughter is at her bedside. About an hour after Mrs. Jackson was admitted to the unit, you are assigned as the nursing student to care for her. You and your instructor are entering the room to administer her IV antibiotic, Vancomycin. As you enter the room Mrs. Jackson is vomiting in an emesis basin.

1. What would you do?
2. After cleaning up the patient, what assessments would you make?
3. What made this patient at risk for vomiting?

C. Mrs. J says that her pain sharp/stabbing in her abdomen and rates her pain at an 8 on a 0-10 scale.

1. Where is the location of her pain?
2. What is the intensity of her pain?
3. What is the quality of her pain?

D. After looking at the MAR, you see she is ordered Percocet 2 tabs every 4 hours PRN.

1. What would you check before giving this med?
2. What are your concerns for this order?
3. What would you do?

E. The physician writes an order for a PCA of Hydromorphone. While waiting on the pharmacist to verify and load your medication into the Pixis, you notice an incentive spirometer at her bedside.

1. Is this a good time to have her use her incentive spirometer?
2. Why or why not?