Case Scenario- MSKL. Health, Medicine, Nursing Essay

Dear writer,

Please copy & paste questions then write the answer and please follow the teacher's instruction.

Thank you



Discussion Mr. Z

Here is what you need to do:

For this week's discussion board think back to Mrs. Z from the case scenario. Based on what you have learned this week about management of clients with musculoskeletal disorders answer the following questions:

This can be in point form for your DB

1.What else would you do in this situation with Mrs. Z?

2.What other options or alternatives would you explore and why for Mrs. Z?

3.What referrals might you make for Mrs. Z at this time?

4.Who else on the interprofessional team would you involve in Mrs. Z’s care?





Nursing Care Kardex



You should have also read the handoff nursing report and reviewed Mrs. Z health history. In order to plan your care you need to check the Nursing Care Kardex to obtain additional information and the medical orders. Now click here for the nursing care Kardex for Mrs. Z.

Name: Mrs. Z

Age: 72

Diagnosis: Fracture of right hip

VS q4h

Ambulate with assistance prn

O2 @ 2L/min/NP

neurovascular checks q4r for the first 24 hours

I&O

IV of D5/0.45% NS at 75 mL/hr

IV PCA with morphine sulfate img/hr continuous infusion

Catheter care: bid

Diet: clear fluid diet

Routine meds: FeSO4 325 mg po tid with meals (start when on regular diet); docusate sodium 100 mg po daily.





It is now 0730. As you enter her room you noticed that Mrs. Z is very restless and confused this morning. You are planning your care activities for Mrs. Z. Using the list below, think about how you would prioritize the five nursing interventions as you would do them to initially take care of Mrs. Z.

INSERT A NUMBER BOX FOR THIS ACTIVITY

Assess surgical dressing

Take vital signs, assess pain level, check pulse oximetry

Assess neuro status

Assess right leg position and body alignment

Check neurovascular status of right leg

NEED FEEDBACK/ANSWERS WITH RATIONALES - TO DOWNLOAD FROM PUBLISHER WEBSITE

During the follow-up assessment for the first postop day, you note the following:

Pedal pulse present: weak in the right foot, stronger on left foot

Hemoglobin 10.5g/dL and hematocrit 32%

Bowel sounds hypoactive in all quadrants

Anxious and restless

Crackles in the lower bases of the lung

Based on your nursing assessment and critical thinking select the nursing diagnosis that is a high priority at this time. You should have a rationale for your selection.

Note: all of the following nursing diagnosis may apply to Mrs. Z. The key is to select the nursing diagnosis that is the highest priority at this time.

Using the following list, check only the one you think is the highest priority.



Nursing Diagnoses

Click one option



Acute pain

Impaired urinary elimination

Risk for injury

Risk for infection

Anxiety

Impaired gas exchange

Activity Intolerance

Fatigue

Risk for impaired skin integrity

Impaired physical mobility

Ineffective peripheral tissue perfusion

Acute confusion

Disturbed sleep pattern

Constipation