Final answer:
Nurses should anticipate prescriptions for pain management and antibiotics after a laparoscopic cholecystectomy. If unusual symptoms like fever and urinary issues arise, as they did for Roberta, additional assessments may be needed. The healthcare team reviews recovery and care instructions with the patient for proper follow-up.
Step-by-step explanation:
Following a laparoscopic cholecystectomy, nurses can anticipate several standard prescriptions aimed at ensuring patient recovery and comfort. Typically, these prescriptions may include pain management medications, such as acetaminophen or ibuprofen, and possibly opioids if the pain is more severe. Antibiotics may also be prescribed to prevent infections, especially if symptoms like a high fever and abdominal pain present, as in Roberta's case. Additionally, a cholecystokinin (CCK) inhibitor might be used to reduce the stimulation of pancreatic lipase and to manage the contraction of the bile ducts in absence of the gallbladder.
Since Roberta developed symptoms like a burning sensation during urination and the presence of blood in her urine, which are not typical postoperative symptoms, further assessment would be necessary. The healthcare team would likely investigate for possible complications, such as a urinary tract infection or injury to nearby structures. The symptoms Roberta is experiencing should be evaluated urgently to address these concerns adequately.
The recovery and care plan, reviewed by the surgeon, nurse, and anesthesia professional, will indicate the need for close monitoring, follow-up visits, and potentially additional imaging or tests, depending on the patient’s specific symptoms and overall health status.