1) Discuss each of the following orders. Are these orders appropriate for MN? State your rationale.
-Ampicillin 2 g IVPB every 6 hours
-IS (Incentive Spirometer) every 2 hours while awake
-Progress to low-fat diet as tolerated
-Ambulate in hall with assistance four times daily
2) State the rationale, mechanism of action, side effect and nursing implications for each medication that is ordered. What gastronintestinal complications may result from the pain medication listed on in MN’s orders? Nursing Implications for Each Medication Essay Paper
-Ampicillin 2 g IVPB every 6 hours: This order may be appropriate for MN if she has a
bacterial infection that is sensitive to ampicillin. The rationale for this order is to treat
the infection and prevent it from worsening.
-IS (Incentive Spirometer) every 2 hours while awake: This order is appropriate for MN
if she is at risk for developing pneumonia or other respiratory complications due to her
condition or immobility. The rationale for this order is to improve lung function and prevent atelectasis.
-Progress to low-fat diet as tolerated: This order is appropriate for MN if she has a history of or is
at risk for gallbladder disease or pancreatitis. The rationale for this order is to reduce the workload
on the digestive system and prevent exacerbation of these conditions.
-Ambulate in hall with assistance four times daily: This order is appropriate for MN if she is able to safely
ambulate with assistance and is at risk for complications of immobility, such as deep vein thrombosis or
pneumonia. The rationale for this order is to improve mobility and prevent complications associated with immobility.
-Ampicillin: Rationale – treats bacterial infections, Mechanism of Action – inhibits bacterial
cell wall synthesis, Side Effects – allergic reactions, diarrhea, nausea/vomiting, Nursing
Implications – monitor for allergic reactions, monitor for diarrhea, monitor for therapeutic
response, administer on a schedule as prescribed.
-Pain medication: Rationale – manage pain, Mechanism of Action – varies depending on the
specific medication, Side Effects – varies depending on the specific medication but can include
gastrointestinal complications such as constipation, nausea, and vomiting, Nursing Implications – assess
pain level and response to medication, monitor for adverse effects, administer on a schedule as prescribed,
monitor for signs of respiratory depression if opioids are used.
Gastrointestinal complications that may result from the pain medication include constipation, nausea,
vomiting, and decreased gastrointestinal motility. Nurses should monitor for these complications, encourage
hydration and fiber intake, and administer laxatives or stool softeners as prescribed to prevent and manage constipation.
1.-Ampicillin 2 g IVPB every 6 hours: This order is appropriate for MN as it is commonly used to treat
bacterial infections. The frequency of administration and dose is within the usual range for an adult patient.
2.-Ampicillin: The rationale for using Ampicillin is to treat bacterial infections. It works by inhibiting bacterial
cell wall synthesis. Common side effects include diarrhea, nausea, vomiting, and allergic reactions. Nursing
implications include monitoring for allergic reactions, assessing for diarrhea, and ensuring adequate hydration to prevent crystalluria . Nursing Implications for Each Medication Essay Paper