This case study analyzes the nursing care of an 82-year-old patient, Edward William (Ted), who underwent bowel resection and colostomy. The assignment covers the patient's medical history, including conditions like heart failure, diabetes, and obesity, along with his family and social context. It details the collection of cues and information, including vital signs, symptoms of pneumonia (coarse crackles, productive cough), and potential postoperative ileus. The study progresses through the Clinical Reasoning Cycle, identifying goals like addressing pneumonia and postoperative ileus. It outlines nursing interventions, such as assessing respiratory status, maintaining hydration, nasogastric suctioning, and early mobilization. Furthermore, it discusses pharmacological interventions, including macrolide antibiotics for pneumonia and alvimopan for postoperative ileus, highlighting their mechanisms and potential side effects. The case study emphasizes evidence-based practices and the application of the Clinical Reasoning Cycle in surgical nursing.