Patient with a colostomy

A) Call one of your classmates and ask what they would do!!!

Dont take this wrong--but really I dont know if the home forum is a place to post homework questions.

you need to think this out on your own. you have to have the critical thinking skills to know what to do first. think about it ... it's a very simple answer... call a classmate and discuss all those options and why... good luck in school

What do I do first with a patient that's come back from surgery two hours ago for a sigmoid colostomy. patient has N/G tuve to low continous wall suction drainging dark brown drainage,a right central line with TPN infusing at 83mL/hr and an IV of Dextrose 5 percent in normal saline with a PCA (morphine sulfate) set to deliver 1 mg/6 min per patient demand.

assess surgical dressing and stoma

take the vital signs

assiss pain level

check N/G tuve and drainage

check IV site, TPN and PCA setting:banghead:

When I get post op patient d from PACU, the first thing I do is check the vitals.... Then I would check the surgical dressing and stoma. But in school I think YOU assess first... Weather that be to assess VS or Surgical Site. I think it also depends on the report you get and how awake and alert the patient is.. Hope this is helpful

PS is there a lock on on the PCA? cause if there is NO lock out I would check the order regarding these setting plus I wouls also assess the patient pain level and LOC