Question

Ringtones who to care for Mr. Owens during his first postoperative day. Initial assessment finds Mr. Owens sitting up in bed; he is drowsy, but oriented X3 when aroused. He has significant edema in his neck and mouth area, but does not appear to be in respiratory distress. His respiratory rate is 16 to 18, and his oxygen saturation is 96% on 40% oxygen via face tent. He has two peripheral IV lines both infusing Lactated Ringer's solution at 75 mL/hr. Two Jackson Pratt drainage tubes are partially filled with serosanguinous drainage. (Learning Objective 5) a. What is the rationale for the patient being placed in Fowler's position after surgery? b. The nurse notes that there has been 240 mL output in the drainage tubes during the first 24 hours after the surgical procedure. What should the nurse do? Postoperatively, the nurse identifies that the patient is at risk for imbalanced nutrition, less than body requirements related to anorexia and dysphagia. The nurse instructs Mr. Owens to eat soft food and suggests that he tilt his head to the unaffected side to facilitate swallowing. What is the rationale for these instructions? d. In reviewing Mr. Owens' medical record, what findings in his health history are associated with development of oral

Answer 1

a.The rationale for placing the patient in Fowler's position postoperatively are

• It can increase the lung capacity or lung volume and aide in getting adequate oxygen
• It can help in drainage by gravitational force in the drainage tube.
• To prevent aspiration while eating.

b.A drainage of more than 100ml has to be reported to the provider to assess for any complications like internal bleeding, fluid imbalances in a post operative patient. Meanwhile the nurse has to measure the patient's vitals lime TPR,BP,SPO2,GCS.Incision site for any sign of infection,injury.

c.Tilting the head to the opposite side from the affected part prevents force and exertion on the affected part ,prevent pain and discomfort, prevents sedimentation of food particles in the wound and causing infection.

d.