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[Solved]: A 75-year-old male patient from a nursing facility…

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A 75-year-old male patient from a nursing facility has been admitted to the hospital for a low anterior bowel resection for adenocarcinoma of the sigmoid colon. His past medical history includes: a) an allergy to sulfa drugs, b) a past medical history of type 2 diabetes and inflammatory bowel disease with associated chronic diarrhea. He is taking immunosuppressants and aspirin as a result of a TIA he had a few years ago, along with a loop diuretic and dihydropyridine calcium channel blocker to control his blood pressure. He has been bed-ridden for the last year and presents with a Stage Ill pressure ulcer on his sacrum. He has not eaten in the last two days due to abdominal pain. He is 5’6″, 175 lbs and his BMI is 28. His weight was ten pounds higher thirty days ago. He arrives in the preoperative unit one hour before the scheduled surgery time and waits an additional 1.5 hours due to an unexpected delay. His baseline blood pressure according to the anesthesia professional was 120/80 mmHg. The anesthesia professional determines the patient to be an ASA class lI.1. As a nurse, what are two other key assessments you would want to include in your perioperative assessment and why?2. What does it mean to be an ASA class lI? 3. Name three potential postoperative complications that would be of concern with this patient with rationale.4. Name two nursing priorities in a postoperative plan for this patient with rationale.

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