Preoperative and Postoperative Care Case Study -Aidan Keller You are a nursing student on the medical-surgical unit and your patient is recovering from a double mastectomy and breast reconstruction for breast cancer. During the surgery, the surgeon also removed several malignant lymph nodes. Diagnostics indicate that there are no other metastases at this time. You perform an admission history and note that the patient has a history of type 2 diabetes and asthma. The patient’s vital signs are as follows: temperature 37.2deg C (98.9deg F), blood pressure 152/74 mm Hg, pulse 68 beats/min and regular, respirations 20 breaths/min on room air, and pain is a 3 out of 10 on a scale of 0 to 10. 1. You check the patient’s Jackson-Pratt drainage system and ensure that the canister is compressed to keep negative suction pressure. What is the purpose of this type of drainage system? (Select all that apply.) a. Relieves pressure on suture line b. Decreases pain c. Promotes healing from inside to outside d. Decreases scarring 2. The patient’s type 2 diabetes puts them at risk for increased susceptibility to infection and which other postoperative concern? a. Chronic fatigue b. Impaired wound healing c. Uncontrolled pain d. Depression 3. The patient’s blood sugar level reads 11.66 mmol/L, using the fingerstick method. In addition to being concerned about the blood sugar level, you should you monitor the patient for which other postsurgical condition that can decrease tissue healing? a. Shock b. Myocardial infarction c. Fluid and electrolyte imbalance d. Sensory deficit
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