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This question relates to edward gray year and requires a structured academic response.
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Break the problem into smaller parts and analyze each logically.
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Original Question
Edward Gray, a 74-year-old African American retired college professor, has just undergone surgery for a fractured hip. He fell off a ladder while painting his house. The surgery was performed under general anesthesia and lasted 4 hours. Mr. Gray was in good health before his fall and played tennis three times each week. He has smoked one pack of cigarettes per day for 58 years, has hypertension, and has always had problems sleeping. He has difficulty hearing and wears a hearing aid. Prior to surgery, he was upset that the injury would greatly impact his activity level in the future. He worries about “growing old” and has always taken care to be busy and have an active social life by volunteering at his church and for the organization Big Brothers Big Sisters. He is a widower with no children, and he has no other local relatives to assist with care. Postoperative Orders: Vital signs per PACU routine Dextrose 5% in 0.45 normal saline at 100ml/hr Morphine via patient-controlled analgesia 1mg q 6 min (30 mg max in 4 hr) for pain advance diet as tolerated incentive spirometry 10 times hourly while awake O2 via nasal cannula to keep oxygen saturation >90% Questions: Consider the potential postanesthetic problems the nurse might expect with Mr. Gray given the history above, and then list the three priority assessments the nurse will perform on his arrival to the PACU. List three PACU interventions that will be implemented upon his arrival to the PACU. Identify the two priority PACU nursing diagnoses for Mr. Gray. Use the case study findings to support your choices. What are the PACU discharge criteria that must be met before Mr. Gray may be transferred to a lower level of care?
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