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Original Question

Kristy Parkes is a 35-year-old woman who owns and runs a large cattle farm with her husband in outback central Queensland. Together she and her husband have a 3-year-old son, Sam. Yesterday Kristy was thrown from her horse whilst mustering cattle. She landed on her right side and hit her head. She was not wearing a helmet. Her husband witnessed the event and rang for help and Kristy was air lifted to Brisbane Hospital, 2 hours away by the care flight rescue team. On arrival to hospital her X-rays showed she has fractured her pelvis in 2 places on the right side, and her head CT scan shows some right sided cerebral contusions. Kristy is intermittently confused. She remembers her horse bucking and her falling off but does not remember the events after her fall. She remains sometimes confused to place and time. Her spine and neck have been radiologically cleared and she has no neck pain. Kristy has no other medical history. She has been administered intravenous (IV) morphine for her pain and is waiting for surgery which is scheduled for tomorrow to repair her fractured but stable pelvis. Her husband has had to remain at home to care for their son and to continue to manage the family property. Question (3) preoperative nursing actions that are required and explain why they are required as part of her care.

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