NRSG370: Mr. Peter Ling: Post-Operative Inguinal Hernia Repair - Nursing Assignment Help

Assignment Task:

Mr. Peter Ling is a 67-year-old man who was admitted to the surgical ward, following an open mesh inguinal hernia repair. He had presented to ED with a 6-hour history of a R non-reducible tender, inguinal mass. Peter recently commenced a new gym/weight lifting regime. Past Medical History: Mr Ling has retired, lives with his wife and gave up smoking 10 years ago. Peter is obese, with a body mass index (BI) of 30. In order to control his weight, he has taken up weight liftering again after a twenty-year break. He is on medication for hypertension and hyperlipidaemia, which are both well-controlled, and he also has mild congestive heart failure (CHF). 

Mr. Ling was recovering well, but on day 2 post op, he complained of pain radiating from his surgical site and growing discomfort from his left calf.

On your assessment:

• Vital signs: Temp: 38.3oC, RR: 25, HR:100 regular, SpO2 95% on room air (R/A), BP: 170/90, Pain score 7/10 (wound site and left calf),

• Physical assessment: Mr. Ling does not want to get out of bed to shower. His chest is clear, skin is a little clammy around his brow and lips, post-op surgical wound dressing is oozing moderate serous discharge; inflammation is evident from around the dressing. Peters left calf appears larger than the right and has inflammation around the mid-calf and is warm to touch. 

Investigations:

• Haemoglobin 16.5 gm/dl,

• WCC, neutrophils and CRP – all elevated

Nursing notes:

• He has tolerated diet and is voiding well

• Bowels opened yesterday

• Vital signs to date have been within normal range.

You are the registered nurse looking after Mr. Ling.

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