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I: Mrs. Yu Yan McFarlane is a 38-year-old female.

S: She had an abdominal hysterectomy two (2) days ago. She has an indwelling catheter insitu, a wound drain, and an IVT. 

B: Yu Yan lives at home with her husband, her elderly mother, and 3 children, 3-year-old twins, and a 17-year-old son. Yu Yan suffers from anxiety and poor self-image. Yu Yan is embarrassed when undressing in front of nursing staff and is reluctant to ask for help. 

A: Yu Yan is on four (4) hourly observations. The most recent recorded observations were:

Temperature 36.5 °C
Respirations 22
HR 110
BP 135/80mmHg 
SpO2 98% on room air
7/10 abdominal pain

 Yu Yan has received opioid analgesia for two (2) days and has reported that she has not opened her bowels.

R: continue post-operative care, assess, monitor, and treat pain, gentle mobilization. One person assists with ADLs. Fluid diet.         

    

1. Yu Yan has a wound drain and indwelling catheter insitu after her surgery. Outline the nursing care requirements for wound drains and indwelling catheters. In your response also consider privacy and dignity considerations when caring for a client with a wound drain and indwelling catheter.

 

2. Discuss your understanding of why a client may need an indwelling catheter. What is one (1) complication associated with inserting an indwelling catheter? Describe how you, as an Enrolled nurse, can decrease this possible complication from occurring.

 

3. Provide your understanding of critical thinking and clinical reasoning. Why are these principles important for your nursing practice? In your response discuss the differences between critical thinking, creative thinking, and problem-solving. Which of these do you think you would use the most in your nursing practice?

 

4. Refer to the link provided below on NSQHS standards. Choose one (1) of the standards and outline a quality improvement process you have observed, been involved in, or think would be beneficial in improving client care. Ensure you include which standard you are referring to in your response. 

https://www.safetyandquality.gov.au/standards/nsqhs-standards

 

5. Complete the table below, outlining two (2) conditions that affect the female and male reproductive systems. For each of the conditions listed, identify one (1) possible treatment option and two (2) possible nursing care considerations for a client with the condition. (your nursing care may involve prevention and education as well as physical, emotional, and psychosocial needs).

Female reproductive system

Condition

Possible treatment options

Nursing care considerations

1.

 

 

 

2.

 

 

 

Male reproductive system

 

 

 

1.

 

 

 

2.

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 1111

 

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