Case senario I: Jason is 17 year

Case senario I: Jason is 17 year old male Situation: 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 concussion from a head injury sustained in the MVA. Background: 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. Recently completed high school, waiting to hear if he has a place in university Recently obtained his driver’s licence Has a girlfriend Lucy Spends a lot of time playing computer games, is not very physically active. Assessment: 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. Recommendations: 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. a: 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? What education/ information would you give to Jason and his family? (outline how you would prepare a client for surgery including what assessments would you complete, what information/ requirements need to be included/ completed on a preoperative checklist and what education would you give Jason and his family to provide reassurance.) b. What is the current best practice in the prevention of venous thrombosis (VTEs) following major surgery? c. Provide an explanation of elective surgery and emergency surgery and explain the difference. d. 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. (Outline the post-operative care for Jason. Include all observations you would complete on Jason. Jason has had surgery on his right leg. What is your role as an EN when caring for Jason in the postoperative period? Who would you notify of any concerns?) e. Two hours after being admitted to the ward, Jason complains that the analgesia does not seem to be working. What assessment could you do to determine Jason’s pain? (Consider how you could assess Jason’s pain) What would you do in the situation that Jason’s pain is not relieved? Who do you notify? (What questions/ assessments could you make of Jason if his pain is unrelieved from previous analgesia? Who would you refer to if Jason’s pain continued?) What are some non-pharmacological methods that can be used to help with Jason’s pain? (Outline some care you could provide which may assist Jason’s pain that does not require medications.) f. 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? (Outline your role as an EN in caring for a PICC line and in caring for a client with IV fluids being administered? Consider the assessments and documentation you would complete. Who would you notify any concerns to?) SCIENCE HEALTH SCIENCE NURSING BIO 8074

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."