Final answer:
The PN should immediately report any unusual findings such as persistent bleeding, signs of infection, severe pain, or sudden change in the patient's condition after a nephrectomy. Postoperative protocols include confirming needle, sponge, and instrument counts, and correct specimen labeling.
Step-by-step explanation:
The Practical Nurse (PN) is responsible for the care of a client who had a left nephrectomy (a surgical procedure to remove a kidney) the day before. One key aspect of postoperative care is to monitor the patient for any signs of complications that could indicate a need for immediate attention. The PN should report to the charge nurse any findings that are out of the ordinary, such as persistent bleeding, signs of infection, severe pain, or any other sudden change in the patient's condition. In accordance with standard protocols, the surgeon, nurse, and anesthesia professional would review the key concerns for recovery and care of the patient, including confirming that the needle, sponge, and instrument counts are complete and that any specimen is correctly labeled. The PN would ensure that issues such as these, as well as any equipment failures, are communicated to the charge nurse immediately for the safety and well-being of the client.