Mrs. Gina Ryan, a 52-year-old court stenographer, was admitted to the nursing unit from her physician's office. She had a gnawing pain on. her right side radiating to her back for 3 days. she now describes her pain as "excruciating after eating or drinking". In the past 48 hours she has been vomiting about 2 to 3 hours after she eats. she has not had anything to eat or drink for the past 12 hours. Mrs. Ryan stated that she had not been successful in adhering to the weight reduction diet that had been prescribed by her physician and that she had rapidly lost, then regained, weight several times in the past year and a half. She stated, "My life is just too busy - I work late hours in the court system and had to buy my meals put a lot". She indicated that in addition to her work, she and her husband share the responsibility for raising their two teenage daughters. Admission physical examination revealed BP-130/80, PR-102, RR-24, Temp-37.3, height - 5'7", weight - 122kg, skin warm, no jaundice. She stated that her urine has been "a strange dark-golden color" and her stools were "like putty and grayish." She was admitted with the diagnosis of acute cholecystitis. The physician's orders on admission included: monitor vital signs every 4 hours; IVF of D5LR 125ml per hour; 1500-calorie, low-fat liquid diet and progress to low-fat soft diet if no pain in 16 hours; morphine sulfate 2 mg IV every 3 hours as needed; notify physician for sudden increase in frequency or intensity of pain; Metoclopramide 50mg IV every 4 hours as needed for nausea and vomiting. Question: Make Nursing Care Plan
Mrs. Gina Ryan, a 52-year-old court stenographer, was admitted to the nursing unit from her physician's office. She had a gnawing pain on. her right side radiating to her back for 3 days. she now describes her pain as "excruciating after eating or drinking". In the past 48 hours she has been vomiting about 2 to 3 hours after she eats. she has not had anything to eat or drink for the past 12 hours. Mrs. Ryan stated that she had not been successful in adhering to the weight reduction diet that had been prescribed by her physician and that she had rapidly lost, then regained, weight several times in the past year and a half. She stated, "My life is just too busy - I work late hours in the court system and had to buy my meals put a lot". She indicated that in addition to her work, she and her husband share the responsibility for raising their two teenage daughters. Admission physical examination revealed BP-130/80, PR-102, RR-24, Temp-37.3, height - 5'7", weight - 122kg, skin warm, no jaundice. She stated that her urine has been "a strange dark-golden color" and her stools were "like putty and grayish." She was admitted with the diagnosis of acute cholecystitis. The physician's orders on admission included: monitor vital signs every 4 hours; IVF of D5LR 125ml per hour; 1500-calorie, low-fat liquid diet and progress to low-fat soft diet if no pain in 16 hours; morphine sulfate 2 mg IV every 3 hours as needed; notify physician for sudden increase in frequency or intensity of pain; Metoclopramide 50mg IV every 4 hours as needed for nausea and vomiting. Question: Make Nursing Care Plan
Chapter17: Drugs And Dissection
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Transcribed Image Text:Mrs. Gina Ryan, a 52-year-old court stenographer, was admitted to the nursing unit from her physician's office. She
had a gnawing pain on. her right side radiating to her back for 3 days. she now describes her pain as "excruciating
after eating or drinking". In the past 48 hours she has been vomiting about 2 to 3 hours after she eats. she has not
had anything to eat or drink for the past 12 hours.
Mrs. Ryan stated that she had not been successful in adhering to the weight reduction diet that had been
prescribed by her physician and that she had rapidly lost, then regained, weight several times in the past year and a
half. She stated, "My life is just too busy - I work late hours in the court system and had to buy my meals put a lot".
She indicated that in addition to her work, she and her husband share the responsibility for raising their two teenage
daughters.
Admission physical examination revealed BP-130/80, PR-102, RR-24, Temp-37.3, height - 5'7", weight -
122kg, skin warm, no jaundice. She stated that her urine has been "a strange dark-golden color" and her stools were
"like putty and grayish." She was admitted with the diagnosis of acute cholecystitis. The physician's orders on
admission included: monitor vital signs every 4 hours; IVF of D5LR 125ml per hour; 1500-calorie, low-fat liquid diet
and progress to low-fat soft diet if no pain in 16 hours; morphine sulfate 2 mg IV every 3 hours as needed; notify
physician for sudden increase in frequency or intensity of pain; Metoclopramide 50mg IV every 4 hours as needed
for nausea and vomiting.
Question: Make Nursing Care Plan
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