Question

Marilyn O’Donnell is a 75 year old female who underwent a laparotomy for a Hartmann’s procedure to remove a tumour found in her descending colon. On return to the ward, she has the following insitu:

Nasogastric tube (NGT) on free drainage requiring aspirations every four hours.

Indwelling urinary catheter (IDC) requiring hourly measures.

Oxygen supplementation via a Hudson Mask at 6 L/minute.

Peripheral intravenous cannula (IVC) with Compound Sodium Lactate (CSL) in progress at 166 mL/hr.

Bellovac drains on suction x 2.

Colostomy.

Question 6

Mrs O’Donnell is receiving CSL at 166ml/hr. Identify and provide a brief rationale for three (3) nursing assessments/interventions appropriate for a person receiving intravenous therapy (IVT).

(Approximately 150 words)

Question 7

A. Identify and describe one (1) method for determining correct placement of Marilyn’s NGT.

(Approximately 50 words)

B. Identify and rationalise one (1) nursing consideration when caring for Marilyn’s NGT.

(Approximately 50 words)

Question 8

Identify and rationalise two (2) nursing considerations when caring for Marilyn’s IDC.

(Approximately 100 words)

Answer 1

7)A. Gather your equipments, gloves... * Provide oral and skin care. give mouth rinses and apply lubricant to the Marilyn's lips and nostrils. * Verify NG tube placement, always verify the NG tube placed in the stomach by aspirating a small amunt of stomach contents *face and eye should protect should change the position of NG tube slightly every 24 hours to reduce the risk of skin breakdown. remember that tube placement should be verified before use if intermittently being used and every 4 hours if being continuosly used.

The confirm an NG tube is placed safely, all of the following key features should be present. the chest x-ray view should be adequate- upper oesophagus down to below the diaphragm. the NG tube should remain in the midline down to the level of the diaphragm.

B.NURSING CONSIDERATIONS WHEN CARING FOR MARILYN'S NGT *provide good oral hygiene at regular and frequent intervals, keep the nostrils free of accumulations of dried secretions, encourage the patient to swallow saliva naturally, report complaints and signs of nose or throat irritation, encourage the patient to change position frequently, follow the diet orders exactly, keep accurate intake and out put records, obseve the patient frequently when she is asleep, nothing the tube marking at the nostril.

C. NURSING CONSIDERATIONS WHEN CARING FOR MARILYN'S IDC An indwelling urinary catheter help drain urine from the body when the patient can't do it . after surgery, the some cancer treatments , or if you have blocked urethra. use soap and water, maintain a uniform and adequate daily fluid intake to continuously flush the urinary drainage sysrem. clamping the catheter prior to removal is unnecessary.perform hand hygiene. keep the drainage bag below the level of patient's bladder and off the floor at all times. keep the catheter secured to her thigh to prevent it from moving. don't lie on her catheter or block the flow of urine in the tubing, shower daily keep the catheter clean.

the nurse should care about patient' IDC. always should keep clean