Reference no: EM133590037

Mr. Henderson is a man, 75 years of age, who is undergoing a colon resection for removal of cancerous nodes. His medical history includes: Hypertension, Diabetes mellitus Type 2, osteoarthritis, MI x7 years ago Surgical History: Cardiac stent 7 years ago after MI Social History: Denies alcohol use; 30 year hx of smoking, ½ ppd (quit 7 years ago) Home medications: furosemide, hydrochloride thiazide, metoprolol, lisinopril, metformin, glargine, and meloxicam What overall risk factors does Mr. Henderson's care team need to consider before he is deemed a good candidate for surgery. (3 points) a. b. c. Considering his risk factors, what pre operative tests are necessary for Mr. Henderson's surgeon to get from him to clear him for surgery? (3 points) a. b. c. List six (6) pre-operative teachings that the nurse should be teaching to Mr. Henderson? (6 points) a. b. d. e. f. The operation proceeds without complication, and the patient is transferred to the PACU without incident. During the first postoperative hour, the patient is noted to be hypotensive, with a systolic blood pressure of 80 mm Hg. To understand his trend, you note his systolic pressure on admission and before were in the range of 145 - 160 mm Hg. Given the surgery and the medical history, name at least one possible reason for the postoperative systolic BP. (2 points) Give at least one possible intervention for the patient at this time that can help with his pressure. (1 point) Besides Mr. Henderson's cardiovascular situation, what else is a high priority to continually assess while he is in the PACU? How is this best achieved? (2 point) Priority: Best way to achieve it: The patient is administered additional intravenous fluids at a rate of 75 mL/hour and transferred to the surgical ward. On the morning of post-op day 2, the nurse gets a temperature measurement of 99.8 F and an SpO2 sat reading of 92% on RA (room air). He also is complaining of a lot of gas, abdominal distention and nausea. What two (2) post-op complications may explain these findings? Give 2 interventions for each finding. Two complications (2 points): Two interventions for each (4 points): Write two (2) nursing diagnoses appropriate for this patient - include r/t and AEB for full credit.