[Expert Solution]: CASE SCENARIO – Peter Dunbar Patient Profile…

CASE SCENARIO – Peter Dunbar Patient Profile Dunbar is a 32-year-old man who sustained a closed, complete, oblique fracture of the left femur and an open oblique fracture of the anterolateral aspect of the tibia in a vehicle motor vehicle accident. He is being admitted to the emergency department and is scheduled to have surgery tomorrow afternoon (open reduction and internal fixation (ORIF)). His right leg was splinted with a cardboard splint and a large, bulky dressing for the open oblique fracture of the tibia. Subjective Data Rates pain in the left leg as 4 and the right leg 6 on a 0 to 10 pain scale after receiving 4 mg of intravenous (IV) morphine in the ED 30 minutes before arrival at the orthopedic unit. States his parents saw him in the ED and have gone home for the night and will come back tomorrow before his surgery. Complaints of severe pain in both the right and left leg. Objective Data Temperature 98.9deg F, pulse 88, respirations 18, blood pressure 132/70 Alert and oriented Abrasion to forehead and multiple abrasions to arms and legs closed, complete, oblique fracture of the left femur. open oblique fracture of the anterolateral aspect of the tibia Left leg to 10 lb of Buck’s traction Bilateral feet and toes are warm and pink, with movement and sensation equal and within normal limits Dorsalis pedis and posterior tibial pulses palpable at 3+ Obvious deformity, marked swelling, and ecchymosis in the region of injury His tibia fracture was treated with closed reduction and a cast Scheduled for open reduction and internal fixation (ORIF) Admitting Orders Bedrest 10 lb of Buck’s traction to left lower extremity. NPO Oxygen 2L/Min to maintain SPO2 over 92% IV Lactated Ringer’s @ 125 mL/hr Morphine sulfate 4 mg IV every 4 hours PRN for pain Enoxaparin (Lovenox) 30 mg subcutaneously once daily Ondansetron (Zofran) 4 mg IV STAT Cefuroxime 1g IV over 8 hours Heparin IV bolus 80 units/kg How would the nurse answer Dunbar’s question about ‘time off from work based on the stages of fracture healing’? What are Dunbar’s priority nursing diagnoses based on the assessment data presented? (list 5)