*NURSING > Study Notes > David Montanari Simulation ALL ANSWERS 100% CORRECT GUARANTEE GRADE A+ (All)
A scenario of a 19-year old, male, David Montanari, who suffered a T4-T5 burst fracture and a right scapula fracture as a result of a motorcycle accident. He underwent spinal fusion on the evening of ... the day of accident and has had an uneventful recovery period. Mr. Montanari has no sensation or movement below the nipple line and is bedbound. He is frustrated and anxious about his condition and is refusing postoperative interventions, including pain medication and use of the incentive spirometer. To prepare for this scenario simulation, the following pre- briefing questions must be completed. What are three nursing interventions for a post-operative patient? Nurses care for patients after various types of surgery. As soon as the patient arrives in the recovery room, the nurse starts monitoring the patient’s condition. Nurses measure the vital signs, such as heart rate, blood pressure, and oxygen level. They may also perform electrocardiograms to check the patient’s heart rhythm. The nurses also administer medications and check surgical wounds for bleeding (Brown, D., 2016). The cough reflex is depressed during surgery which causes mucous accumulations in the trachea and bronchi. Respiration may be less efficient due to the anesthesia, or deep breathing causes pain due to the incision. Consequently, the lungs will not expand, retaining secretions, and potentially cause respiratory infection. The following nurse intervention must be performed to prevent collapse and disease of the lungs. [Show More]
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