Discuss three priority nursing interventions

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Assignment:

CH is an active 64-year-old woman. She volunteers several days a week at a local senior center. She has recently developed increasing abdominal pain, accompanied by a 25-lb weight loss. An MRI scan showed a large mass in the fundal area of the stomach. A subtotal gastrectomy was performed. She is now post-op day #1.

Subjective data: States her abdominal pain is 8/10.

Objective data: Vital Signs: 155/74 mm Hg, HR = 104/min, RR = 20/min, SpO2 = 93% on room air, T = 100F

Oriented to person, place, and time. Diminished breath sounds with crackles in bilateral lower lobes. Skin warm and dry. Nasogastric tube to low continuous wall suction draining brownish-green drainage. Intravenous fluid infusing at 100 mL/hr. Bowel sounds absent all four quadrants. Abdomen tender and slightly distended. Abdominal wound clean and dry with intact dressing.

1. Discuss three priority nursing interventions that the nurse should implement to address the priority postoperative complication, including the rationale for the interventions.

2. Identify three outcomes that would indicate that CH's condition improved as a result of the interventions.

Reference no: EM133866465

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