NR305 Week 7 Discussion Latest 2019 January Question # 00597346 Course Code : NR305 Subject: Health Care Due on: 01/30/2019 Posted On: 01/30/2019 09:37 AM Tutorials: 1 Rating: 4.9/5
NR305 RN
Health Assessment
Week 7
Discussion
Assessment of the Musculoskeletal System and Pain
CO1 Utilize prior knowledge of theories and principles of
nursing and related disciplines to explain expected client behaviors, while
differentiating between normal findings, variations, and abnormalities. (PO 1)
CO2 Recognize the influence that developmental stages have
on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health
assessment. (PO 3)
Fred is an 83-year-old male who is being admitted to the
medical-surgical unit status post fall. He is alert and oriented and reports
that while visiting a local casino with his wife Margaret earlier this evening,
he tripped over a curb and fell landing on his right side. After receiving
morphine in the emergency room prior to transfer to your unit, Fred is rating
his pain at 6/10. He has multiple bruises from his jawbone to his knee as well
as a slight rotation of his right leg.
Past medical history includes: myocardial infarction (MI) x
2, peripheral vascular disease (PVD) with bilateral iliac stents,
non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and degenerative
joint disease.
Medications include: aspirin, Plavix, Lopressor, Lisinopril,
and Metformin.
After reviewing the above scenario please answer the
following questions.
Based on the information provided, how will you prioritize
your care, what assessments will you include and in what order? Please provide
rationale for your response.
Considering this patient’s age, injury, past medical
history, and list of current medications, what, if any, concerns do you have
related to his potential need for surgery?
Should surgery to repair his right femur be required; what
type of clearance and pre-op orders would you anticipate receiving related to
his diet, meds, lab work, and so on?
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