You are the nurse receiving report on your patient that was admitted as an emergency earlier...

You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube, attached to intermittent suction. She is alert, riented and can move all 4 extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula.

All labs are normal. You are asked to change the dressings daily and document the drainage. What precautions will you take to prevent this patient from obtaining a nosocomial infection?

Please answer the questions and develop a care plan for a patient that will be having an elective surgery. Please use the provided format for building your care plan. You will need to use your nursing reference materials as you build this care plan.

Go to ATI website for care plan - go to integration materials - scroll down to active learning templates - choose systems disorder

Expert Solution

Although the first postoperative dressing is usually changed by a member of the surgical team ,subsequent dressing changes in the immediate postoperative period are usually performed by the nurse ..The dressing change is performed at a suitable time .privacy is provided and the patient is not exposed .if disruption of woundoccurs,the patient is placed in low fowlers position and instructed to lie quietly .These actions minimize protrusion of body tissues.the protruding coils of intestine are covered with sterile dressings moistened with sterile saline solutions and the surgeon is notified at once.The nurse should carry out hand hygiene before and after the dressing change and wears disposable gloves for the dressing change itself.The old dressing is removed and then deposited in a container designated for disposal of biomedical waste .in accordance with standard precautions ,dressings are never touched by ungloved hands because of the danger of transmitting pathogenic organisms.

Nightingale answered 2 years ago

You are the nurse receiving report on your patient that was admitted as an emergency earlier...

You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a...

You are the nurse receiving report on your patient that was admitted as an emergency earlier...

You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a...

You are the nurse receiving a report on your patient that was admitted as an emergency...

You are the nurse receiving a report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to the incision. She also...

Module 05 Written Assignment- Care Plan You are the nurse receiving report on your patient that...

Module 05 Written Assignment- Care Plan You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain...

You have just received a new patient admitted through the emergency department. The report you receive...

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You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48 year old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can’t get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history. He...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48 year old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can’t get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history. He...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48 year old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can’t get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history. He...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48...

You are the triage nurse in the Emergency Department. Your patient, Mr. Sawyer, is a 48 year old man who presents with severe abdominal pain, poor appetite, and fatigue. He states the pain awakened him from sleep and he began vomiting. He denies any relief from the pain and he can’t get comfortable as the pain radiates to his back and right shoulder. He rates his current pain level as 10/10. He denies any previous medical or surgical history. He...

You are working as a nurse in the emergency department. The triage nurse walks a patient...

You are working as a nurse in the emergency department. The triage nurse walks a patient into one of your empty rooms. You look at the computer to see her name is Penny, 20-year old female, c/o abdominal pain. No known drug allergies, no current medications, and denies previous medical history. Assessment: Penny is awake, alert, and oriented x3. Reports lower abdominal pain x 2 days. Rates her pain a 6/10, but states it is sometimes a 10/10. +nausea, denies...

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You are the nurse receiving report on your patient that was admitted as an emergency earlier...

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