Question

1. tasks you would complete during the immediate preoperative. To assess that the patient is ready for surgery are:

2. Jackson Jones a 68-year-old male is scheduled for colon surgery in the morning he tells you, “ I hate the thought of being under anesthesia I’m concerned that his cancer might be more serious than they think I’m worried about my wife if I die if I have to have a colostomy how will I ever cope” what would you choose as an appropriate nursing diagnosis for Mr. Jones?

3. Write one expected outcome based on your nursing diagnosis for the planning phase of your care for Mr. Jones.

4. Four General goals for all patients undergoing surgery would be:

5. Three task of the scrub person in the operating room are:

6. Three task of the circulating nurse in the OR are:

7. The patient remain in the post anesthesia care unit after surgery until:

Answer 1

Here first we should first under that what is colostomy. A colostomy means a surgical procedure that brings one end of the large intestine out through the abdominal wall

During this procedure one end of the colon is diverted through an incision in the abdominal wall to create a a stoma. A stoma means is the opening in the skin where a pouch for collecting faces is attached

Q no1-The pre operative care should be

(A) Identify the patient with name, bed number

(B)Check all the vital signs and record it

(C)Instruct the patient to not take any food or drinks before the surgery that is nill per oral (NIP)

(D) Give laxative ir enema 12 hour's before the surgery to clean the bowel

(E) Place IV line on the appropriate site

(F)Prepare or clean the area of surgery like shaving and mark it

Q.no.2

The appropriate nursing diagnosis of this case is fear and anxiety related to surgery

Q.no.3

Out come of the nursing intervention helps the patient to get knowledge regarding the surgery.the patient comes to know about the surgical procedure and there by reduce the fear and anxiety. The intervention should focus and maintain calm and non threatening manner while working with the patient. This will helps the patient to develop the feeling of security

Q.no.4

Colostomies are performed because of problems with lower bowels some problems can be corrected by temporarily diverting stool away from the bowel

Sime important use of colostomy surgery's are

colon cancer or any other injury.Conditions which you may need a permanent colostomy surgeries are a blockage in the bowel an injury in the lower bowel, Crohns disease Treatment of diverticulitis, imperforate lowe bowe or other birth defect, ulcerative colitis, irritable bowel syndrome etc

Q.no.5

The preoperative information required to be provide the postoperative outcome to be expected pain management and other significant information relevant related to the surgery other task includes the surgical site preparation, assessment of vital signs and record, collect all the lab reporr and other investigation report and send to the surgeon

Q.no6

The first task should be identity the patient

Second will be assess the general condition

Third will be assess the anxiety level of the patient the other important things should be keep that all the vitals ahuld check and record and notifiy to the surgeon

Q.no. 7

Every patients length if stay in the PACU is different, but on average it is usually one to three hours this is depends on factors such as type of surgery and type if anesthesia and also on medical history