Perioperative Nursing ■ Mr. Bane Ka’uhane is a 66-year-old male admitted to the surgical unit with a diagnosis of abdomi
Posted: Sun Feb 13, 2022 8:55 am
Perioperative Nursing
■ Mr. Bane Ka’uhane is a 66-year-old male admitted to the
surgical unit with a diagnosis of abdominal mass. He has been
complaining of vague symptoms
for the past 3 months. These symptoms include inter- mittent
indigestion, abdominal pain, and constipa- tion. His medical
history includes COPD, PVD, and insulin-dependent diabetes
mellitus. He takes the following medications at home:
The nursing assessment/history done on admission includes the
following data:
Objective data:
left lower base
Mr. Ka’uhane is scheduled for an exploratory laparotomy at 0800
in the morning.
His preoperative orders include:
7. What physiological effects can you anticipate secondary to
the pre-op medications?
Mr. Ka’uhane is transferred to the OR table and readied for
surgery.
Mr. Ka’uhane has completed surgery and is transferred to the
PACU. His present status is:
He had an uneventful surgery, and the mass was removed without
incidence. The OR nurse reports that Mr. Ka’uhane had a total of
4200 mL of IV fluids and a urinary
output of 2700. Estimated blood loss was 525 mL. He did not
require blood replace- ment. The abdominal incision was closed with
staples and retention sutures and the dressing is dry and intact.
Vital signs remained stable throughout the procedure.
Mr. Ka’uhane remained stable in the PACU. His vital signs are
stable, his urinary output is adequate, and he is exhibiting no
signs/symptoms of hypo/hyperglycemia. He is discharged to the
surgical unit. His postoperative orders include:
17. You note that there is a small amount of drainage on the
surgical dressing. The order reads that it is not to be changed
prior to morning rounds. What is the appropriate action in this
situation?
Complication At Risk Rationale Interventions
Aspiration pneumonia
Atelectasis
Pneumonia
Pulmonary embolus
Thrombophlebitis
Complication At Risk Rationale Interventions
Hypovolemia
Hemorrhage
Nausea/vomiting
Abdominal distention
Constipation
Ileus
Renal failure
Urinary retention
Urinary tract infection
Dehiscence
Evisceration
Wound infection
■ Mr. Bane Ka’uhane is a 66-year-old male admitted to the
surgical unit with a diagnosis of abdominal mass. He has been
complaining of vague symptoms
for the past 3 months. These symptoms include inter- mittent
indigestion, abdominal pain, and constipa- tion. His medical
history includes COPD, PVD, and insulin-dependent diabetes
mellitus. He takes the following medications at home:
The nursing assessment/history done on admission includes the
following data:
Objective data:
left lower base
Mr. Ka’uhane is scheduled for an exploratory laparotomy at 0800
in the morning.
His preoperative orders include:
7. What physiological effects can you anticipate secondary to
the pre-op medications?
Mr. Ka’uhane is transferred to the OR table and readied for
surgery.
Mr. Ka’uhane has completed surgery and is transferred to the
PACU. His present status is:
He had an uneventful surgery, and the mass was removed without
incidence. The OR nurse reports that Mr. Ka’uhane had a total of
4200 mL of IV fluids and a urinary
output of 2700. Estimated blood loss was 525 mL. He did not
require blood replace- ment. The abdominal incision was closed with
staples and retention sutures and the dressing is dry and intact.
Vital signs remained stable throughout the procedure.
Mr. Ka’uhane remained stable in the PACU. His vital signs are
stable, his urinary output is adequate, and he is exhibiting no
signs/symptoms of hypo/hyperglycemia. He is discharged to the
surgical unit. His postoperative orders include:
17. You note that there is a small amount of drainage on the
surgical dressing. The order reads that it is not to be changed
prior to morning rounds. What is the appropriate action in this
situation?
Complication At Risk Rationale Interventions
Aspiration pneumonia
Atelectasis
Pneumonia
Pulmonary embolus
Thrombophlebitis
Complication At Risk Rationale Interventions
Hypovolemia
Hemorrhage
Nausea/vomiting
Abdominal distention
Constipation
Ileus
Renal failure
Urinary retention
Urinary tract infection
Dehiscence
Evisceration
Wound infection