Question

Case Studies, Chapter 29, Perioperative Nursing

1. You are a nurse preparing a 56-year-old telephone linesman for surgery to repair a torn left rotator cuff. He has an unremarkable medical history, and denies smoking or consuming alcohol. He has never been hospitalized and asks many questions regarding what to expect from his first surgical experience. His wife is continually at his bedside and is very supportive. (Learning Objectives #1, #3, & #5)
2. What preoperative tasks would be important in your nurse–patient relationship?
3. Outline general teaching topics to be included for any patient undergoing surgery.
4. During your discussions of his undergoing general anesthesia, what major risks would you describe?
5. Your patient indicates serious concern regarding medications used perioperatively. How would you outline the uses of various medications?
6. After a complete description of the surgery, your patient indicates that he is ready to sign consent forms. How would you respond?
7. Which conditions would invalidate this patient’s ability to sign consent?
8. Develop appropriate postoperative patient goals that you might include in this patient’s plan of care.

Answer 1

* Preoperative tasks that would be important in 'nurse patient relationship as the nune should provide cultural competence environ- -ment to the patient so that patient can feel comfortable. The nurse should build the trust between patient and herself. > * The general teaching is essential to the patient's understanding of the operation procedure. The nurse should inform the things that should and should not be performed before and after operation. * Sometimes anesthesia can take time to show effect as depends upon the patient's drug efficacy and body response. Sometimes the effect of an esthesia frequently make consious the patient during surgery , so the patient should remain clam. * Patient should get proper teachings regarding the medications Wed in surgery such as anesthesia is generally given to make patient unaware and it doesnot have any kind of major problem.