the nurse is planning skin care of the patient with ascites which…

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Question the nurse is planning skin care of the patient with ascites which… the nurse is planning skin care of the patient with ascites which actions should the nurse include  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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her first graduate rotation at the local metropolitan, tertiary hospital. She is currently working on an orthopaedic ward which cares for surgical and trauma patients. For the first four weeks Stacey worked alongside her nurse preceptor, predominately rostered on morning shifts. Stacey has just completed her first five (5) night shifts yesterday morning, and is back on an afternoon shift today (Monday).Stacey is still trying to manage her roster and other commitments. She lives in a share house with 3 others and normally does a week of shopping and meal preparation. The past few weeks she has been so busy and tired that she has been eating a lot of takeaway. She normally plays netball once a week with her university friends and she is frustrated that she has missed the past 2 weeks of games due to work. Stacey normally visits her elderly mother twice a week and her mother has been phoning and saying she hasn't seen Stacey enough and that she feels "lonely". Her siblings live interstate.On ShiftStacey has arrived 5 minutes prior to the shift starting. On arrival, she realises that he hasn't worked with the Nurse-in-Charge but she knows most of the other nurses from her previous shifts. Her preceptor is not working today.Stacey feels a little nervous, but she knows one (1) of the patients she has been allocated from his recent night shifts and she is allocated a further three (3) patients, including a patient who will be discharged this afternoon and a new admission from ED.Her patient allocations are as follows:NRSG367_202160_SUPPLEMENTARY ASSESSMENTPatientAge Diagnosis Relevant Information 7519 3078NRSG367 Transition to Professional Nursing - Supplementary Assessment     Mr Sachin Dravid  Ms Jane Lewis  Mr James O'Sullivan  Mr Ernest Iwu   Total hip arthroplasty followed fractured (#) Neck of Femur (NOF) Returned to ward 2 hours ago. Post anaesthetic observations continue. Morphine PCA insitu and IVF at 100ml/hr. Drowsy. Complaining of pain 4/10 in hip. Ooze noted on dressing when last checked.PHx: Oesteoarthritis. Recent fall from a ladder. Lives with 73 year old wife.  # Right tibia and fibula for ORIF  Just arrived from ED. Awaiting ORIF this pm following a gymnastics accident. States pain 3/10. Endone recently administered. NBM. Boyfriend present.  L) knee arthroscope following torn meniscusAwaiting discharge. Documentation not yet complete. Family present.  R) knee replacement Day 1 post op. Awaiting review by physio. Nurse at handover mentions that he says his lower R) leg is sore, swollen and it is hot to touch. TEDS insitu.PHx: Rheumatoid arthritis.Stacey feels overwhelmed with the admission, discharge and post-operative patients. She is unsure how she will cope with the rest of her shift. Stacey has not yet completed a patient discharge so she decides to do that first before she assesses her other patients as she knows this might take some time. She decides to not ask for help right now as she knows the ward is very busy.Suddenly the shift is over and it is time for handover. At handover, Stacey realises that she has forgotten to complete routine PCA observations and has missed some of the routine post anesthetic observations on Mr Dravid. She set the obs machine to auto but hasn't come back to physically check the patient for 2.5 hours. Ms Lewis is about to return from surgery and Stacey reports that she did not complete the admission documentation prior Ms Lewis leaving the ward.The night RN rolls his eyes when Stacey hands over and insists that they check Mr Dravid's PCA and observations together. The night RN is also very concerned about Mr Iwu's sore lower leg, given the risk of DVT, and urgently pages the doctor for review.NRSG367_202160_SUPPLEMENTARY ASSESSMENTNRSG367 Transition to Professional Nursing - Supplementary AssessmentStacey feels really stressed and concerned about the potential complications she had missed that shift. Additionally, she has not completed any patient notes on the computer on wheels (COWS) machine so she stays 30 minutes after the end of her shift to complete these.Supplementary AssessmentCritically analyse the case study to help you answer the following questions within an essay formatAPA referencing 7th edition maximum 3-4 references Construct at least three (3) recommendations as to how the Graduate RN could have undertaken this shift differently. Consider in your discussion the knowledge, skills and attitudes inherent in the RN role, including utilisation of technology and teamwork skills, and justify your discussion with evidence. (LO2, 3, 5 & 6)