Question

M.C. is a 36-year-old female who had a Laparoscopic cholecystectomy.

She was under general anesthesia and required a fluid bolus during the intraoperative phase.

Post -Op Vitals- 98.8 Temp

                          86 HR

                          16 RR

                          104/65 BP

                          O2 Sat 94% on 4 liters NC

Surgical Incisions - 4 small incisions on her abdomen with glue and steri-strips

Allergies – none

Home medications- Aspirin

                                Metformin

                                Omeprazole

Medical History - DM

                            HTN

                            GERD

M.C. lives at home with her husband and 3 children between the ages of 6-12.

M.C. is a stay at home mom and her husband runs his own business at the home.

1. what is the pts Eriksons developmental stage

2. What are two nursing diagnoses

3. What are some relevant diagnostic procedures

4. What are two things the pt is at risk for

5. inter-professional consults - with rationale supported with evidence-based citations.

Answer 1

1. Early adulthood

2. Risk for deficient fluid volume related to intraoperative bleeding

acute pain related to actual tissue damage secondary to lap cholecystectomy

3.diagnostic procedures:

• Computed tomography
• endoscopic retrogade cholangiopancreatography
• magnetuc resonance umaging

4.risks

bile duct injuries, bleeding, bowel injury