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2. Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiratory rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100°F, and her blood pressure is 9050 mm Hg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die. (Learning Objective 7) at could possibly be going on w nurse provide immediately? ould he

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Answer #1

This patient may have a pulmonary embolism:

Pulmonary embolism is the most common complication of gastric bypass surgery. As a nurse, she should inform the physician about patient condition,provide fowler's position, assess the patient using cardiac monitoring.

Administer oxygen by nasal cannula

Administer IV fluids to treat hypotension, if ineffective initiate vasopress or therapy as prescribed

Administer small doses of IV morphine or sedatives as prescribed to relieve anxiety and discomfort

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