Fundamentals of Nursing
Quiz 11 :
Hip replacement surgery is done by doctors when nothing else has worked out, like medicines, therapy, and so on. It is a big procedure and takes a lot of time to recover only if proper care is taken. It is performed usually on people who are old and in cases where there are accidents. Before performing a hip replacement surgery, to have an idea of the past history of the patient is required. It helps in keeping the necessary details in mind and to avoid any crisis. This is surely very helpful to the client and the doctors doing the surgery too. So, one can ask the patient if she had any accidents, which includes fractures of the hip or any disease that would harm the bones. One should also ask her if had any immunization and the last time she had a tetanus injection. One can also ask if the client had any family history concerning the same problem. Also, the client should be asked about any allergies to chemicals, as the surgery involves a lot of drugs. So, all these can be asked to Ms. T who is admitted in the hospital for hip surgery.
Nursing diagnosis is done by the nurse and it should be done with proper attention without any carelessness. She performs various functions and tries various methods to help the patient recover from the illness the person is suffering from. It is performed with proper planning and workout with no drop in the interest level. She identifies the illness, makes plans to recover and uses medicines. Organizing the family history of the patient is considered as the part of the assessment phase of the nursing process. Establishment of the short, as well as the long-term goals, is the part of the planning phase of the nursing process. Administration of any kind of drug or antibiotic is the part of the implementation phase. Hence, the options 2, 3 and 4 are incorrect. Identification of the major problems or symptoms of the patient is classified under the diagnosis phase of the nursing process. In fact, considering the needs of the patient is also classified under the diagnosis phase. Hence, the correct answer is option .
There are a lot of physiological information that is important to be known before surgery. Physiological information includes those of health showing the physical characters like appearance which may be pale, weakness or can be anything. The best source of data is only from the client itself unless the client is too ill or confused and cannot communicate to others. Under these conditions the doctor or the nurse should ask the care taker or family member the person is close with. Physiological data might include the stress the person is going through and how the person is handling it currently. The level of stress can be high or low. The coping strategies applied to deal with the problem might have not worked out pretty well with the client so these all must be asked by the nurse. Before the surgery, other physiological systems that are required for collection of data before the surgery include cardiovascular system, respiratory system, the musculoskeletal system, gastrointestinal system, and the general, which may include the check for local skin infection. Information from all these observation helps one to know if the person is comfortable and ready for the surgery.