You are a nurse on a medical

You are a nurse on a medical surgical floor. You were assigned a 71-year-old male patient who had a total hip replacement with an anterior surgical approach just this morning. Significant medical history includes hypertension and a history of a DVT. He is otherwise healthy. His at-home medications are as follows: Metoprolol 50 mg BID Aspirin 81 mg (stopped 7 days prior to surgery) Naproxen sodium 250 mg q12 PRN for pain What is the pathophysiology of your patient’s pertinent health history? Identify usual risk factors for this condition, prevention measures, and diagnostic tests usually done to determine if this condition exists. What assessments will you focus on for your patient? What do you expect to see during the assessment of your patient based on information in your textbooks about the condition? What possible complications are you most concerned with for this patient? What abnormal assessment data would point to the presence of these complications? What will you do with the assessment data? What data would necessitate provider notification? What data would necessitate emergency action and what actions would you take? Complete the table using your patient’s at-home-medications: Generic and trade name, dosage, frequency and route Pharmacological Classification and Mechanism of action Reason (why your client takes/needs this medication Adverse reactions & contraindications Nursing Interventions (what would you see on assessment, what education needs to be provided to the patient, what assessment findings might point to a problem caused by the medication, etc.) SCIENCE HEALTH SCIENCE NURSING NURSING 174

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