Adds the nursing diagnosis potential for infection

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Reference no: EM133918567

Case Study :

Elvis Baker, a 65-year-old black man, is being admitted to the preoperative suite for a colon resection for removal of a tumor. Mr. Baker is a retired coal miner. He has a history of hypertension and type 2 diabetes. He smokes one pack of cigarettes daily. His wife and brother are both with him. He has not had surgery before, so he is anxious. Lori Rhodes, a 22-year-old student nurse, is assigned to care for Mr. Baker. She is in her last year of nursing school. After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.

1. Lori is going over Mr. Baker's preoperative checklist. The informed consent form has been signed by Mr. Baker. Lori knows that it is the responsibility of the _____ to tell the patient about the surgery, including risks, benefits, expected outcomes, and alternatives.

A. preoperative nurse

B. surgeon

C. anesthesiologist

D. circulating nurse

2. As part of Lori's assignment, she is observing Mr. Baker's surgery. She is to follow the circulating nurse. What will Lori learn is the role of the circulating nurse during the surgery?

3. After the surgery, Mr. Baker is taken to the PACU, the endotracheal tube is removed, and Mr. Baker responds to his name. During the time in the PACU, Lori monitors respiratory status closely due to what factors?

A. Anesthesia can have a depressing effect on respirations.

B. Mr. Baker has a history of smoking.

C. Mr. Baker has an abdominal incision.

D. All of the above.

4. Lori is developing Mr. Baker's care plan and adds the nursing diagnosis potential for infection. Why would Mr. Baker is at high risk for developing an infection?

5. Mr. Baker's nurse asks Lori to apply a thromboembolic device (TED) hose and a sequential compression device (SCD) on him. What is the purpose of each device?

A. To prevent thrombus and emboli

B. To promote respirations

C. To promote pain relief

D. To promote wound healing

E. All of the above

Reference no: EM133918567

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