This report provides a comprehensive post-operative nursing care plan for Mrs. Carey, a patient who underwent a cholecystectomy. It begins with an introduction to Mrs. Carey's condition, including her medical history and the specifics of her surgery. The report then delves into a detailed assessment of Mrs. Carey's pain, discussing pain management strategies, pain assessment scales, and the importance of regular pain evaluations. It identifies three priority patient problems: high pain levels, nausea and vomiting, and frequent fever. The report also identifies potential complications, such as incision bleeding, and outlines planned care for each problem and complication, including the application of antibiotic ointment and wound care. It discusses the implementation of care, including keeping the incision dry and avoiding baths. The report also includes criteria for evaluating the care plan, such as monitoring the incision, and details of medication, including drug classes, adverse effects, and nursing considerations. Finally, the report addresses Mrs. Carey's educational needs at discharge, referencing the NMBA 2016 Registered Nurse Standard for Practice.
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