[Verified Answer]: A nurse is caring for a client who is 36…

A nurse is caring for a client who is 36 hr postoperative following an open cholecystectomy. Medication Administration Record Acetaminophen 1.000 mg PO every 6 hr PRN pain or temperature of 38°C (100.4°F) or higher Morphine 4 mg IV every 3 hr PRN pain Enoxaparin 40 mg subcutaneous daily through postoperative day 7 Lactated Ringer’s 7S mL/hr via continuous IV Vital Signs 0815: Tympanic temperature 37.2° C (983° F) Respiratory rate 16/min Oxygen saturation 100% on 02 at 2 L/min via nasal cannula Heart rate 84/min Blood pressure 122/78 mm Hg 1615: Tympanic temperature 36.7° C (98° F) Respiratory rate 22/min Oxygen saturation 96% on 02 at 2 lein via nasal cannula Heart rate 108/min Blood pressure 104/68 mm Hg Nurses’ Notes 0815: Heart rate regular and lung sounds clear to auscultation. Alert and oriented. Bowel sounds hypoactive in all four quadrants. Reports incisional pain as 2 on a scale of 0 to 10. Client repositioned: denies need for analgesia. Encouraged to splint incision with pillow when moving or coughing. Urinary output 480 mL in 8 hr. 1615: The nurse is planning care for the client. The nurse should prepare to insert and request a prescription for . Complete the following sentence by using the lists of options. Client reports nausea and vomiting. Bowel sounds hypoactive in right quadrants and absent on left side of abdomen. Client reports feeling of abdominal fullness; abdomen distended and firm. Denies passing flatus since surgery. Reports incisional pain as 5 on a scale ofo to 10. Incision dressing dry and intact with moderate serosanguinous drainage. Heart rate regular with $1 I} and $2. Shallow respirations. lung sounds clear to auscultation. Urinary output 360 mL in 8 hr.