In: Nursing
1. The head nurse sends the student nurse to evaluate a patient’s postoperative pain. After entering the patient’s room, the student observes the patient conversing and joking with her friends. The student decides not to investigate the question of postoperative pain further. Evaluate the correctness of the student’s decision and give an underlying rationale for the views expressed.
2. Research the medications needed to treat respiratory depression during the administration of an epidural analgesic. Obtain a copy of the monitoring guidelines used in the clinical site where assigned and discuss the importance of collecting these data on a regularly scheduled basis throughout epidural analgesic use.
Q. No. 1. Answer :
* the head nurse send the student nurse to evaluate the post operative pain of the client.
* she observed that the client is client was joking and conversing with her friends.
* so the student did not ask the client for regarding post operative pain.
* she decided that may be the client is not having the pain, because client is joking and conversing nicely.
* so it is not correct decision, because due to post operative analgesics and or by seeing their friends nearer, the client may felt some what rehabilitation and at the time she or he may not showing pain symptoms.
* But client may have pain, because it is post operative period.
* so the student nurse has to ask the compulsory client complaints of pain.
* and she has to collect the all information regarding pain.
* it is necessary during post operative period.
Q. No. 2. Answer :
* medications needed to treat the respiratory depression during the epidural analgesia includes,
* assessment is done by anasthesialogist.
* maintainance of good air way.
* maintain deep breathing or assisst breathing by ambubag using or through oxygen administration.
* inj : Narcan 0.4 mg dilute in 10 ml saline and administer according to anesthesiologist order.
* we should have to administer slowly and too much fast may leads to tachycardia and hypertension, and maintain good air way and do suction.