Question about a scenario question Postop Prostatectomy

Hello

I work on a 24 hour unit and I am very much a new nurse and we accept patients that are post op TURP or TURBT. Usually these type patients return to the ward without any PCA Pumps to help with pain relief. We have had a patient who did bleed and was returned to surgery to fix the bleed.

It was until I was given a scenario question for a job interview about a patient post op prostatectomy who had a blood loss within 2 hours on return to ward of about 900ml in the drain which contributed to low BP, resp rate 24, O2 98% 6L NP, Sedation score 2, pain score 7/10, PCA Pump Fentanyl 8 injected, nausea.

In my observations because this patient is bleeding out which is life threatening needs to be attended first priority to stop the bleeding. Then resolving the pain levels with most likely a new doctor order. Discontinuing the PCA Pump.

So I am wondering if any experience Urology Nurses have encountered this kind of scenario and the nursing management of these kind of patients?

I would be much appreciative of your help and be enlightened by your knowledgable advice

MANY THANKS