Mr. B returns to the floor following minimally invasive cholecystectomy surgery. It is the evening of post op day #1. Orders include: NGT to low intermittent wall suction (LIWS), remove when tolerating clear liquid diet Peripheral IV 0.45%NS with 40 mEq KCL at 125mL/hr Dry clean abdominal dressing, change q 12 hr VS with temp q 4 hours Progress diet as tolerated Turn, cough, and deep breathe q 2 h Incentive spirometer (IS) q 1h while awake SCDs on while in bed Keep oxygen saturation greater than 92% Ambulate as tolerated Morphine Sulfate 2-10 mg. IV q 2 hours for pain Ampicillin 2Gms. IVPB q 6h Chest X Ray in AM CBC and BMP in AM NPH insulin 20 units SQ daily at 2200, Regular insulin on a sliding scale ac & hs: If blood sugar is: < 150 give 0 units 151-200 give 2 units 201-250 give 4 units 251-300 give 6 units 301-350 give 8 units >350 call primary care provider What GI complication may result from one of the medications listed in Mr. B.s orders? Identify one nursing intervention that might prevent the above GI complication Identify three nursing interventions that you would use to prevent pulmonary complications. What assessment parameters would you use to determine when you would advance D.Cs diet? Mr. B is taking a full liquid diet and tolerating it well. There is an order that the NGT can be removed. Her blood sugar at 10:00 p.m. is 248. What insulin will the nurse administer? What post-operative lab values would be important to monitor on this client and why?.

1. Mr. B returns to the floor following minimally invasive cholecystectomy surgery. It is the evening of
post op day #1. Orders include: NGT to low intermittent wall suction (LIWS), remove when
tolerating clear liquid diet Peripheral IV 0.45%NS with 40 mEq KCL at 125mL/hr Dry clean
abdominal dressing, change q 12 hr VS with temp q 4 hours Progress diet as tolerated Turn,
cough, and deep breathe q 2 h Incentive spirometer (IS) q 1h while awake SCDs on while in bed
Keep oxygen saturation greater than 92% Ambulate as tolerated Morphine Sulfate 2-10 mg. IV q 2
hours for pain Ampicillin 2Gms. IVPB q 6h Chest X Ray in AM CBC and BMP in AM NPH insulin
20 units SQ daily at 2200, Regular insulin on a sliding scale ac & hs: If blood sugar is: < 150 give 0
units 151-200 give 2 units 201-250 give 4 units 251-300 give 6 units 301-350 give 8 units >350 call
primary care provider What GI complication may result from one of the medications listed in Mr.
B.s orders? Identify one nursing intervention that might prevent the above GI complication Identify
three nursing interventions that you would use to prevent pulmonary complications. What
assessment parameters would you use to determine when you would advance D.Cs diet? Mr. B is
taking a full liquid diet and tolerating it well. There is an order that the NGT can be removed. Her
blood sugar at 10:00 p.m. is 248. What insulin will the nurse administer? What post-operative lab
values would be important to monitor on this client and why?