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Assignment:
You are a second-year nursing student on clinical placement. You have been given the opportunity to follow Emily from the emergency department (ED) to theatre and then provide care for her on the surgical ward. Emily is a 45-year-old female who sustained abdominal trauma during a workplace incident. Emily was transferred from her hometown in regional QLD to a large acute hospital (tertiary). Emily has a history of Type 2 Diabetes and Obesity. Emily is a First Nations person and lives at home with her two children. ACT scan indicates internal injuries requiring emergency surgery.
• Question 1 - Identify and discuss the acute National Health Priority Area which this scenario represents?
• Question 2 - Identify three risks and challenges, based on Emily's medical and socio-cultural history, that may impact her care?
Emily's immediate post-operative phase and recovery is uneventful, and she is transferred to the surgical ward. Upon transfer to the unit, Emily is to commence on prophylactic cefazolin. You administer 2 grams of IV cefazolin (under the supervision of the RN) through a peripheral IV cannula. Twenty minutes later, Emily calls you complaining of an itch at the intravenous site travelling across her whole upper body. There is slight redness at the intravenous site but nowhere else on her body.
• Question 3 - Prioritise three nursing actions that you will implement. Provide a rationale for each action using evidence-based literature and order the actions from most important to least important)?
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