Chapter 9 Concepts of Care for Perioperative Patients

Case Study

Chapter 9 Concepts of Care for Perioperative Patients

Ms. Yeo, a 25-year-old female, is being transferred from the PACU to the medical-surgical unit after an appendectomy 3 hours ago. She has an IV and an anchored catheter.

Question 1 What information should the PACU nurse provide to the medical-surgical unit nurse upon transfer of Ms. Yeo?

Question 2 Ms. Yeo is transferred to the unit bed. Her family is in the waiting room. What priority assessments should the medical-surgical nurse make first when Ms. Yeo arrives on the unit?

Question 3 What members of the interprofessional health care team may collaborate to care for Ms. Yeo during her hospital stay?

Question 4 Ms. Yeo is to be discharged on the second postoperative day. What information is important for the nurse to provide to Ms. Yeo? How can the nurse measure Ms. Yeo’s understanding of wound care instructions?

 

Case Study Chapter 9 Concepts of Care for Perioperative Patients

Mr. Pham is preparing to undergo a colonoscopy and is to receive IV moderate sedation.

 Question 1 What is the expected outcome for Mr. Pham as he undergoes moderate sedation?

Question 2 Which member of the interprofessional health care team will collaborate in the care of Mr. Pham?

Question 3 Mr. Pham is ready for the procedure and begins to receive the IV drugs that will place him in moderate sedation. Discuss the roles and responsibilities of the nurse who is monitoring Mr. Pham as he is undergoing moderate sedation.

Question 4 The procedure is completed successfully and Mr. Pham is transferred to the recovery area. What actions should be taken by the nurse to ensure patient safety?

 

Case Study Chapter 9 Concepts of Care for Perioperative Patients

Beau Michinsky, a 75-year-old male, has severe pain and limited mobility in his left hip due to osteoarthritis. He has been scheduled for a hip replacement in 2 weeks. Mr. Michinsky is independent and lives at home with his wife. He is unable to work or pursue his hobbies due to limited mobility and pain. Mr. Michinsky is looking forward to having relief of the pain after surgery, yet is anxious about the procedure. He is at the surgeon’s office and the nurse is providing preoperative teaching for Mr. Michinsky and his wife.

Question 1 What information should the nurse include when teaching Mr. Michinsky and his wife?

Question 2 Mr. Michinsky and his wife arrive at the hospital for his surgical procedure. He is admitted and taken to his hospital room in which he will return to after the surgery. The nurse shows Mr. and Mrs. Michinsky the IV and pain pumps, pneumatic compression devices, wound drain, and an anchored catheter. What is the purpose of taking Mr. Michinsky and his wife to his room and showing them the postoperative equipment before the surgical procedure?

Question 3 Mr. Michinsky is in bed waiting to be taken to the surgical suite. The nurse has administered preoperative medications, including antianxiety and opioid medications. What safety precautions should the nurse take to ensure that Mr. Michinsky remains safe?

Question 4 With whom on the interprofessional health care team will the nurse collaborate prior to Mr. Michinsky’s discharge?