Question

You are a nurse preparing to receive a new patient, fresh from surgery to your unit. The patient is a 71 year old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanasthesia recovery unit, you learn that his medical history includes hypertension, 40pack years of smoking and COPD.His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the country. He lives alone,receives meals on wheels and pays a cleaning service to keep his home clean.

a. What's general priorities would you expect to establish from this information?

b. What might you identify as expected patient outcomes in this case?

c.How would you identify evidence based nursing interventions?

d. Describe activities that need to occur continually during the implementation step to ensure that the most appropriate nursing care is provided?

Answer 1

Answer :-A)

a) Relevant data are he had undergone surgery for fracture of femur. Complication is bleeding and corrected by fluid replacement.

b) medical problem :hypertension, COPD

socioeconomic problem : smoking, no support system

Surgery associated problem : bleeding

C)

*impaired hemodynamic status hypertension related to ineffective tissue perfusion.

*Impaired breathing pattern related to inadequate oxygen supply and demand

*Risk for developing non communicable disease related to chronic smoking

*Hemorrhage related to surgery

*Knowledge deficit related to lack of knowledge regarding smoking, hypertension

*Activity intolerance related to immobility.

*ineffective coping related to lack of support system

D) Nursing care preparation of a patient with a fracture, in grip or if in a throw, relies upon avoidance of complications. By doing an accurate nursing assessment regularly, the nursing personnel can deal with the patient’s pain and avoid complications. On crisis trauma care include evaluation, triage and keeping airway, breathing, and circulation, analysing the degree of consciousness and protecting the spine.

Listed below are nine programs for nursing care of a patient with fracture femur and nursing diagnosis for fracture

Nursing Care of Patient with Fracture Femur

1. The risk for Trauma: Falls.
2. Intense Pain.
3. The risk for Peripheral Neurovascular Dysfunction.
4. The risk for Impaired Gas Exchange.
5. Impaired Physical Mobility.
6. Impaired Skin Integrity.
7. Risk for Infection.
8. Deficient awareness