simulation lab prep questioner packet

N121 Simulation MARILYN HUGHES PREPWORK Textbook: Neil, J. A. (2020). Preoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed., pp. 299-312). St. Louis, MO: Elsevier. Price, M. C. (2020). Musculoskeletal trauma and orthopedic surgery. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed., pp. 1444-1477). St. Louis, MO: Elsevier. Rudolphi, D. M. (2020). Postoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (Eds.), Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed., pp. 328-347). St. Louis, MO: Elsevier. PREP QUESTIONS: 1. Define the overall goal of a preoperative assessment and list at least 4 goals of the assessment. Define OVERALL goal: GOALS OF PREOPERATIVE ASSESSMENT 1. 2. 3. 4. 2. Discuss the benefits of preoperative teaching and define the three types of information with examples. Benefits: TYPE OF INFORMATION DEFINITION EXAMPLES 1. 2. 3. 3. Discuss at least four respiratory complications that can occur in the postoperative phase and identify at least three nursing interventions utilized to address each of the complications. RESPIRATORY COMPLICATION NURSING INTERVENTIONS 1. 1. 2. 3. 2. 1. 2. 3. 3. 1. 2. 3. 4. 1. 2. 3. 4. Define the procedure often referred to as an “ORIF.” Be specific in your explanation with reference to each letter in the acronym. 5. Discuss at least three expected nursing care interventions for a patient undergoing an “ORIF” related to a fracture of the tibia/fibula (Beginning on the day of surgery through the first three postoperative days). NURSING CARE INTERVENTIONS Day of Surgery 1. 2. 3. Postoperative Day 1 1. 2. 3. Postoperative Day 2 1. 2. 3. Postoperative Day 3 1. 2. 3. 6. Describe at least four manifestations of a fracture and identify the significance of each manifestation. MANIFESTATION OF FRACTURE 1. 2. 3. 4. SIGNIFICANCE OF MANIFESTATION 7. List at least five complications associated with a fracture and identify those which may be life threatening and/or those that may be associated with possible loss of limb. COMPLICATION LIFE THREATENING/POSSIBLE LOSS OF LIMB 1. 2. 3. 4. 5. 8. List the six “P’s” of a neurovascular assessment for a patient with an orthopedic injury and describe how to properly assess for each “P”. SIX “P’s”/NEUROVASCULAR ASSESSMENT 1. 2. 3. 4. 5. 6. ASSESSMENT TECHNIQUE 9. IDENTIFY the NORMAL and the ABNROMAL assessment findings for each of the six “P’s”. Normal Assessment Findings of six “P’s” Abnormal Assessment findings of six “P’s” 1. 2. 3. 4. 5. 6. 10. Describe why an emergency fasciotomy would be performed on a patient? Discuss how long the recovery phase is following this procedure? Med Card List – 121 Marilyn Hughes Medication Cefazolin Morphine Ondansetron Acetaminophen Drug Class/ Therapeutic Effect Mechanism of Action Side Effects Nursing Considerations