Following Kristy Been Question & Answer Guide (With Explanation)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to following kristy been 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 following kristy been. A strong answer should include explanation, application, and examples.
Original Question
It is now the following day. Kristy has been transferred from theatre recovery to the ward post operatively following a 3-hoursurgery to repair her fractured pelvis. The recovery nurse hands over to you that Kristy’s surgery went well. There was a small amount of blood loss of approximately 400mls intraoperatively. She received 500mls of fluids intraoperatively and has been commenced on IV normal saline (NaCl 0.9%) fluids in recovery, of which the first bag is currently running. She had fentanyl, propofol and midazolam during the procedure and a dose of IV fentanyl was also administered in recovery for her pain. Upon arrival to the ward, you conduct an assessment of Kristy and find the following: • Kristy is a little drowsy but easy to rouse,she is orientated to person, however confused to time and place. • Kristy is moaning that she “feels sick”. • Her vital signs are as follows: pain score is 7/10; BP 105/74mmHg; PR 95bpm, regular; RR 15bpm; SpO2 97% on 4L O2 via nasal prongs (NP); T 35.8°C • BGL is 6.5mmol/L. Her lower limb assessment reveals the following: bilaterally cool feet, slightly pale skin colour, and cap refill to both feet are 3 seconds. She is able to move both feet and can slightly bend her knees on the bed. She denies any numbness or pins and needles to both lower limbs/feet. • Kristy has a honeycomb long Opsite dressing to her right hip. The dressing is clean, dry and intact. Kristy is to remain on strict bed rest until the physiotherapist reviews her tomorrow. Question 4: Identify three (3) abnormal cues in Kristy’s post-operative nursing assessment. For each of these cues, discuss the pathophysiological or pharmacological factors that has resulted in these abnormal findings.
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