100% Original, Plagiarism Free, Tailored to your instructions

Order Now!

Case Study 3: John Wong (Transurethral Resection of the Prostate).

Case Study 3: John Wong (Transurethral Resection of the Prostate).
John Wong is an 80 year old male of Chinese origin. John’s medical history includes
hypothyroidism and osteoporosis and he smokes 10 cigarettes per day. His gait has
recently been increasingly unstable and he has difficulty with simple tasks, such as
getting up his house stairs and getting up from chairs.
In the last 4 weeks, he has noticed that he has been having difficulty passing urine and
some abdominal discomfort. His GP referred him to a urologist and a prostate biopsy
was taken. This showed BPH (benign prostate hyperplasia) and it was recommended
that he undergo a Transurethral Resection of the Prostate (TURP).
While conducting John’s pre-admission assessment it is noted that John is slightly
hypertensive and is fidgeting and moving around the waiting room. After some education
John states that he is pleased to have the surgery as he hopes it will relieve some of the
discomfort he has been experiencing. John tells the nurse that he currently lives alone.
John’s surgery is uneventful during the intra-operative stage. On arrival to PACU John is
placed in a supine position. He is drowsy and restless and oxygenated through a
facemask on 02 at 5l/min. A wheeze and non-productive cough is noted. John has an
IDC insitu with continuous bladder irrigation with output noted to be a reddish pink. A
number of blankets are placed on top of him as he is shivering. His observations are T
36.5c, HR 90, RR 30, BP 150/90 and SpO2 91%.
John is transferred to the surgical ward after a 65 minute stay in PACU. John remains
drowsy but easily rousable. He is oxygenated via intra-nasal cannulae at 2l/min and he
states his pain is 3/10. He has 0.9% sodium chloride infusion running at 125ml/hr. Postoperative
orders include IVF, analgesia (PRN Endone, 5mg 6hrly and Paracetamol, 1g
4-6hourly), strict FBC and continuous bladder irrigation for 24 hours, with an aim of rose
urine output.
Four hours after John’s return to the ward he is observed to be in pain and distressed.
He is diaphoretic and restless and states that his bladder feels full and he feels the urge
to urinate. At this time, vital signs are noted to be: T 36.9c, HR 91, RR 28, BP 146/91 &
SPO2 98%. On review of his documentation it is found that his fluid status has a positive
500ml balance and his urine is of red colour. There are blood clots in his urine.
Please refer to the rubric on page 14 on the Unit Outline for full marking criteria
1. In relation to your chosen patient, discuss the pathophysiology of their
condition and using evidence based practice explore current treatment options
for your patient’s condition, include any pharmacological and nonpharmacological
2. Critically discuss four (4) components of the PACU discharge criteria
outlined in the Aldrete Scale. Utilize the scale provided on LEO as a resource in
your case study.
3. Develop a discharge plan to support your patient on discharge. Include
any education you deem relevant, any referrals to allied health professional/s
required, and discuss your rationale.
NRSG258 Acute Care Nursing 1, Semester 1 2015 Page 12 of 19;
Assessment Task 1: Case Study
Description: Students are to choose one (1) of the case studies available (see
LEO) and answer the associated questions. The assignment is to
be presented in a question/answer format, and not as an essay
(i.e. no introduction or conclusion). Each answer has a word limit;
each answer must be supported with citations. Students should
follow the recommended formatting for academic papers
http://students.acu.edu.au/308971 Students must provide in-text
referencing and a reference list must be provided at the end of
the assignment.
Due date: Friday 27th March: Midnight (Week 5)
Weighting: 40%
Length and/or format: 1500 words
Purpose: Facilitate the development of critical thinking in relation to nursing
management along the perioperative continuum including
effective care, safety and evaluation.
Learning outcomes assessed: 1, 2, 3, 5 & 6
How to submit: Students are to submit the following via Turnitin Case Study
submission folder as one document:
?? Assignment
?? Reference List (adhering to APA style)
Return of assignment: Case Study submissions will be returned to students online via
Assessment criteria: This assessment task will be graded against a standardised
criterion referenced rubric. Please follow these criteria closely
during the planning and development of your assignment.
For more comprehensive information on this assessment task, including the available case studies and
the Aldrete resource required for this assignment, please refer to the Case Study Folder in LEO under
‘My Assessments’.

Our Service Charter

  1. Excellent Quality / 100% Plagiarism-Free

    We employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
  2. Free Revisions

    We keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
  3. Confidentiality / 100% No Disclosure

    We make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
  4. Money Back Guarantee

    If the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
  5. 24/7 Customer Support

    We have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.

Excellent Quality
Zero Plagiarism
Expert Writers

Instant Quote

Single spaced
approx 275 words per page
Urgency (Less urgent, less costly):
Total Cost: NaN

Get 10% Off on your 1st order!