Based on knowledge of client condition and surgical procedure, what is the number one priority for Mr. Ka'hane during the post-operative phase of his experience? 14. How can nursing help with Mrs. Ka'uhane's role as facilitator of Mr. Ka'uhane's recovery? 15. The nurse helping you by taking Mr. Ka'uhane's vital signs reports to you that Mrs. Ka'uhane is very upset over how often they are being done and verbalized that "something must be wrong!" How would you respond to Mrs. Ka'uhane?

13.Based on knowledge of client condition and surgical procedure, what is the number one priority for Mr. Ka'uhane during the post-operative phase of his experience?

The number one priority is that Mr. Ka'uhane's oxygen saturation levels (94%). After surgery (due to anesthetics), any patient is at risk for postoperative pulmonary complications. There could be stasis of mucus in the lungs and may affect lung mechanics (increased risks of atelectasis, pneumonia, pleural effusion, and more).

Breathing would be more difficult for the patient, Mr. Ka'uhane, given that he already has Chronic Obstructive Pulmonary Disease (COPD) then underwent surgery. It is important to ensure that the patient has adequate oxygen saturation, because this allows all the organs (especially the brain, the heart, and the kidneys) to be perfused well to therefore carry out their respective functions.

14.How can nursing help with Mrs. Ka'uhane's role as facilitator of Mr. Ka'uhane's recovery?

Nursing is important as it covers the role of educating the wife of the patient. If the patient's wife is educated properly regarding his conditions and the reasons why certain medications and interventions were prescribed, her anxiety will be eased and she would be able to cooperate and adhere to her husband's treatment.

15.The nurse helping you by taking Mr. Ka'uhane's vital signs reports to you that Mrs. Ka'uhane is very upset over how often they are being done and verbalized, "Something must be wrong!" How would you respond to Mrs. Ka'uhane?

(After allowing the patient's wife to verbalize so you could explore her feelings).

"I sense that you are afraid, Ma'am. Is this true?"

(Explain that her feelings are valid and provide assurance)

" I understand that you are afraid. Your feelings are valid and it is normal, especially in this kind of situation."

"Mr. Ka'uhane just underwent a surgery and he did tolerate it well. I would like to assure you that he is stable at the moment. However, we still need to remain vigilant for any possible complications, that is why we are monitoring him frequently. I am certain that you would also like that as well."

(Allow the patient to anticipate your actions)

Don't worry, if he remains stable after four hours, we will gradually decrease monitoring every 2 hours within 8 hours, then finally, monitoring will just be every four hours within 24 hours. I would like to elicit your cooperation regarding this. How would you like to help?