solved

1. Jason’s breathing difficulties from his fractured ribs have impaired his chest movements and he is now de-oxygenating despite having O2 administered at 10L/min via a Hudson mask. An X-ray shows that he has a pneumothorax. The doctor inserts an intercostal chest tube attached to a UWSD (underwater seal drain)
Outline the care requirements for a UWSD, consider in your answer:
a. What are the monitoring requirements for an UWSD?
b.What are the possible signs of deterioration for a client with an UWSD?
c.The scope of practice for an EN caring for a client with an UWSD;
d.What education would you provide to Jason and his relatives relating to the UWSD?
Reference required.
2. When you enterJason’s room to attend to his routine observations, you find that he is unresponsive.
a. What is your response to this situation?
b. Outlin 2 members of the MET and discuss the roles and responsibilities of each?
Reference required.
3. It has been determined after the emergency response that Jason has had an acute brain haemorrhage. He is unconscious and requires a tracheostomy and a nasogastric tube to be inserted for NG feeds.
Outline your care of a tracheostomy tube. In your response consider:
a. care of the tracheostomy including suctioning and dressing changes
b. your scope of practice as an EN caring for a client with a tracheostomy
Reference required.
4.A nasogastric tube (NGT) is commonly inserted to provide nutritional support to individuals.
a. Describe the care required prior to using the NGT?
2.What actions do you take if you think the tube is blocked?
c.Describe your steps when giving a NGT feed.
Reference required.
5. List three (3) nursing interventions that an enrolled nurse can do to care for the unconscious patient. Reference required.
6. Describe the following anaesthetics:
Reference required.
Type of anaesthetic
Description
Local anaesthesia
Spinal anaesthesia
Epidural anaesthesia
Peripheral nerve block
General anaesthetic
Reference:
Jason has been on prolonged bed rest due to his surgery and injuries from the MVA.
a.Discuss the possible complications associated with prolonged bed rest.
b.What information would you provide to Jason and his family to prevent these complications?c. How would you ensure Jason is stable on his feet when he is able to begin mobilising? What member of the MDT would assist you with this?
Reference required.
8. Describe the following post-operative complications:
Reference required.
Complication
Description
Haemorrhage
Deep vein thrombosis
Sepsis
Hypovolemic shock
Dehydration

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