Question

Case Study, Chapter 59, Assessment and Management of Problems Related to Male Reproductive Processes 1. Joe Smith, a 55-year-old patient, is admitted to the surgical unit after robotic-assisted laparoscopic radical prostatectomy with nerve sparring for early stage cancerous tumor confined to the prostate. The client has six small incisions in the abdomen with small 4x4 dressings with clear dressing dry and intact. The client has a JP drain in place with clear, red-colored drainage with 50 mL present and an indwelling urinary catheter draining clear, red-colored urine. The surgeon ordered ketorolac (Toradol) for pain management and belladonna and opiate (B&O) suppository every8 hours, as necded, for bladder spasms. (Leaming Objective #5) a. What nursing care should be provided to the patient in the immediate postoperative period? For what potential complications should the nurse observe, and what actions should the nurse take if the complication devclops? b. c. The surgeon removes the IP drain the neyt day anhne

Answer 1

1, Pain is common and often experienced by patient's when they are in the immediate postoperative period. Immediate postoperative care for a patient that administer analgesics as per doctor advice to alleviate suffering.
2, Shock is one of the dangerous complications due to blood loss from the body. check patient drainage site for hemorrhage and measure patient intake and output, drainage amount and enter in the patient chart and inform the physician if there is anything abnormal notified in the drainage bag.
Wound infection in the surgery site due to bacterial infection. Administer Antibiotics as per doctor orders.
Urinary retention when the patient inability to empty the bladder. Urinary retention is mostly caused by anesthetic it can be treated with a urinary catheter to drain the bladder.
Constipation and flatulence due to the anesthtic effect can be treated with suppository insertion. Follow doctor instructions to prevent complications.