(SOLVED) After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the right base posteriorly.
MN, age 40 , is admitted with acute cholecystitis, elevated WBC, and a fever of . 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 as follows:
After morning report, you do an assessment and auscultate decreased breath sounds and crackles in the right base posteriorly. MN's right middle lobe and right lower lobe percuss slightly dull. MN splints her right side when attempting to take a deep breath. You suspect that she is developing atelectasis.
1) Based on the above assessment statement, identify 5 interventions that you would include in your care plan.
2) Radiology calls with a report from the radiologist on the morning CXR. MN has atelectasis. Would you change anything that you had already planned for MN? Explain what you would do differently if MN had pneumonia.
3) What discharge teaching instructions will you include for MN? State rationale with each teaching point. Include information regarding diet, medications (pain medications), activity, and wound care.
Expert Solution Preview
Five interventions that can be included in the care plan for MN's atelectasis are:.....