solved

Scenario – Mr. Jason McFarlane
I: Jason is a 17-year-old male
S: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has a concussion from a head injury sustained in the MVA.
B: Jason has no significant medical or surgical history. He has an allergy to Morphine.
Social History (SHx):
Lives at home with mother, step-father, and siblings.
waiting to hear if he has a place in the university
Recently obtained his driver’s license
Has a girlfriend Lucy
Spends a lot of time playing computer games, and is not very physically active.
A: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O2 Sats 97% on room air (RA), BP 130/85, HR 110, Temp 37, and pain 6/10.
R: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction, and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon.
1. Outline your nursing actions for preparing Jason for theatre. Include in your answer:
What information is required to complete a pre-operative checklist, what nursing assessment should be completed, and 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.

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