Patient Profile C.H. is a very active 64-year-old white woman. She volunteers se


Patient Profile
C.H. is a very active 64-year-old white woman. She volunteers several days a week at the local senior center. She has recently developed increasing abdominal pain, accompanied by a 25-lb weight loss. A magnetic resonance image (MRI) scan showed a large mass in the fundal area of the stomach. A subtotal gastrectomy was performed. She is now day 1 into her postoperative recovery.
Subjective Data
States her abdominal pain is a level 8 on a 1 to 10 scale
Objective Data
Physical Examination
Blood pressure 155/74, pulse 104, temperature 100°F, respirations 20
Alert and oriented to person, place, and time
Diminished breath sounds and crackles in bilateral lower lobes
Oxygen saturation 93% on room air
Skin is warm and dry
Bowel sounds absent in all four quadrants
Abdomen tender and slightly distended
Nasogastric tube to low continuous wall suction draining brownish-green drainage
Lactated Ringer’s solution infusing at 100 mL/hr
Abdominal wound is clean and dry, dressing is intact
Diagnostic Studies
Preoperative chest radiograph was clear, free of any infiltrates and fluid
Question 1
What are some possible postoperative complications that C.H. could experience?
Question 2
From the data given, which postoperative complication is C.H. likely experiencing?
Question 3
What assessment data led the nurse to make this decision?
Question 4
What are the priority nursing interventions that the nurse should implement to address this postoperative complication?
Question 5
What diagnostic test might be indicated and why?
Question 6
Identify three outcomes that would indicate that C.H.’s condition is improved as a result of the interventions.


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