Linda Yu was admitted to your unit

Linda Yu was admitted to your unit after surgery on her left hip due to a fall. She is 2 days post-op. She is 85 years old and has a history of osteoarthritis, hypertension and cataracts. PT has been getting the patient up with a walker and she is able to take a few steps. She is aware of herself and the situation, but not to time or day. She is also anxious as a result of recent surgery. Her family lives out of state. Her daughter was here for the surgery but she left yesterday. The plan is to discharge Ms. Yu back to her assisted living facility. Her daily medications at home include: Prednisone 5 mg (for osteoarthritis) Furosemide 20 mg (for hypertension) and ASA 81 mg daily (for cardiovascular health). The surgeon added oxycodone 5mg q 4-6 hours prn pain. She has no known drug allergies. 1. How would you assess a client’s level of orientation (Alert and oriented to what?) 2. How would document client’s mobility? 3. What fall prevention strategies would be appropriate for Ms. Yu? 4. What nursing interventions are indicated for a patient with occasional incontinence of bladder or bowel if she is discharged back to the Assisted Living facility? 5. What was the priority nursing intervention for this patient?

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