Final answer:
The perioperative nurse should assess the risk for infection, impaired renal function, impaired wound healing, the need for intravenous antibiotics, and the ability for self-care upon discharge when caring for an older client undergoing surgery.
Step-by-step explanation:
The perioperative nurse should assess several factors when caring for an older client undergoing surgery. These factors include:
- Risk for infection: Older adults may have a weakened immune system, making them more susceptible to infections. The nurse should assess for any signs or symptoms of infection, such as fever, redness, swelling, or drainage at the surgical site.
- Impaired renal function: The nurse should assess the client's kidney function, as older adults may have reduced renal function, which can affect the clearance of medications and fluids administered during surgery.
- Impaired wound healing: Older adults may have slower wound healing due to factors such as reduced collagen production and impaired circulation. The nurse should monitor the surgical site for signs of delayed or impaired wound healing.
- Need for intravenous antibiotics: The nurse should assess if the client requires intravenous antibiotics before, during, or after surgery to prevent infection.
- Ability for self-care upon discharge: The nurse should assess the client's ability to perform self-care activities after surgery, such as dressing changes, medication administration, and mobility. This assessment helps determine if any additional support or resources are needed for a safe and successful discharge.