Case Study, Chapter 19, Postoperative Nursing Management

1. Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 95%. The vital signs include: blood pressure, 100/50 mm Hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. The patient is confused as to place and time. 

1. Explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed.
2. What gerontological postoperative considerations should the nurse make?

2. Mr. John Smith is admitted to the hospital for surgical incision and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm × 2.5 cm, which is red, warm and hard to touch, and edematous. 

1. Explain the wound healing process according to the phase of Mr. Smith’s wound?
2. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this dressing change.

 

"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code "GET10" in your order"

Subnetting

Assignment Parameters

To complete this assignment, rewrite and number the prompts, then write a short essay answer of one to two paragraphs for each. Do not include a cover letter or reference page. 

Prompts

1.  Describe the various classes of subnets and what they are used for.

2.  What is the process for determining CIDR notation in a specific subnet?

 

"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code "GET10" in your order"

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center

 

"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code "GET10" in your order"

• As you view the following video, think about the scope of the disasters – they are far beyond the individual just littering. Therefore, as you review the images and stories contained in the video, think about the reading and the laws that are discussed, and how they may impact the company, environment, and business practices in general. 
  
  
  
  • Top 10 Man-Made Disasters (6:31)
    
    
    
• You are a business owner who is environmentally aware, and thus you use the local river to help generate some electricity for your small business. You are doing well using this method of energy generation, but you begin to notice that over time the river seems to be flowing more slowly, and that is causing you to have sporadic losses of power. Upon inspection, you notice the river does seem a bit slower, seem to have more debris in it, and now has a funny smell. What are some legal concepts you will need to know to understand your rights? You want to do something, but are not sure what. Then, you remember your business law textbook. What are some of the legal issues and concepts you will need to know to mount a legal fight? Be sure to support your response.

If you need help with completing discussions please click here for more information.

 

"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code "GET10" in your order"

• Imagine you are a consultant hired to convert a manual accounting system to an automated system.
• Suggest the key advantages and disadvantages of automating a manual accounting system.
• Identify the most important step in the conversion process.
• Provide a rationale for your response.

 

"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code "GET10" in your order"