Myrna Powers Is a Frail and Thin 91-Pound,83-Year-Old Woman Scheduled

question 12

Multiple Choice

Myrna Powers is a frail and thin 91-pound,83-year-old woman scheduled for a right pneumonectomy for non-small cell lung cancer.She will be positioned in left lateral position for her procedure.Based on the perioperative nurse's preoperative assessment,identify three position-related nursing diagnoses __ __ _ for this procedure and four relevant nursing interventions_ __ __ __.Select from the options to fill in the blanks.

• A) Falls;pain;Impaired physical mobility;remain at patient side during induction;use under- and over-body forced air-warming blanket;prevent fluid pooling under dependent areas;pad all bony prominences with foam or gel pads
• B) Hypothermia,impaired skin integrity;impaired comfort;use under- and over-body forced air-warming blanket;prevent fluid pooling under dependent areas;pad all bony prominences with foam or gel pads;unlock OR bed and transport vehicle after transfer.
• C) Impaired skin integrity;falls;pain;remain at patient side during induction;use at least 4 persons to assist with lift and transfer;pad all bony prominences with foam or gel pads;unlock OR bed and transport vehicle after transfer.
• D) Hypothermia;impaired skin integrity;falls;remain at patient side during induction;use under- and over-body forced air-warming blanket;use at least 4 persons to assist with lift and transfer;pad all bony prominences with foam or gel pads.

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