your preoperative assessment of your patient, a 68-year-old woman who is alert and oriented describes her surgery as 'getting a new right knee'. The Operating Room schedule indicates that she is having a left knee arthroscopy. 1. What are the priorities of the perioperative nurse? 2. What further assessments are priorities? 3. What nursing intervention
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Clinical reasoning Scenario:
During your preoperative assessment of your patient, a 68-year-old woman who is alert and oriented describes her surgery as 'getting a new right knee'. The Operating Room schedule indicates that she is having a left knee arthroscopy.
1. What are the priorities of the perioperative nurse?
2. What further assessments are priorities?
3. What nursing interventions are warranted?
Step by step
Solved in 3 steps
- Topic Hypertension 4. Nursing management - using the nursing process, develop two plans of care ‐ 1 related to one priority physiological nursing diagnosis and 1 related to one priority psychosocial nursing diagnosis. Please include the following information in each plan of care: • Priority nursing diagnosis • short and 1 long‐term goal • to 5 nursing interventions with rationale statements, • to 5 evaluative statements based on interventions, and • A minimum of 3 potential patient education needs for consideration. asap pleaseTwo patients are admitted to the day surgery unit for arthroscopies. One patient is a 30-year- old who will ambulate with crutches and the other is a 75-year-old who lives alone. 1. How would your assessments, preoperative education, preparation and discharge planning differ for these two patients?No need generalize answer ok. Module Eight: Suffering, Quaternary Prevention, Ethics in Chronic Illness Situations This module introduces quaternary prevention and addresses the role of nurses in situations where individuals and families may be suffering. Principles of ethics are revisited as related to suffering and the nursing role. Module Objectives 1. Discuss types of suffering. 2. Address the role of nursing in situations of suffering. 3. Introduce quaternary prevention as it relates to nursing practice. 4. Apply the Code of Ethics for Nurses with Interpretive Statements in situations of suffering. 5. Consider informed risk, autonomy, beneficence, and nonmaleficence in difficult situations. Resources and readings (you have seen some of these before in this course): Required videos linked into this module American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). (available free through the SMSU McFarland Library e-books:…
- 8. You are the nurse assigned to care for a 65-year-old man who has elective surgery to replace and arthritic hip. The client was directly admitted to the surgery unit and is now back in his room on the orthopedic floor several hours after being discharged from the post anesthetic recovery unit. Which type of planning will be done during this first postoperative shift? a. Ongoing b. None of these c. Discharge d. Initial 10. The nurse evaluates the outcome criteria of a dying client and discerns that the goal has not been met. Which of the following should the nurse do first? a. Ask that another nurse take over care of the client b. Notify the physician immediately c. Reassess to determine if the nursing diagnosis was appropriate d. Talk with the client’s family to determine if they have intervened inappropriately 11. Twenty minutes after administering a pain medication to the client, the nurse returns to ask if the client’s level of pain has decreased. The nurse is engaging in which…discuss and justify 2 nursing safety considerations for patients receiving preoperative medication while awaiting transfer to surgeryClinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home. Identify what information is essential to obtain during report from the operating room. What are your first three priorities for immediate care of this patient in the PACU? Identify the discharge instructions that the patient will need.
- NURSING DIAGNOSIS EXERCISES: WRITING DIAGNOSIS STATEMENTS Instruction: Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis. In other words, you also must include the “relate to” and “as evidenced by” statements that corresponds to the given situation. Seventy-seven-year-old Hilda Jameson is being evaluated at the clinic. Her daughter states that Mrs. Jameson has not been as active as usual and has experienced frequent periods of confusion. Examination confirms that she is disoriented to time and place and asks that someone find her husband. Her daughter reports that he has been deceased for several years.The nurse is reinforcing teaching for the client who is scheduled for a thoracentesisWhat are three (3) teaching points that should be reinforced this client related to the thoracentesis?Answer needs.. To prevent the incidence of the development of a DVT for a patient after orthopedic surgery, which of the following interventions would the nurse employ? (SATA) A. Maintain strict bed rest with bathroom privileges only. B. Increase oral fluids C. Administer anticoagulant medications as ordered D. Ensure sequential compression devices are in use when patient is non-ambulatory E. Minimize flexing of the lower extremity without a physical therapist present?
- Explain 3 assessments you would do as an Enrolled nurse. You may need to include the wife. with a patient with CVA (simple and easy)NURSING DIAGNOSIS EXERCISES: WRITING DIAGNOSIS STATEMENTS Instruction: Formulate a three-part diagnostic statement that clearly describes the nursing diagnosis. In other words, you also must include the “relate to” and “as evidenced by” statements that corresponds to the given situation. Carl James was hospitalized yesterday. Today he demonstrates the following signs and symptoms: blood pressure, 138/78 mm Hg; pulse rates, 102 beats/min and regular; respiratory rate, 24 breaths/min and using accessory muscles; restless; and irritable. Oral temperature is 99.80 The pulse oximeter reading is 94%. Mr. James is diaphoretic and complains of a headache. His lung sounds are clear but diminished. He states he feels “light-headed” when he moves from his bed to chair.Case Analysis 1. Search one case of Older adults with Health Issues. Conduct the necessary observations and analysis. 2. How is the physical care, psychologicak care, spiritual care of the older adult?