Question

What part of the nursing process involves documentation of the older perioperative patient's skin integrity remaining intact intraoperatively? 1) Assessment 2) Implementation 3) Outcome identification 4) Planning

Answer 1

The documentation of the older perioperative patient's skin integrity remaining intact intraoperatively falls under the Implementation stage of the nursing process. During Implementation, nurses execute the nursing plan, document the patient's skin status, and share crucial information among the team.

Step-by-step explanation:

The part of the nursing process that involves documentation of the older perioperative patient's skin integrity remaining intact intraoperatively is 2) Implementation. It is during this stage that the nursing staff reviews confirmation of sterility, and equipment availability, and identifies whether there are any concerns to be addressed before the skin incision. Any observation concerning the patient's skin integrity would need to be documented as part of this process of executing the nursing plan, including maintaining the patient's skin integrity intraoperatively.

For example, the nurse would document the patient's skin status before, during, and after the operation, noting any changes or maintaining the status quo. Furthermore, information shared among the team members, such as the patient's identity, surgical site, and procedure, also provides useful context for understanding the patient's skin condition.

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