(SOLVED) MN, age 40 , is admitted with acute cholecystitis, elevated WBC, and a fever of 102 F.

Question

MN, age 40 , is admitted with acute cholecystitis, elevated WBC, and a fever of $102\mathrm{F}$.  She has undergone an open cholecystectomy and has been transferred to your floor. It is the second day postop. She has one peripheral IV, and a large abdominal dressing. Her orders are follows: 

CASE STUDY:

1) Discuss each of the following orders. Are these orders appropriate for MN? State your rationale.

-Ampicillin 2 g IVPB every 6 hours

-IS (Incentive Spirometer) every 2 hours while awake

-Progress to low-fat diet as tolerated

-Ambulate in hall with assistance four times daily

2) State the rationale, mechanism of action, side effect and nursing implications for each medication that is ordered.

What gastronintestinal complications may result from the pain medication listed on in MN's orders?

Expert Solution Preview

Step 1/2

-Ampicillin 2 g IVPB every 6 hours: This order may be appropriate for MN if she has a

bacterial infection that is sensitive to ampicillin. The rationale for this order is to treat

the infection and prevent it from worsening.

-IS (Incentive Spirometer) every 2 hours while awake: This order is appropriate for MN if she is at risk for developing pneumonia or other respiratory complications due to her condition or immobility. The rationale for this order is to.....