What should you do with this information? Explain your decision
Ninety-two-year-old Mrs James is accompanied by her daughter, Jayne, at a pre-admission consultation for cataract surgery. Jayne states that her mother has dementia and that she developed a VTE following a hip replacement 2 years previously.
What will be an ideal response?
Answer:
Document as per unit protocol to ensure that this information is communicated to all members of the multidisciplinary team.
Ensure that Jane will be available to accompany her mother on the day of surgery to alleviate the added stress for Mrs James.
Contact the operating theatre team leader to arrange for Jane to stay with her mother throughout the procedure.
Order an ECG and blood test and measure Mrs James for anti-embolism stockings, to reduce the risk of a further VTE.
Educate Jane on the importance of assisting her mother with leg/foot exercises as soon as possible after the procedure and the necessity to mobilise as soon as it is safe to do so.
You might also like to view...
The nurse is caring for a patient who takes an antiarrhythmic agent and is reporting a complete lack of appetite. Which cardiac antiarrhythmic agent would the nurse suspect the patient is taking?
A) Diltiazem (Cardizem) B) Propranolol (Inderal) C) Lidocaine (Lidocaine Parenteral) D) Amiodarone (Cordarone)
A patient in the emergency department has a concussion. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient
Which aperture of the ophthalmoscope is most appropriate for this patient? a. Grid b. Red-free filter c. Slit lamp d. Small aperture
The nurse is planning activities for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of his right arm. Which nursing intervention is most appropriate for this client?
1. Offering the toddler a choice of clothing 2. Asking the toddler if he would like to take his medicine 3. Dressing the toddler 4. Feeding the toddler
When an older adult client receiving a blood transfusion presents with an elevated blood pressure, distended neck veins, and shortness of breath, the client is most likely experiencing:
A) allergic reaction. B) pulmonary embolism. C) fluid overload. D) anaphylaxis.