07 May WHAT PATIENT ASSESSMENTS DO YOU PERFORM WHILE THE PATIENT IS RECEIVING THE BLOOD?
Identify five priority nursing actions to be completed before sending a patient to the operating room?
In the Recovery Room, Mrs. Johnson has orders for 0xygen at 2 liters/minute per nasal cannula, PCA with Morphine, .9 NaCl IV at 100cc/hr., Ancef 1 gm. IVPB q 6 hrs., Lovenox (Enoxaparin Sodium) 40 mg sq. daily, abdominal dressing, abdominal binder, Foley catheter, peri-pad, TEDS/SCDS, incentive spirometer q 2hrs, ice chips, advance diet as tolerated, CBC in am (call physician if Hg less than 9), up in chair in am.
13. In the recovery room, the patient would be discharged according to what scale?
14. At what number could the patient be discharged from the PACU?
15. You are the nurse caring for Mrs. Johnson on post op day one. You receive her CBC results and the Hg is 9. What are your next best steps? Name four
The surgeon orders one unit PRBC’s. You receive a call from the blood bank that the patient’s blood is ready to be picked up. The patient care tech hands you the unit of blood.
Answer the following questions:
16. What consent must you check before administering the blood to the patient?
17. What IV solution should be used to hang with blood?
18. Are vital signs necessary before hanging blood?
19. How often do you have to assess vital signs while the patient is receiving blood?
20. Can you check the blood alone before administering to patient?
21. What patient identifiers do you need to check with the second RN before giving blood?
22. How long should you stay with the patient after hanging blood?
23. What patient assessments do you perform while the patient is receiving the blood?
24. What is the maximum amount of hours that one unit of blood can be hung for?
25. What teaching should you provide regarding blood transfusion with the patient?
Identify post-op care for Mrs. Johnson related to each of the following:
26. While assessing Mrs. Johnson you notice her left calf is swollen. What do you suspect?
27. What other symptoms might she experience in addition to her leg being swollen?
28. What is your next best step?
29. What test will the doctor probably order due to Mrs. Johnson’s left calf swelling?
30. The patient is requesting to walk to the washroom. What should your next best step be?
31. The patient’s tests are normal. What teaching should you do to promote the patient’s circulation to reduce the lower leg swelling?
The patient’s TED hose have been soiled with urine. The nurse manager has instructed the staff on the importance of fiscal responsibility and unnecessary ordering of supplies recently. You realize TED’s are costly so you decide to remove the TED hose and wash them rather than order a new pair.
32. Is this the best economical decision for the patient and nursing unit?
33. How can you address the patient’s sexuality conce
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