Temperature lower than 100 degrees, oxygen higher that 90%, decreased respiratory rate, clear lung sounds 10. M.N.'s sister questions you, saying, “I don't understand. She came in here with a bad gallbladder. What has happened to her lungs?” How would you respond? Reassure the sister that MN was very sick and that she is receiving pain meds for her procedure site. These pain meds will help her to cough and breathe deeply, move around and walk so that her lungs will remain open. Let her know that MN is recovering well. Ask MN sister in what ways would she like to help with the recovery. Instruct her on ways she could do so. 11. Despite your interventions, 4 hours later M.N. is not improved. Using SBAR, what would you report to the physician? Identify my name and patient, describe the situation including the vitals, and lung sounds. State how many hours post op MN is, explain all the meds given and at what time they were administered, use of incentive spirometer and lastly tell them her current status along with my belief that she may be experiencing atelectasis. 12. The physician orders a CXR. Radiology calls with a report, confirming that M.N. has atelectasis. Will that change anything that you have already planned for M.N.? Explain what you would do differently if M.N. had pneumonia. No, since it was already suspected I will continue with my interventions that I has started. I will continue to monitor her. If she had pneumonia the only thing that would be different is the antibiotics that would be added to her medications ordered
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