Yazan is a 60-year-old man who is scheduled for a gastrectomy. Yazan has a history of diabetes, hypertensive, and colon cancer. Laboratory values obtained at the day of surgery revealed potassium, 2.8 mEq/L; blood urea nitrogen, 35 mg/dL; creatinine, 2.2 mg/dL; Glucose 245 mg/dl, white blood cells, 14.0 × 103 mL; hemoglobin, 9.0 g/dL; and hematocrit, 27.3%. Also ABG results revealed the: pH 7.32, PaCO2 45, PaO2 92, HCO3 22mmol/l. During the morning report, the nurses reported that Mr Yazan has severe diarrhea, vomiting and abdominal pain, with a periodic of shortness of breath and fatigue. Yazan felt so anxious about surgery and concerned about the prognosis, the length of time he may be required to take a walk, and its impact on mobility. Mr Yazan is placed on 4 litres of oxygen by nasal cannula. His oxygen saturation is 96%. Read carefully the above case scenario and answer the following questions. 1. What is your interpretation of Yazan’s abonraml lab results? and what are the nursing considerations at the preoperative phase? 2. Discuss five possible nursing diagnoses for Mr.Yazan at the preoperative stage using the PES format? 3. Intravenous (IV) potassium chloride is prescribed. Should the initial dose be administered as an IV push (“bolus dose”) ? Explain your answer. 4. Mr. Yazan brought to the operating room, and the Circulating nurse prepared him for the surgery. Explain five roles of the nurse in providing patient safety measures during the intraoperative period. 5. Mr. Yazan is now in the operation room. What are the four nursing interventions that should be implemented during the operation to reduce the surgical risk factors? 6. Two days after the surgery, Mr. Yazan complains of severe pain at the surgical site, and the nurse administers a bolus dose of morphine (5 mg/ IV). Fifteen minutes after administering the pain medication, the nurse finds Mr. Yazan having periods of apnea lasting a few seconds followed by a short snorting gasp and then he begins breathing at a rate of 12 breaths per minute. Mr Yazan is lying supine in the bed and his lips are bluish in coloration and so are his nail beds. 6. list three nursing assessments necessary to be performed for Mr. Yazan? 7. list three nursing interventions that could be provided immediately?
Yazan is a 60-year-old man who is scheduled for a gastrectomy. Yazan has a history of diabetes, hypertensive, and colon cancer. Laboratory values obtained at the day of surgery revealed
potassium, 2.8 mEq/L; blood urea nitrogen, 35 mg/dL; creatinine, 2.2 mg/dL; Glucose 245 mg/dl, white blood cells, 14.0 × 103 mL; hemoglobin, 9.0 g/dL; and hematocrit, 27.3%. Also ABG results revealed the: pH 7.32, PaCO2 45, PaO2 92, HCO3 22mmol/l.
During the morning report, the nurses reported that Mr Yazan has severe diarrhea, vomiting and abdominal pain, with a periodic of shortness of breath and fatigue. Yazan felt so anxious about surgery and concerned about the prognosis, the length of time he may be required to take a walk, and its impact on mobility. Mr Yazan is placed on 4 litres of oxygen by nasal cannula. His oxygen saturation is 96%.
Read carefully the above case scenario and answer the following questions.
1. What is your interpretation of Yazan’s abonraml lab results? and what are the nursing considerations at the preoperative phase?
2. Discuss five possible nursing diagnoses for Mr.Yazan at the preoperative stage using the PES format?
3. Intravenous (IV) potassium chloride is prescribed. Should the initial dose be administered as an IV push (“bolus dose”) ? Explain your answer.
4. Mr. Yazan brought to the operating room, and the Circulating nurse prepared him for the surgery. Explain five roles of the nurse in providing patient safety measures during the intraoperative period.
5. Mr. Yazan is now in the operation room. What are the four nursing interventions that should be implemented during the operation to reduce the surgical risk factors?
6. Two days after the surgery, Mr. Yazan complains of severe pain at the surgical site, and the nurse administers a bolus dose of morphine (5 mg/ IV). Fifteen minutes after administering the pain medication, the nurse finds Mr. Yazan having periods of apnea lasting a few seconds followed by a short snorting gasp and then he begins breathing at a rate of 12 breaths per minute. Mr Yazan is lying supine in the bed and his lips are bluish in coloration and so are his nail beds.
6. list three nursing assessments necessary to be performed for Mr. Yazan?
7. list three nursing interventions that could be provided immediately?
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