Case Location Preoperative Assignment Help: How to Answer This Question
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Original Question
Case: Location: Preoperative Surgical Unit: Station 433 Time: 1555 Report from day shift nurse: Situation: Edith Jacobson is an 85-year-old female who was admitted this morning after falling and fracturing her hip. X-rays have been taken and show a left intertrochanteric hip fracture. Mrs. Jacobson is scheduled for surgery tomorrow morning. Background: Mrs. Jacobson has a 10-year history of osteoporosis, and her eldest child reports that recently her mother has been having ‘dizzy spells.’ Assessment: Her vital signs are stable. Her pain is under control with morphine every 4 hours, last dose 2 mg at 1400. Her pain level was 2 after the morphine. The skin around the hip area is intact with no visible bruising. She has very limited motion around the left hip, and the area is very tender. She has no loss of sensation. A Morse Fall Scale assessment was completed on admission, and her score was 55. Fall precautions were implemented. Recommendation: It is time for Mrs. Jacobson’s scheduled vital signs assessment. You will have to reposition her, as she needs to be turned every 2 hours. You should perform a focused musculoskeletal assessment, reinforce safety, and provide fall risk education. I would also like you to reassess her pain level and evaluate the effectiveness of pain medication. The nurse preparing to care for Mrs. Jacobson is reviewing the information provided in the SBAR report and recognizes that which of the following require a priority evaluation during the initial shift assessment? (Select all that apply.) Mental status Circulation Pain level Current position Fall precaution status Musculoskeletal status
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