The Case: Jay Zone, 63, is a retired college professor. He had a history of Type II DM, atrial fibrillation, COPD, and GERD. The day of care he was preparing a lecture for his students and when he stood up from his desk had a syncopal event. He became cold and clammy, nauseated without vomiting after he ‘woke up’ in the classroom with security and EMS coming to his aid. He was transported to the nearest emergency room and upon arrival he experienced sudden and severe mid abdominal pain which caused him to scream. Over the next hour he began vomiting undigested food. He did not report any prior episodes of syncope or abdominal pain or vomiting in the past. Currently he is orthostatic, lying BP 122/78 HR 84, RR 20; standing BP 92/70 HR 122, RR 24. A stat portable KUB and Chest X-ray were done and the nurse was notified that the client had ‘free air in the abdomen’. The client was to be admitted to the med-surg floor and scheduled for an exploratory laparotomy as soon as the surgical resident assessed the client These are his home medications: Metformin 500 mg po BID Glyburide 10 mg po BID Toprol XL 50 mg po daily Coumadin 2.5 mg po daily Lipitor 40 mg po qhs Prednisone 20 mg po daily Duonebs 1 UD aerosol TID Mr. Zone states he is allergic to bananas, Penicillin, morphine. You, his nurse, think about the priority nursing care for this client as he waits to be prepared, cleared, and taken to surgery. 1. Since the nurse, you, knows what complications can occur after surgery, what teaching should be done in order to prevent some of these complications? (list 3 potential complications and what teaching would need to be done). 2. The nurse notes that Mr. Zone is wringing his hands repeatedly and is concerned about his anxiety in the preop period. How should you address his psychosocial needs at this time? list 43. Two hours after his admission, a transporter comes to take Mr. Zone to the ‘preop holding area’. What are the responsibilities of the nurse in this area (the preop area)? list 6 After 1 hour in the holding area, Mr. Zone is transferred to the OR. 4. How is safety assured for Mr. Zone while he is in the OR? list 41 2 3 4 Health Science Science Nursing NUR 305 Share QuestionEmailCopy link Comments (0)
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