Exam (elaborations) NR 446 SIMULATION 3 ILEUS Care Ileus Postoperative Care of the Patient with Complications

HomeDocumentsPostoperative Care I Postoperative Care of the Patient with Complications: Ileus PNCI® - Learner Alice Smythe Age: 72Weight: 55 kg Location: Patient’s home/Medical-Surgical Unit Background Patient History Past Medical History: Patient had an uneventful laparoscopic cholecystectomy two days ago. She was in good health prior to her surgery Allergies: No known drug allergiesMedications: Aspirin 325 mg by mouth every day; multivitamin 1 tablet by mouth every day; HYDROcodone 5 mg/acetaminophen 325 mg 2 tablets by mouth every 6 hours prn for pain Code Status: Full code Social/Family History: She is recently widowed; her husband of 50 years died unexpectedly. She has one daughter who lives out of state. The daughter was present after her father’s death and for the surgery, but had to return home because of her career and family. The patient lives alone in a two-story house. Handoff Report Situation: The patient is a 72-year-old female who had a laparoscopic cholecystectomy. She was discharged to return home with a home health nurse care. Background: The patient had a laparoscopic cholecystectomy two days ago. She stayed overnight after the surgery for observation and then was discharged home. The patient lives alone. Assessment upon discharge from hospital one day ago: Vital signs: HR 92, BP 135/76, RR 18, SpO2 98% on room air and temperature 37.0C General appearance: Appears stated age Cardiovascular: Sinus tachycardia. Peripheral pulses strong