How to Answer Scenario Amira Mitri Questions (Complete Guide)

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Original Question

Scenario: Amira Mitri is a 48-year-old woman who has returned from surgery. Amira underwent a laparoscopic division of abdominal adhesions due to a complete small bowel obstruction (SBO). Amira has a surgical history of two caesareans and an appendicectomy. Amira’s medical history includes asthma and Type 2 diabetes. Amira’s Body Mass Index (BMI) is 28. Amira presented to her General Practitioner (GP) 5 days ago, complaining of abdominal pain and vomiting, and she could not tolerate eating or drinking. Amira also stated she had not had a bowel movement or passed flatus for 2 days. Amira’s abdomen was distended and bowel sounds were absent. Amira described her pain as severe and cramping, which would come and go in waves, and she rated her pain level at 8/10. An abdominal CT identified large, dilated loops of the small bowel. Amira is married with two children who live at home, and she owns a café. She works in the café seven days a week and states she has been gaining weight over the last ten years due to her busy lifestyle and tends to eat ‘fast foods on the run’. Amira has returned to the surgical ward. She is receiving IVT of Normal Saline 0.9%. She is drowsy but rousable and is complaining of pain (rating 6/10). Her vital signs on arrival to the ward are: BP 145/70, HR 98bpm, temp 35.9 degrees, SpO2 99% on 8 litres of oxygen via a Hudson mask. She has an indwelling urinary catheter in situ with 60mL of yellow urine output, and a nasogastric tube on free drainage with fourth-hourly aspirates. She has patient-controlled analgesia (PCA) in situ. You have been allocated to care for Amira as a Registered Nurse. Questions: 1. Outline the risk factors and pathophysiology of the client’s presenting condition 2. Identify TWO (2) comprehensive post-operative assessments that an RN would undertake for the client. Using current evidence-based literature, justify why each assessment is necessary for the presenting condition. (assessments need to be specific to the care of the post-operative client) 3. Discuss the potential complication of post-operative wound infection, including the risk factors and pathophysiology of the complication itself, and ONE (1) nursing assessment used to identify the potential complication. 4. Develop a plan of care to reduce the risk of the potential complication (post-operative wound infection). Within this plan of care, you are required to identify TWO (2) nursing interventions to reduce the development of post-operative wound infection, ensuring you outline how these would be applied to the patient. You must use current evidence-based literature to justify why your plan is appropriate for this patient. Please include references

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