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You are the nurse receiving report on your patient that was admitted
as an emergency earlier in the day. A 64-year-old female underwent a
right colostomy. The right side of her colon was removed due to cancer.
She has a history of smoking & no other health problems. She is
currently being transferred to you in PACU. She has a midline incision
with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision.
She also has a NG tube, attached to intermittent suction. She is alert,
oriented and can move all 4 extremities. BP is 110/68, Respiratory rate
is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula.All labs are normal. You are asked to change the dressings daily and
document the drainage. What precautions will you take to prevent this
patient from obtaining a nosocomial infection?Please answer the questions and develop a care plan for a patient
that will be having an elective surgery. Please use the provided format
for building your care plan. You will need to use your nursing reference
materials as you build this care plan. Go to ATI website for care plan – go to integration materials –
scroll down to active learning templates – choose systems disorder
activelearningtemplate_system_disorder.pdf

Unformatted Attachment Preview

ACTIVE LEARNING TEMPLATE:
System Disorder
STUDENT NAME______________________________________
DISORDER/DISEASE PROCESS___________________________________________________________
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
REVIEW MODULE CHAPTER____________
Health Promotion and
Disease Prevention
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors
Expected Findings
Laboratory Tests
Diagnostic Procedures
PATIENT-CENTERED CARE
Nursing Care
Therapeutic Procedures
ACTIVE LEARNING TEMPLATES
Complications
Medications
Client Education
Interprofessional Care
Therapeutic Procedure
A11

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