SOLVED571

As a staff nurse on a hospital surgical unit,you are caring for a 68-year male admitted from the post anesthesia care unit (PACU) following emergent laparotomy for repair of an anastomotic leak of a segmental bowel resection done 10 days ago for stage II colon cancer. In addition to his history of colon cancer, the patient also has a history of hypertension, obstructive sleep apnea, and obesity (with a body mass index [BMI] of 36/m2). The patient is drowsy, oriented to person, place, and time; he reports an abdominal pain score of “6” on a 0 to 10 numeric pain intensity scale. The patient’s vital signs include temperature 36.6°C (97.8°F), heart rate 82 bpm, respiratory rate 12/min, blood pressure 138/78, and SpO2 of 99% on 2 L/min of O2 by nasal cannula. The patient has a midline abdominal wound with staples with a small amount of serosanguinous drainage on the dressing and a Jackson-Pratt drain to bulb suction with scant bloody drainage, a Foley catheter to gravity drainage, and sequential compression devices in place bilaterally to his lower extremities. A peripheral IV line in his left forearm is infusing normal saline at 100 mL/h. B)What are the patient’s risk for
SCIENCE
HEALTH SCIENCE
NURSING

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