Nursing Interventions: A Case Study
1. Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s.
• Comfort and Safety.
Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink, 2000). As for her safety, the bed must be lowered down, side rails up if necessary and all her needs must be placed within her reach. In addition, nurses should use the appropriate antibiotic prophylaxis, as she will be undergoing arthroplasty to prevent postoperative infections. (US Department of Health and Human Services, 2001) She will also be given …show more content…
She will be instructed not to eat or drink to minimize the risk of complications such as pulmonary aspiration and vomiting during the operation (Liddle, 2014). Before Audrey goes to the operating room, nurses must check the contents of the medical record to be sure that appropriate laboratory result are available as well as her fluid balance charts, medications and x-ray results. Also, nurses must ensure that informed consent has been obtained, as it is a medical-legal and clinical aspect of health care practice and the current progress notes must be charted as well as her allergy for Bactrim. Current vital signs must be taken and recorded as well. If pre operative vital signs are abnormal, notify the doctor straight away as it may increase Audrey’s surgical danger. Basic personal hygiene such as bathing will be performed or applying antiseptic agent on the skin at the incision site. It lessens the number of bacteria on the skin and reduces the risk of developing surgical site infection. Also, mark her left hip for the incision site. Audrey will also be checked and documented for any prosthetic device such as dentures and hearing aids to prevent damaging of the item during the surgery. Moreover, pre operative medications will be administered as per doctor’s order to reduce Audrey’s anxiety, lessen the chances of having nausea and vomiting and respiratory tract secretions (Taylor, 2009). Lastly, promote a restful and comfortable environment and offer her a
• Comfort and Safety.
Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink, 2000). As for her safety, the bed must be lowered down, side rails up if necessary and all her needs must be placed within her reach. In addition, nurses should use the appropriate antibiotic prophylaxis, as she will be undergoing arthroplasty to prevent postoperative infections. (US Department of Health and Human Services, 2001) She will also be given …show more content…
She will be instructed not to eat or drink to minimize the risk of complications such as pulmonary aspiration and vomiting during the operation (Liddle, 2014). Before Audrey goes to the operating room, nurses must check the contents of the medical record to be sure that appropriate laboratory result are available as well as her fluid balance charts, medications and x-ray results. Also, nurses must ensure that informed consent has been obtained, as it is a medical-legal and clinical aspect of health care practice and the current progress notes must be charted as well as her allergy for Bactrim. Current vital signs must be taken and recorded as well. If pre operative vital signs are abnormal, notify the doctor straight away as it may increase Audrey’s surgical danger. Basic personal hygiene such as bathing will be performed or applying antiseptic agent on the skin at the incision site. It lessens the number of bacteria on the skin and reduces the risk of developing surgical site infection. Also, mark her left hip for the incision site. Audrey will also be checked and documented for any prosthetic device such as dentures and hearing aids to prevent damaging of the item during the surgery. Moreover, pre operative medications will be administered as per doctor’s order to reduce Audrey’s anxiety, lessen the chances of having nausea and vomiting and respiratory tract secretions (Taylor, 2009). Lastly, promote a restful and comfortable environment and offer her a