Question

1. Lois smith , is a 76 year old female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 95%. The vital signs include: blood pressure, 100/50 mm Hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. The patient is confused as to place and time. (Learning Objectives 4 and 7

a. Explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed.

b. What gerontological postoperative considerations should the nurse make?

2. John smith is admitted to the hospital for incision and drainage (I&D) of an access of his right calf, which result from a farm machinery accident.The right has an area 3cm x 2.5cm, which is red , warm and hard to touch, and edematous.(learning objective 5)

a. explain the wound healing process according to the phase of Mr. smiths wound.

Answer 1

1.a.

Assessment parameters are, vital signs , pulseoximetry , levelconsciousness.systolic blood pressures , temperature of the patient and oxygen administration.according to this assessment it gives clues to find out the post operative problems early and give further management.

B.reestablishing the patient physical balance

Provide pain management

Maintain adequate body system functions

Provide psychosocial support to them

Regualate thermal functions

Provide adequate nutrients to them

Provide comfortable positioning

Infection control

Promote patient safety

Clear airway obstruction

Provide optimal respiratory function.

2.a. this is a normal part of the inflammatory process of wound healing.in that our body localised defensive response to tissue injury of the wound.