Surgical Nursing Question Answer 2022

Running head: SURGICAL NURSING
SURGICAL NURSING
Name of Student
Name of University
Author note

SURGICAL NURSING
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Response to question 1
Ted Williams is 82 years old male who had a bowel resection surgery just about 4
weeks back. The subject was being treated for a malignant mass that was revealed through
colostomy and biopsy. As per the present situation of the subject, the patient is on
medications such captopril for normalizing the blood pressure, metformin for type 2 diabetes
mellitus and Frusemide for congestive heart failure. In the post-surgical condition, the subject
did not intake anything for 48 hours then a liquid diet was given. His oxygen saturation is a
bit low and he is having nausea, abdominal pain and shortness of breathing. As for
biopsychosoical impact, the biological effect of the surgery on comorbid conditions of
diabetes mellitus type 2, congestive heart failure, gout and obesity will occur. As the subject
is old and very aged that is 82 years, he is bound to have mental anxiety and stress caused by
the experience of the surgery. As the subject lives alone, with his wife died about three years
ago and his son and daughter lives with their respective families abroad and in the city
respectively, the lack of social support can impact the effect of surgery on the subject, very
adversely, leading to social isolation and depression. There is a partner though, who is 78
years old. Given his age, spiritual state can be distorted due to the post-surgical
biopsychosoical crisis and a culturally competent spiritual, humanistic nursing can aid the
post-surgical situation of the subject, in a very effective manner. If the assessment, diagnosis,
intervention and evaluation is only culturally competent, then the post-surgical geriatric care
can be affected very much.
Response to question 2
Processing the information
The subject has mild fever as the body temperature of the patient is 38.1 degrees. The
heart rate of the subject is normal but is on the higher side. The normal range of heart rate is

SURGICAL NURSING
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60-100 post which the subject is said to be tachycardia and lesser than 60 beats per minute is
considered as bradycardia (McLeod et al. 2018). The heart rate of the subject is almost 98,
which although normal but should be considered high and risky, given the age of the subject
and the severe respiratory distress. The respiratory rate of the patient is 26 breaths per minute
and referring to the normal range is 12-20 breaths per minute – it can considered that the
subject is having shortness of breath and respiratory distress because of which the heart rate
of the patient has also increased. As the subject had a history of congestive heart failure and
is being given frusemide, the increase in heart rate can be a problem (Ohr, Jeong & Saul
2017). The subject has moist productive cough and fever as well, it is critical that color of the
cough is noted to see if there is any infection that has occurred, that can then be correlated
with the presenting fever. The environmental conditions such as the room temperature,
dysregulation of body temperature, shock, anxiety, fear can also cause the increase in body
temperature of the patient and given the age of the patient and lack of family support
throughout the experience of the surgery, can easily attribute the aforementioned
pathophysiology of fever in the patient (Healy, Davis & Pei 2018). The subject has been
reported to have crackles on inspiration which means the respiratory distress in the subject is
due to a restrictive issue or inhalation, inspiratory problem and acute respiratory distress
syndrome can be considered for a further assessment and diagnosis was well. The condition
can be caused by post-surgical infections or hospital acquired infections as well and as the
subject is 82 years old, the subject is prone to get affected by these infections than any other
age groups. At the surgical site, due to the surgical trauma and also due to the bowel issues as
the subject has sluggish bowel sounds and has not passed flatus, there can be an abdominal
distension leading to causation of the severe abdominal pain. On the scale, the readings were
taken as 7 upon 10 and this high intensity of pain can decrease the pace of recovery of the
patient. The current blood pressure of the patient is about 135/85 which is almost border high