PNUR8505 Preoperative Nursing

Using the following case study, identify patient issues in each of the three phases of . perioperative nursing care. Write a nursing care plan for each of the three phases identifying how you would implement your plan in each phase. PNUR8505 Preoperative Nursing
Case Study
Jimmy Smith is a seven-year-old boy in Grade two. Jimmy and his older brother come home from school one afternoon and Jimmy has been complaining of a sore stomach. He finds it difficult to walk up the stairs at his home. Jimmy’s face is flushed, and he says his tummy is really hurting. His older brother gives Jimmy a large glass of ginger ale which Jimmy drinks. Jimmy’s mother is concerned as he is never sick. She decides to take him to the local Emergency Room at the hospital. Jimmy is seen in triage immediately, has blood drawn including HGB, HCT and WBC. Cttli4 b) The results show an elevated WBC and a surgeon is called for consultation. The decision  is made that Jimmy has acute appendicitis and will be going to the Operating Room right 1\ ay v■A away as the surgeon and the Operating have available time now.

PNUR8505 Preoperative Nursing
Jimmy’s mother is filling out the pre operative questionnaire. She states Jimmy ate his lunch and had a large glass of ginger ale just before coming to the Emergency. She states that Jimmy cannot eat bananas, kiwi and tomatoes. When asked about any anesthetic reactions in her family, she states that her brother died very suddenly in the Operating Room as a child and they never understood what happened. Jimmy’s father is of African American heritage and he is not aware of any family reactions to anesthetics. Also Jimmy has several loose teeth, has not voided since coming to Emergency or had a bowel movement today. Jimmy is frightened — the stretcher has arrived ….. start your planning.

PNUR8505 Preoperative Nursing

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