Need help prioritize post-op patient in a case study.

  1. 0
    Patient had orthopedic surgery and come to your floor. This is what I think should be done. But I'm not sure, I need some advice. Please help

    3. Prioritize the following orders from the most to the least important, and be prepared to explain the priorities you assigned.
    3..A. Vital signs(VS) per routine
    6..B. Neurologic check Q2h
    4..C. Turn, cough and deep breath (TCDB) and incentive spirometer (IS) q2h while awake
    9.D.Ice and elevate right lower extremity and right upper extremity
    5..E. Circulation, Movement, sensation (CMS) check q1h
    1..F. NPO
    2..G. IV fluid D5 45 NS at 100 ml/hr
    7..H. Morphine sulfate 1 to 2 mg IV q 4-5h PRN
    8..I. Cefazolin (Ancef) 880 mg IV q6h

    Thank you very much
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  4. 0
    prioritization is done by the patient's most important needs. keep in mind that the care plan is a problem solving process, so each nursing diagnosis is actually a patient problem. you list the problems in the order of which is most important of needing attention first. most instructors suggest prioritizing by maslow's hierarchy of needs. the hierarchy from most important to least important is as follows:
    1. physiological needs (in the following order)
      • the need for oxygen and to breathe
      • the need for food and water
      • the need to eliminate and dispose of bodily wastes
      • the need to control body temperature
      • the need to move
      • the need for rest
      • the need for comfort
    2. safety and security needs (in the following order)
      • safety from physiological threat
      • safety from psychological threat
      • protection
      • continuity
      • stability
      • lack of danger
    3. love and belonging needs
      • affiliation
      • affection
      • intimacy
      • support
      • reassurance
    4. self-esteem needs
      • sense of self-worth
      • self-respect
      • independence
      • dignity
      • privacy
      • self-reliance
    5. self-actualization
      • recognition and realization of potential
      • growth
      • health
      • autonomy
    so looking at this (above)what would need to go first....which could mean loss of limb, what would be most important to be dome first? how important is it and may indicate how often it needs to be done.....if you were this patinet waht would you care about?

    3. prioritize the following orders from the most to the least important, and be prepared to explain the priorities you assigned.
    3..a. vital signs(vs) per routine
    6..b. neurologic check q2h (sensation intact? what could that indicate?)
    4..c. turn, cough and deep breath (tcdb) and incentive spirometer (is) q2h while awake
    9.d.ice and elevate right lower extremity and right upper extremity (could help with swelling and circultaion/sensation)
    5..e. circulation, movement, sensation (cms) check q1h (alterations could cause loss of limb?)
    1..f. npo
    2..g. iv fluid d5 45 ns at 100 ml/hr (needs hydration for npo)
    7..h. morphine sulfate 1 to 2 mg iv q 4-5h prn we know what that is for
    8..i. cefazolin (ancef) 880 mg iv q6h (infection)

    http://allnurses.com/nursing-student...lp-276459.html
    nursing resources - care plans

    critical thinking flow sheet for nursing students



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