外科见习（Surgical practice）.docVIP

外科见习（Surgical practice） Journal of surgical nursing Today, in the urology ward, I took care of a patient with a urethral cleft with the instructor, and focused on the study and implementation of pressure ulcer nursing. Now I have recorded the following information: First, the reason for admission: children, male, 2 years and 8 months old, two years ago, parents found that their penises were short and the location of the urethral mouth was abnormal in the local hospital, and the diagnosis was cracked in the urethra. Children now urinate 5-10 times a day, urination is sporadic and urine is much. The operation was treated in the urology ward of our hospital. Body temperature: 37oC heart rate: 100 beats per minute breathing: 28 times/weight: 13.5 kg. The childrens mental response is good, the nutrition development is medium, the mental physique development is the same age as normal, the expression is natural, the autonomic position. No skin rash, no purple spot, no blood point, no yellow dye. The superficial lymph nodes did not reach the swelling. The neck is soft and the trachea is centered. The two lung respiratory movements are consistent, the lungs breath sound clear, unsound. There is no uplift in the front of the heart, the heart is strong, the law is not qi, there is no murmur. Abdominal flat soft, no tenderness, no obvious package, intestines sound 4-5 times/minute. The liver and spleen were not touched. Limb muscle strength, muscle tone normal. Physiological reflection is present and pathologic reflex is not elicited. Iii. Treatment principle: (1) improve preoperative examination (2) elecoperative surgery (3) post-operative anti-inflammatory Iv. Care plan preoperative (I) nursing diagnosis 1. Lack of knowledge: (parents) lack of preoperative knowledge 2. Anxiety: (parents) worry about the postoperative correction effect. (2) care measures 1. Assess the degree of parental knowledge deficiency. 2. Encourage the children to drink more water, urinate or defecate da