How to Answer Acute Care Post Questions (Complete Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to acute care post and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves acute care post. A strong answer should include explanation, application, and examples.

Original Question

Acute Care – Post-Operative Case Study This final case study is based on what you have learned in the course. Please reflect on the following prior to completing this case study: 1. What two general characteristics must your documentation include? Explain how these characteristics apply to your documentation? 2. What are some risks or adverse events that may occur in a post-operative acute care setting? 3. For these risks, what are the essential components of your documentation? 4. Are there inappropriate abbreviations or ambiguous terms? Scenario The following is a fictitious scenario in an acute care setting (some details may be missing). Use day/month/year and metric time, and use your name and designation. Begin your documentation when Mrs. Smith arrives on your unit post-op. Client background information: • Mrs. Alice Smith – 64 years old • Dr. D. White – primary physician • Dr. G. Greene – surgeon • Family contact – Glenda Matheson, daughter and named agent on personal directive • Medical diagnoses – hypertension, osteoporosis, osteoarthritis to both hips, Type 2 diabetes, fractured left hip. • Functional – independent with activities of daily living (ADLs) at home; ambulatory with cane. What happened? Mrs. Smith recently fell at home and sustained an introchanteric fracture of the left hip. Client states that there was no loss of consciousness (LOC) during her fall. Because of short staffing and after spending an exhausting ten hours in ER, she is admitted to Unit 4, Room 101 at 0600 and is booked for surgery (left hemiarthroplasty). Her family is upset at the long wait in ER and has threatened to call the Health Minister. She arrives on your unit via stretcher with 5 pounds of Buck’s traction. VS: BP 143/89, T 37. 2 C (t) P97, R 18, O2 sats – 96% RA. She was given 2.5 mg Morphine IM at 0430 for pain. New orders: traction and CTEMPS routines. NPO for OR today at 1000. Foley catheter draining 700 mls of clear amber urine. IV of NS infusing in right hand at 100 ml/hr. Mrs. Smith’s daughter asks the care provider what a “hemiarthroplasty” is. She also asks how long her mother’s hospital stay will be. Mrs. Smith went to the OR at 0930 and returned to the unit at 1430. Her GCS is 14 (there is a flow sheet for GCS). She received morphine 5 mg IV at 1330. Her incision is well approximated and dressing intact with a small amount of sero-sanguinous drainage. Hemovac intact with 30 mls of sanguineous drainage. CTEMPS stable. VS: 126/84, T 37.1 C (t), P88, R18, SaO2 95%. O2 running at 2 l/minute via nasal prongs. IV of NS in right hand intact and infusing at 150 mls/hr. Foley catheter intact and draining 200 mls of clear amber urine. Oriented. Mrs. Smith has minimal pain now when asked. Her daughter points to the Hemovac and asks: “What is this contraption?” The care provider assesses and settles the client on return from the recovery unit and answers her daughter’s questions and concerns.

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