Mrs. Gibbs, 72 years-old, has senile cataracts and has been instilling mydriatic eye drops. Her vision...

Mrs. Gibbs, 72 years-old, has senile cataracts and has been instilling mydriatic eye drops. Her vision has progressively worsened and she is scheduled today for a right cataract extraction in the outpatient clinic. The MD orders the following pre-op preparation: NPO; instill mydriatric and cycloplegic eye drops 1 hours before surgery; Valium 5 mg po 1 hour before surgery. Mrs. Gibbs arrives at the outpatient clinic at 0800 and she is scheduled for surgery at 1000.

One-hour post-op you assess Mrs. Gibbs and note the following: c/o right brow pain, anxious, P:110, B/P: 128/80 coughing and c/o nausea

Based on the post-op assessment., identify and write the priority problem in the box below. Then, starting with the small box labeled #1, prioritize the nursing intervention for this situation and identify your follow-up action plan for Mrs. Toms. What is the priority problem? What is new action Plan?

Priority Problem #1 #2 #3 #4 #5 #6

New action plan

Nursing Interventions:

A. Avoid rapid eye movement

B. Admistered antiemetic if ordered

C. Doument findings/nursing care

D.Call physician

E. Recheck pulse and B/P

F.Stay with Mrs. Gibbs

Expert Solution

Nightingale answered 2 years ago

Mrs. A, 78 years old, reports to her health care provider (HCP) that she has been...

Mrs. A, 78 years old, reports to her health care provider (HCP) that she has been waking up in the middle of the night feeling like she was going to suffocate. She has also noticed that her legs are tight, and it takes every bit of energy she has to walk to the mailbox. What additional information would be helpful?

Samantha recently went to the eyedoctor because her vision has progessively been getting worse. The eye...

Samantha recently went to the eyedoctor because her vision has progessively been getting worse. The eye doctor stated that her eyeballs are too long and the light rays that are hitting her retina are diverged. Based on the diagnose the doctor suggested that in order to correct her vision they should reshape her cornea Question: 1. What type of visual defect does Samantha have? Explain your answer 2. Would Samantha's cornea be more convex or less convex? Explain your answer...

Mrs. Toms, 72 years old, fell at home and was admitted to the hospital with a...

Mrs. Toms, 72 years old, fell at home and was admitted to the hospital with a fracture of the right hip. She was alert and oriented on admission. After the initial work-up she was taken to surgery for an open reduction with internal fixation (ORIF) of her right hip. On her first post-op day, her right hip dressing has a small amount of dried dark red drainage. She has an IV of D5/0.45 NS at 75 mL/hr, O2 at 2L/NC,...

Mrs. Smith, 72 years old, was placed on a nitroglycerin transdermal patch. She is experiencing increased...

Mrs. Smith, 72 years old, was placed on a nitroglycerin transdermal patch. She is experiencing increased levels of confusion and requires assistance with this medication. What should the practical nurse tell Mrs. Smith’s daughter regarding the nitroglycerin patch? a) Read the administration instructions out loud regularly so that Mrs. Smith can apply her patches independently. b) If a patch is not found at its original location, assume that it has fallen off and apply a new patch. c) Ensure that...

Jennifer is 72 years old and has been confined to bed while she recovers from a...

Jennifer is 72 years old and has been confined to bed while she recovers from a hip fracture. Why does her doctor say she is at risk for developing a bladder infection? Describe the correlation between Jennifer's condition and a possible bladder infection.

Mrs Schmidt is a 65 years old woman who has been staying at an acute care...

Mrs Schmidt is a 65 years old woman who has been staying at an acute care facility for over 30 months now. She has been suffering for several years from chronic obstructive pulmonary disease and was placed on mechanical ventilation last fall. She was initially admitted to your facility for a weaning .Last night ,the physician informed her that she was to leave the acute facility, connected to the mechanical ventilation ,and that no further trials will be initiated. This...

A client has been prescribed timolol eye drops. What are three (3) possible adverse effects of...

A client has been prescribed timolol eye drops. What are three (3) possible adverse effects of this medication and nursing interventions/client education related to these effects? Why would a client have timolol eye drops prescribed? Write the steps on "Administering eye drops" from the beginning including washing hands. What are the classification and Therapeutic Drug Levels of the following Aminophyllin Carbamazephine Digoxin Gentamycin Lidocaine Magnesium Sulfate Phenobarbital Phenytoin Salicyate Theophyllin Tobramycin What is a peak and Trough levels

Ms Duffy is 28 years old and wears spectacles. Over the last three years her vision...

Ms Duffy is 28 years old and wears spectacles. Over the last three years her vision has been worsening even with spectacles. She was examined by an eye doctor and diagnosed to have thinner and steeper than normal corneas with vision impairment in both eyes but more in the left than right eye. Her corneal condition and vision were expected to continue to worsen without intervention. Thus, the eye doctor performed a negligibly invasive treatment procedure on her eyes, first...

CASE 1. Mrs McMclelland is 43 years old and has two children. She has been receiving...

CASE 1. Mrs McMclelland is 43 years old and has two children. She has been receiving chemotherapy treatment for a year due to breast cancer. Her hair was lost as a result of chemotherapy treatment. In the night shift, nurse hears crying sound from Mrs. McClelland’s room and goes to her room. Nurse: What's wrong with you Mrs. McMclelland? What happened? Why are you crying? Look… you burn yourself out. Mrs McMclelland: Nothing. Nurse: Ohh..poor…did you miss your children? Mrs...

Mrs. Fatima is 65 years old , celebrating her birthday . She is widow , lost...

Mrs. Fatima is 65 years old , celebrating her birthday . She is widow , lost her husband 6 month back . She lives alone but she has grandchildren who sometimes visit her She works as a school teacher . Everyone in the school was thanking her for her good work . Ali is a teacher working in the same school , he commented telling her that you are supposed to be at home by this age , you don't...

Question