Identify nursing care that should made by the Surgery Ward Nurse in the preparation for thesurgical operation? 1:41Patient A is a man 37 years of age who arrives in the PACU following surgical removal of hisgallbladder. Surgical intervention using the laparoscopic approach is successful.65Patient A's airway and ability to maintain respiratory stability is evaluated immediately. Hisrespiration is 16 breaths per minute, and his heart rate is 78 beats per minute. Oxygen is beingadministered at 2 liters via nasal cannula. A pulse oximeter is placed on his left forefinger, and hisoxygen saturation is measured at 95%. The patient is arousable but easily drifts off to sleep.The report is received from the operating room staff. His operative course was unremarkable.Patient history obtained during the preoperative phase of care showed that he was a 2 pack per daysmoker and he denies taking any prescribed or over-the-counter medications. Patient A's weight isdocumented at 110 kg.Further assessment of the patient demonstrates normal skin perfusion with good capillary refill in allextremities. He has a drain in his abdomen with a small amount of yellowish discharge. The woundsite and sutures are clean and dry without bleeding or discharge. No Foley catheter is in place; whenquestioned, he denies the need to void. Completing a head-to-toe assessment shows no otheralterations from baseline.Patient wakes when the second set of vital signs is obtained. He reports that his pain is 6 on a 10-point scale. He states that he has pain in his shoulder and pressure in his abdomen. Morphine (5mg) is ordered for the pain, and 4 mg is administered IV. His wife is in the waiting room, and shecomes into the unit to visit and sits by his bed reading while the patient dozes off.Repeat vital signs are obtained every 15 minutes for the first hour. At 45 minutes after admission,the patient's oxygen saturation is noted to be 90%. PACU staff suctions secretions from the patient'sthroat, and he is instructed on how to use the incentive spirometer. His oxygen flow is increased to 4liters/minute by nasal cannula. No change in the patient's oxygen saturation is noted over the next15 minutes despite compliance with the respiratory exercises.At one hour after admission, the patient's oxygen saturations remain at 89% to 90%, his respiratoryrate is 16 breaths per minute, and he is more difficult to arouse. The nurse notifies the physician ofthe changes in Patient A's status. Oxygen delivery is changed again to a face mask at 4 liters/minutewithout improvement in the oxygen saturation level. All other parameters remain stable,demonstrating a readiness for discharge.Despite the improvement in the patient's status, the oxygenation issue remains worrisome. Thepatient is admitted for an overnight hospital stay, and respiratory exercises are continued, eventuallydemonstrating an improvement in oxygen saturations to a high of 94%. The next morning, thepatient is discharged to home.The assessment of Patient A was thorough and well organized. The ABCs were evaluated uponadmission to ensure stability of the patient. The history was ascertained, and vital signs wereobtained on the recommended basis. However, despite this excellent care, the patient did notdemonstrate adequate improvement in his status to be discharged the same day.The patient's history of smoking may be the cause of the respiratory insufficiency. Whether thepatient was honest in his assessment of his smoking habit could be debated; many patients do notfully and honestly report their cigarette and/or drug and alcohol use. In addition, the patient may nothave reported the feelings of nasal congestion and signs of a developing "cold" to theanesthesiologist prior to surgery. Had this been shared, the surgery may have been postponed. Thepatient may have been instructed to cut back on cigarette use and wait until the cold symptomssubsided prior to having surgery. When patients underreport or are dishonest during thepreoperative phase of care, the staff caring for the patient in the postoperative phase is put at adisadvantage.When Patient B's complaints of nausea do not recede, the nurse contacts the physician who ordersanother dose of Ondansetron, which is administered. Thirty minutes after medication administration,the patient's complaints of nausea have not subsided and the nurse again requests an order for anantiemetic, Metoclopramide. At this point, the physician orders a scopolamine patch be placed onthe patient. Subsequent to patch placement, Patient B notes that her nausea is resolving.

Question

Identify nursing care that should made by the Surgery Ward Nurse in the preparation for thesurgical operation? 1:41Patient A is a man 37 years of age who arrives in the PACU following surgical removal of hisgallbladder. Surgical intervention using the laparoscopic approach is successful.65Patient A's airway and ability to maintain respiratory stability is evaluated immediately. Hisrespiration is 16 breaths per minute, and his heart rate is 78 beats per minute. Oxygen is beingadministered at 2 liters via nasal cannula. A pulse oximeter is placed on his left forefinger, and hisoxygen saturation is measured at 95%. The patient is arousable but easily drifts off to sleep.The report is received from the operating room staff. His operative course was unremarkable.Patient history obtained during the preoperative phase of care showed that he was a 2 pack per daysmoker and he denies taking any prescribed or over-the-counter medications. Patient A's weight isdocumented at 110 kg.Further assessment of the patient demonstrates normal skin perfusion with good capillary refill in allextremities. He has a drain in his abdomen with a small amount of yellowish discharge. The woundsite and sutures are clean and dry without bleeding or discharge. No Foley catheter is in place; whenquestioned, he denies the need to void. Completing a head-to-toe assessment shows no otheralterations from baseline.Patient wakes when the second set of vital signs is obtained. He reports that his pain is 6 on a 10-point scale. He states that he has pain in his shoulder and pressure in his abdomen. Morphine (5mg) is ordered for the pain, and 4 mg is administered IV. His wife is in the waiting room, and shecomes into the unit to visit and sits by his bed reading while the patient dozes off.Repeat vital signs are obtained every 15 minutes for the first hour. At 45 minutes after admission,the patient's oxygen saturation is noted to be 90%. PACU staff suctions secretions from the patient'sthroat, and he is instructed on how to use the incentive spirometer. His oxygen flow is increased to 4liters/minute by nasal cannula. No change in the patient's oxygen saturation is noted over the next15 minutes despite compliance with the respiratory exercises.At one hour after admission, the patient's oxygen saturations remain at 89% to 90%, his respiratoryrate is 16 breaths per minute, and he is more difficult to arouse. The nurse notifies the physician ofthe changes in Patient A's status. Oxygen delivery is changed again to a face mask at 4 liters/minutewithout improvement in the oxygen saturation level. All other parameters remain stable,demonstrating a readiness for discharge.Despite the improvement in the patient's status, the oxygenation issue remains worrisome. Thepatient is admitted for an overnight hospital stay, and respiratory exercises are continued, eventuallydemonstrating an improvement in oxygen saturations to a high of 94%. The next morning, thepatient is discharged to home.The assessment of Patient A was thorough and well organized. The ABCs were evaluated uponadmission to ensure stability of the patient. The history was ascertained, and vital signs wereobtained on the recommended basis. However, despite this excellent care, the patient did notdemonstrate adequate improvement in his status to be discharged the same day.The patient's history of smoking may be the cause of the respiratory insufficiency. Whether thepatient was honest in his assessment of his smoking habit could be debated; many patients do notfully and honestly report their cigarette and/or drug and alcohol use. In addition, the patient may nothave reported the feelings of nasal congestion and signs of a developing &#34;cold&#34; to theanesthesiologist prior to surgery. Had this been shared, the surgery may have been postponed. Thepatient may have been instructed to cut back on cigarette use and wait until the cold symptomssubsided prior to having surgery. When patients underreport or are dishonest during thepreoperative phase of care, the staff caring for the patient in the postoperative phase is put at adisadvantage.When Patient B's complaints of nausea do not recede, the nurse contacts the physician who ordersanother dose of Ondansetron, which is administered. Thirty minutes after medication administration,the patient's complaints of nausea have not subsided and the nurse again requests an order for anantiemetic, Metoclopramide. At this point, the physician orders a scopolamine patch be placed onthe patient. Subsequent to patch placement, Patient B notes that her nausea is resolving.

Accepted Answer

Introduction:-
While the pateint are in the recovery room, the staff will be monitor the patient…

Identify nursing care that should made by the Surgery Ward Nurse in the preparation for the surgical operation?