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1. Outline your nursing actions for preparing Jason for theatre. Include in your answer: What information is required for pre-operative checklist, what nursing assessment should be completed, what education/ information would you give to Jason and his family?
2. What is the current best practice in the prevention of venous thrombosis (VTEs) following major surgery?
3. Outline the difference between elective and emergency surgery.
4. Jason has returned from Theatre after having an ORIF (R) tibia, repaired under spinal anaesthesia. Outline what the immediate post-operative care would be when Jason returns to the ward. Discuss the enrolled nurse’s responsibilities of caring for a patient on return to the ward post anaesthetic.
5. Two hours after being admitted to the ward, Jason complains that the analgesia does not seem to be working. a. What assessment could you do to determine Jason’s pain? b. What would you do in the situation that Jason’s pain is not relieved? Who do you notify? c. What are some non-pharmacological methods that can be used to help with Jason’s pain?
7. A percutaneous indwelling central catheter (PICC) has been inserted into Jason for long term IV antibiotics and for fluid maintenance. What is the role of the enrolled nurse to prevent infection of the site and in the management of IV fluids?
8. 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?
9. Jason’s breathing difficulties from his fractured ribs have impaired his chest movements and he is now deoxygenating 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 an UWSD (under water seal drain) Outline the care requirements for an 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?

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