Surgery for Herniated Disc Patient Profile J.A., a 68-year-old

Surgery for Herniated Disc


Patient Profile

J.A., a 68-year-old woman with a herniated lumbar disc at L4, is scheduled to have an L4 lumbar laminectomy using a posterior approach. She has a history of low back pain, osteoarthritis in the left hip, and hypertension. She is taking the following medications:

•​Metoprolol 50 mg PO twice daily; last dose last night

•​Ibuprofen 600 mg PO three times daily; last dose yesterday morning

•​Garlic supplements daily; last dose yesterday morning


Subjective Data

•​Has low back pain that radiates down her right leg

•​Has pain in left hip that worsens with activity

•​Has not had anything to eat or drink since midnight last night

•​Has smoked one-half pack of cigarettes per day for the past 47 years

•​States that she is allergic to sulfa and latex


Objective Data

Physical Examination

•​Blood pressure 140/82, pulse 84, temperature 98.6°F, respirations 20

•​Height 5′ 5″, weight 195 lbs., BMI 32.4 kg/m2

Diagnostic Studies

•​ECG normal sinus rhythm

•​Lab values

•​Sodium​​139.0 mEq/L

•​Potassium​3.4 mEq/L






•​RBC​​4.3 million/µL


•​Hemoglobin​12 g/dL




Discussion Questions

1.​After reviewing J.A.’s chart with the above data, what information should the perioperative or circulating nurse make the operating room staff, surgeon, and anesthesia care provider aware of?


2.​What position should J.A. be positioned on the operating room table and what should be considered when positioning her for the surgical procedure?


3.​Just before bringing the operating room, the surgeon comes to talk to her and marks the surgical site. You then put a hair cover over J.A.’s hair, similar to that worn by the rest of the operating room staff and hang the ordered preoperative IV antibiotic. What is the purpose of the surgeon marking the operative site, the hair cover, and the administration of the antibiotic on the way to the operating room?


4.​What is involved in a surgical time-out?


5.​What is the circulating nurse’s role in the OR?


6.​Describe a plan for J.A.’s anesthesia during surgery.

How to Get Help with your Assignment in 3 mins

  1. Place Your Assignment Request in under 3 mins

    To access our online order form, click the "Order Now" button below.
  2. Complete the Payment

    Click on checkout link at the bottom of the order page to pay.
  3. Download Your Assignment

    Once we receive payment, one of our highly qualified essay writing experts will work on your assignment and complete it within your selected deadline.

What does the completed assignment have?

  • Thorough Research and High-Quality Essay Writing
  • Native UK, US, Canadian, Australian Writers
  • Up-to-date Sources Only (Less than 5 years)
  • 24/7 Online Support
  • Essay in 1,3, 6, 8, 12, 16, 20 hours +...!
  • 100% Plagiarism Free
  • 100% Privacy Guarantee
  • Times New Roman, 12pt
  • Any Referencing Styles (APA, MLA, Harvard, Chicago, Turabian...)
  • 275+ Words per page
  • Single/Double Spaced Papers
  • Plagiarism Report on Request

Why do college students choose our assignment help service?

  • list icon instant gradesExcellent Grades Guaranteed! (A+ or B Minimum)
  • list icon instant grades Privacy Guarantee - No one will ever know!
  • list icon instant gradesAlways delivered on time
  • list icon instant grades High-Quality Essays
  • list icon instant grades24/7 Instant Online Support
  • list icon instant gradesTitle Page --- FREE!
  • list icon instant gradesTable of Contents --- FREE!
  • list icon instant gradesReferences List ---FREE!
  • list icon instant gradesRevisions---FREE!
  • list icon instant gradesPlagiarism Report ---FREE!
  • list icon instant gradesEditing before submitting it to you ---FREE!