The nurse is caring for a frail, older patient in the hospital after surgery to repair a bowel obstruction

Discussion 8.1 – Case Study One

The nurse is caring for a frail, older patient in the hospital after surgery to repair a bowel obstruction. The patient has a nasogastric NG tube, through which all her scheduled drugs are given, oxygen at 1 liter/nasal cannula at night, an indwelling urinary caterer, and a saline lock. The patient is weak and fatigued, has pain not relieved by IV opioids, and is reluctant to participate in any activities.

What risk factors does this patient have for developing pneumonia?

What actions does the nurse take to decrease the patient’s risk for pneumonia?

Two days later, the NG tube is removed and the patient is started on ice chips and other clear liquids. The patient swallows repeatedly when given sips of water. What action does the nurse perform?

The nurse does hourly rounds on the patient, and the patient’s daughter states, “Something is just not right with mom” What action should the nurse take first? What other actions should the nurse perform?

The physician orders a chest x-ray, and the results show pneumonia. What actions by the nurse are most important?

Discussion 8.2 – Case Study Two

A 50 year old patient is admitted to the medical-surgical floor from the emergency department with severe abdominal pain thought to be from acute pancreatitis. He case a history of drinking at least a case of beer a day. He also smokes and appears cachectic. His old chart indicates a history of COPD, but he does not take drugs for this. He does have a new productive cough. At chage of shift, the nurse finds the patient dyspneic and slight confused. Lung sounds have wheezes, and he is mildly febrile. Pulse is 120 beats per minute, respirations are 32 breaths per minute, and blood pressure is 118/64. Oximetry shows a SpO2 of 91%.

What risk factors for ARDS does this patient have?

Explain the relationship between the lung sounds and the oximetry reading

What diagnostic testing should you be prepared to obtain? Two hours after applying oxygen at 3 liters/nasal cannula, the patient’s Spo2 is now 89%4. What additional measures do you anticipate for this patient?

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.