Answer Happy

NRSG258 202230 Case Study continue. it is now the following day. Kristy has been transferred from theatre recovery to the ward post operatively following a 3-hour surgery to repair her fractured pelvis. The recovery nurse hands over to you that Kristy's surgery went well. There was a small amount of blood loss of approximately 400mls intraoperatively. She received 500mls of fluids intraoperatively and has been commenced on IV normal saline (NOCI 0.9%) fluids in recovery, of which the first bag is currently running. She had fentanyl propofol and midazolam during the procedure and o dose of IV fentanyl was also administered in recovery for her pain. Upon arrival to the word, you conduct on ossessment of Kristy and find the following: • Kristy is a little drowsy but easy to rouse, she is orientated to person, however confused to time and place. • Kristy is moaning that she "feels sick". • Her vital signs are as follows: poin score is 7/10; BP 105/74mmHg: PR 9Sbpm, regular, RR 15bpm; SpO2 97% on 4L O2 via nasal prongs (NP); T35.8°C • BGL is 6.5mmol/L. Her lower limb assessment reveals the following: bilaterally cool feet, slightly pale skin colour, and cap refill to both feet are 3 seconds. She is able to move both feet and can slightly bend her knees on the bed. She denies any numbness or pins and needles to both lower limbs/feet. Kristy has a honeycomb long Opsite dressing to her right hip. The dressing is clean, dry and intact. Kristy is to remain on strict bed rest until the physiotherapist reviews her tomorrow. Question 4: identify three (3) abnormal cues in Kristy's post-operative nursing assessment. For each of these cues, discuss the pathophysiological or pharmacological factors that has resulted in these abnormal findings. (800 words)