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. What are the priorities of the perioperative nurse?
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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.
- What are the priorities of the perioperative nurse?
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- During your preoperative assessment of your patient, a 68year old woman who is alert and oriented describes her surgery as getting a new right knee! The operating room scheduled indicates that she is having a left knee arthroscopic. 1. What are the priorities of the perioperative nurse? 2. What further assessment are priorities? 3. What nursing interventions are warranted?Assume A nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?.A nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?
- Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…Marilyn Hughes is a 45-year-old female client admitted to the post-anesthesia care unit following a repair of a left mid-shaft tibia-fibula fracture. She returned from surgery with a below the knee ace bandage and splint dressing in place. Neurovascular checks are in a normal range. You are the post-anesthesia care unit (PACU) RN assigned to care for this client. The post-operative course proceeds smoothly until the client begins complaining of increasing pain in the left lower extremity. The RN assesses the client's left leg and notes that the client is complaining of sensations of “pins and needles” in the left lower extremity and complains of “tightness”. The RN assesses localized edema in the left foot and visible lower left extremity and notes capillary refill of greater than three seconds noted in the left foot and less than three seconds noted in the right foot. The RN communicates the findings to the surgeon, who assesses the client and determines the need to return to the OR…A resident is admitted to a long-term care facility for rehabilitation after a total knee replacement. The resident is complaining of pain. What is the nurse’s priority action?
- You are assisting a client with range-of-motion (ROM) exercises. The client does not want to participate and tells you to leave the room. Does the person have the right to refuse? What will you do? Who should you report this to? Will nursing have to take action?A nurse is ambulating a 48-year-old female patient for thefirst time following surgery for a knee replacement. Shortlyafter beginning to walk, the patient tells the nurse that she isdizzy and feels like she might fall. Place these nursing actions in the order in which the nurse should perform them to pro-tect the patient: a. Grasp the gait belt.b. Stay with the patient and call for help.c. Place feet wide apart with one foot in front.d. Gently slide patient down to the floor, protecting her head.e. Pull the weight of the patient backward against your body.f. Rock your pelvis out on the side of the patient.You are a nurse caring for a patient who has an extensive history of peripheral vascular disease, resulting in frequent surgeries for the purpose of revascularizing her lower extremities with the intent of avoiding amputations, if possible. This is your patient’s third surgery this year; she has been brought to your step-down unit for postoperative recovery. While implementing the surgeon’s orders, you note several conditions that require the surgeon’s immediate attention. Upon calling the surgeon, he indicates that he will address these issues tomorrow. As a nurse advocate, how would you represent your patient?
- A nurse enters a patient’s room and examines the patient’s IVfluids and cardiac monitor. The patient states, “Well, I haven’tseen you before. Who are you?” What is the nurse’s bestresponse?a. “I’m just the IV therapist checking your IV.”b. “I’ve been transferred to this division and will be caring foryou.”c. “I’m sorry, my name is John Smith and I am your nurse.” d. “My name is John Smith, I am your nurse and I’ll be car-ing for you until 11 p.m.”Imagine you are working as a P.T.aide, in a Outpatient clinic. You are asked to prepare a patient for evaluation by a Physical therapist. The pa has been diagnosed with rheumatoid arthritis and is experiencing acute inflammation of the left knee? The PT is to conduct a thorough evaluation of the patient to determine the appropriate treatment given their condition. Positioning 1. Describe how the patient will be positioned for the planned treatment 2.Explain how you might assist the patient if required 3.Explain what steps you will take to protect the patient joints from further injury. Draping Indicate any articles of clothing that will be removed for the planned treatment. 2.Describe how the patients body will be draped for the planned treatmentClinical 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. What are the priorities of the perioperative nurse?