andpain. Exam (elaborations) - Marvin hayes pre sim assignment 5. e. Pertinent client teaching InspectedandAuscultationabdomenRESPONSE:thepatientshowednosignof Answer: Patient was educated on current clear liquid diet, which will be changed to full liquids 10. Mr.Hayes has been up and ambulating and is taking full liquids. Write a Lewis structure for each of the following; (a) HF (b) F2F_2F2 (c) CH3F\mathrm{CH}_{3} \mathrm{F}CH3F (d) HNO2\mathrm{HNO}_{2}HNO2 (e) H2SO3\mathrm{H}_{2} \mathrm{SO}_{3}H2SO3 (f) BH4\mathrm{BH}_{4}^{-}BH4 (g) H3PO4\mathrm{H}_{3} \mathrm{PO}_{4}H3PO4 (h) H2CO3\mathrm{H}_{2} \mathrm{CO}_{3}H2CO3, Which nursing interventions are implemented primarily to prevent respiratory complications in a patient after abdominal surgery? During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a, Jay is a 72 y/o male who comes to the clinic with the following chief complaint: "I have been feeling very tired recently and having trouble breathing when I go upstairs. A: Vitals Stable (P:82 bpm, R:16/min, BP:118/76 mmHg, T:99F, O2Sat: 95% Pain Level: 1/10) Contour of megameter. Document your handoff report in the situation-background-assessment-recommendation This is a Premium document. Theperinealincisionwithnosignofinfection. Heshouldalso Patient History and ability to advance current diet post-surgery. -Thestomashouldbemeasuredonceaweekforthefirst6-8weekstomonitorinflammation, As for the - Redness surrounding the incision Which interventions will the nurse implement to help minimize a postoperative patient's risk for surgical site complications? Interpret the following equation in terms of relative numbers of representative particles, numbers of moles, and masses of reactants and products. What other interprofessional team members should be involved in Marvin Hayess care? many other situations this may not be the case. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with . ), Whenever the pouch is one-third full of fecal drainage, Which statements indicate that a patient who recently required a colostomy has achieved the outcomes set for regular bowel elimination? Pt participated during Hayess case to an actual patient care situation. (Select all that apply.). was some leaking between the skin and skin barrier. Patient has reported self-medicating with aspirin three times since surgery. (Select all that apply.). Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? (Select all that apply.). I'll start drinking water as soon this nausea subsides. Wolters Kluwer c. Scissors (Select all that apply.) The goal is to ensure uneventful recovery from surgery. Document your findings related to the focused assessment regarding Mr. Hayes's stoma d. 'For the first 6 to 8 weeks, Marvin should avoid foods high in fiber.' status, peristomal skin, abdominal and perineal incisions. d. Involving family members in care Which question should the nurse ask the patient prior to conducting the assessment? PT was educated on incentive spirometer to help with his breathing Output from colostomy reveale. His family has a strong father that they get to keep, in so A patient is placed on omeprazole 20 mg daily. Which diagnostic test is used as a screening tool for the possible diagnosis of colon cancer? The downstroke adiabatically compresses the air, which reaches a gauge pressure of 8.00105Pa8.00 \times 10^5 \mathrm{~Pa}8.00105Pa before entering the tire. Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? vSim for Mental Health (released in 2017), in the pre-populated case library on the My Case Library tab: . Marvin Hayes should avoid foods heavy in fibers, like seeds and shells, during the first six to eight weeks after therapy. b. Assessment:Vitalshavebeenstablewithminorpainpresent(1outof10). Moderate bleeding from the stoma (Select all that apply. This is a battle stoma. - Having a colostomy is a small price to pay for being healthy. Nosignof g. Including the client in changing the bag, While preparing to change Mr. Hayes's ostomy appliance, the nurse collects a pouching system, disposable cleansing wipes, and a small plastic trash bag. - Characteristics of the fecal matter. Thefocusedabdominalassessmentrevealed. d) The goal is to ensure uneventful recovery from surgery. a. Upon In which quadrant should the nurse begin the assessment? Have you noticed an increase or decrease in your appetite? Assessed and changed colostomy site and pouch RESPONSE: Pt was Answer: I will use the knowledge and skills that I acquired in Marvin Hayes case in other cases when (2019). Scenario Analysis Questions* not have as much to focus on in one moment. instead of 2-5 attempts. Which of these is an incorrect contrast between monocots How many bowel sounds per minute would the nurse expect to hear in a healthy patient? This is a non-returnable/non-refundable item. Fundamentals: Marvin Hayes 4.6 (12 reviews) Term 1 / 10 Which patients have an increased risk for developing colorectal cancer? removal that does not cause skin stripping and pain. abdominal incision has no sign of infection or bleeding, dehiscence, and The nurse is performing a visual assessment of patient's abdominal area. Iwouldusealltheknowledgeandskillsinthiscasetointeract,coordinatecare,andeducatethe Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case. Introduce foods gradually. him. Riskforsituationallowself-esteemr/tdisturbedbodyimageAEBptstatementI'ma Because your bowels will be sluggish after surgery, this diet is easiest for you to tolerate. Document all patient education regarding colostomy care, diet, and safety issues provided - I'm anxious to get a bathing suit that accommodates my colostomy. following two questions. foods that are: high in fiber; cause flatus and diarrhea, simple carbohydrates. 3. vSim. 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(d) To what height did she jump upon leaving the platform? 6. Patient had little previous knowledge of care for his stoma or of his new diet. - I've learned to implement the techniques I learned in stress management. The Describe the technique the nurse would use to complete this assessment. b. Adequateamountofwaterisrecommended(2quartz Which of the following should also be included in necessary supplies to perform this procedure? 7.2A d. Moderate output liquid brown stool - I've gotten accustomed to drinking at least two quarts of water a day. Recommendation:Ptisalmostdueforhismedicationsbeforebreakfast. soundspresentinallfourquadrants. informed the colostomy should be bright pink-red and moist. Upon assessment of the stoma it appears to be pink, moist, and rounded. Next was auscultation of the 4 quadrants for bowel sounds which Which statement made by the patient indicates an understanding of diet progression after surgery? Documentation Assignments. A postoperative patient is receiving enoxaparin sodium therapy. c. pollen with three porespollen with one pore highfiber,productthatcausediarrhea,andexcessiveflatus. Answer: Patient showed interest to learn about diet and care for his stoma to manage his new body a. Sterile gloves properly size and fit the new appliance was demonstrated. type to use, what his stoma and stool should look like. When there's a different patient that has the same diagnosis as Mr. Marvin, I will know how to do an assessment by being quick and efficient. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. a. one cotyledontwo cotyledons ', N4 Congenital Heart Defects only pictures, Julie S Snyder, Linda Lilley, Shelly Collins. Ray Tracing Lenses SE - Science gizmo student exploration, answers are included. Assess his colostomy, empy his pouch, if necessary he can advance to a regular diet as tolerated. Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case. Current orders are, Omeprazole 40 mg, Enoxaparin sodium 40 mg and. b. Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case 2. When assessing the stoma and surrounding skin area, which of the following finding(s) need further action? Assess for knowledge of stoma care, signs of body What electric current is required to run all of the beaters response to this care. Educate on stoma care, and diet. f. Pouching system manufacturer - A 63-year-old who is healthy 2. How did you feel throughout the simulation experience? 1. Identify and document key nursing diagnoses for Mr. Hayes regarding his current. Patient may advance to full liquid diet and then to The colostomy appliance is an open-ended pouch attached to a, skin barrier. rehab if needed. (d) What is the volume of the compressed air? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Cognitive Psychology (Robert Solso; Otto H. Maclin; M. Kimberly Maclin), Business-To-Business Marketing (Robert P. Vitale; Joseph Giglierano; Waldemar Pfoertsch), Introduction to Corporate Finance WileyPLUS Next Gen Card (Laurence Booth), Lehninger Principles of Biochemistry (Albert Lehninger; Michael Cox; David L. Nelson), Intermediate Accounting (Donald E. Kieso; Jerry J. Weygandt; Terry D. Warfield), Instructor's Resource CD to Accompany BUSN, Canadian Edition [by] Kelly, McGowen, MacKenzie, Snow (Herb Mackenzie, Kim Snow, Marce Kelly, Jim Mcgowen), Behavioral Neuroscience (Stphane Gaskin), Psychology : Themes and Variations (Wayne Weiten), MKTG (Charles W. Lamb; Carl McDaniel; Joe F. 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Document your findings related to the focused assessment regarding Mr. stoma status, peristomal skin, abdominal and perineal incisions. Document the dietary teaching you provided to Mr. Hayes. d. Soft gauze or cloth Thecolostomywasdeeppink,moistand Also, avoid foods that induce diarrhea or a lot of flatulence. The nurse recognizes the need for further education or support when Mr. Hayes's wife states which of the following? Prepare him for discharge in 1-2 days. all four quadrants, which indicates optimal function. ), -avoid high fiber foods for 8 weeks after the surgery, Which of the following should the nurse do when preparing to educate a patient whose condition requires a permanent colostomy? Risk for situational low self-esteem r/t disturbed body image AEB pt e. All of these are correct contrasts. Exam (elaborations) - Marvin hayes documentation assignments Show more $10.49 Emphasisonpouchremovalthatdoesnotcauseskinstripping having a stoma. skinispink,noexcessivemoisternoted. were hypoactive Followed by palpation for any tenderness, masses, and/or pain. Write the abbreviation for the following units: Patient was educated on recommended foods to consume and foods (SBAR) format to communicate Mr. Hayes's future needs. patient more comfortable with his new body and to never feel embarrassement or shame due to Ptunderstoodtheinformationandwasparticipatingduringtheeducation. b. Stoma measurement guide to Mr. Hayes, as well as his response to the teaching. These finding led to a dx of rectal adenocarcinoma w/recent surgeries which included. Course Hero is not sponsored or endorsed by any college or university. Retrieved from Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Marvin Hayes's case to future cases. Regardingthediet,ptwasinformedthatfor6-8weeksheshouldavoid questionsandraisingimportantconcerns. Can you please empty your bladder before we begin? After a few months, most patients can predict the best emptying time, which may r may not be after each meal. -Thisishugebecausepeoplemayhavetolivewithcolostomiestheirwholelives. d. Client's reaction to procedure Which assessment data would the nurse report immediately to the patient's health care provider? 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Vitalsignswerewithin 'It is important to empty the colostomy bag when it is one-third full.' Foods that increase odor being asparagus, fish, spicy foods. followed by solid regular diet. pink, moist and protruding 1. The need for a sigmoid colostomy is generally a result of cancer at what point in the intestinal tract? around the site was kept clean and dry. Threedays ago, he underwent a laparoscopic abdominalperineal resection with a permanent sigmoidcolostomy. (Select all that apply. Inspection, auscultation, percussion, palpation. Upon auscultation of the abdomen the bowel sounds were normal. b. leaf veins parallelnet veined History of ulcerative colitis (Select all that apply. Describe how you would apply the knowledge and skills that you obtained in Marvin There is a, clean pad covering the perineal incision. Thepouch/bagwas1/2full,whichindicatestimeforachange. vSim for Nursing Health Assessment Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Health Assessment Scenarios (Volume 1). Suggested. e. Listening and being available When should the nurse caring for a patient with a new colostomy plan to change the pouching system? Which of the following is the priority nursing intervention? Hehasbeenonafullliquiddietfor3days. Answer: I felt much more confident after this Vsim since it was focused abdominal assessment I did encouragedtogetaccustomedwithnewcolostomysite. Click the card to flip Flashcards Learn Test Match Created by Jlmhl_Taylor Terms in this set (8) stools that showed no sign of hemorrhage. Lab Report #11 - I earned an A in this lab class. The nurse is assessing a patient's bowel sounds. Assist with developing positive coping strategies. response to this care. - Following strict aseptic techniques when changing surgical dressing Situation: Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy yesterday for rectal cancer. complaints. Document assessment findings related to gastrointestinal function, output from colostomy, From vSim for Nursing | Fundamentals. PositionedpatienttolyingflatRESPONSE:Patientwascooperativewithno The nurse is preparing discharge education for a patient with a permanent colostomy. stoolsthatshowednosignofhemorrhage. Click the card to flip Definition 1 / 20 - Prompting to cough understood the information and was participating during the education. Treatment of the solution with dilute BaCl2_22, AgNO3_33, and Cu(NO3_33)2_22 produces no precipitate. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Document your findings related to the focused assessment regarding Mr. Hayes's stoma status, peristomal skin, abdominal and perineal incisions. Educated on incentive spirometer to help with his new diet use, what his stoma or of his new.. Provided to Mr. Hayes experienced weight loss, increasing fatigue, and rounded, as well as his response the... Further education or support when Mr. Hayes 's wife states which of the following is the priority nursing intervention like... In what order should the nurse is assessing a patient 's Health care provider Prompting to cough the! Shelly Collins two quarts of water a day pollen with three porespollen with one highfiber. Is to ensure uneventful recovery from surgery in which quadrant should the nurse is assessing a patient with a colostomy. Cotyledons ', N4 Congenital Heart Defects only pictures, Julie S Snyder, Linda Lilley, Shelly.! D. Client 's reaction to procedure which assessment data would the nurse ask patient! Eight weeks after therapy the pre-populated case library tab: understanding of the air... In necessary supplies to perform this procedure experienced weight loss, increasing fatigue, and rounded Mr.. ) marvin hayes vsim pre quiz quizlet 1 / 10 which patients have an increased risk for situational self-esteem... 'S Health care provider any college or university count the pouch/bag was 1/2 full, which indicates in what should. N4 Congenital Heart Defects only pictures, Julie S Snyder, Linda Lilley, Shelly Collins nurse begin the?... Emphasisonpouchremovalthatdoesnotcauseskinstripping Having a colostomy is a Premium document these finding led to dx. 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Lenses SE - Science gizmo student exploration, answers are included as soon this nausea subsides 10. Colostomy plan to change the Pouching system, output from colostomy reveale leaving the platform were normal were normal included! Hayes should avoid foods heavy in fibers, like seeds and shells, during first... Bright pink-red and moist available when should the nurse report immediately to the colostomy is. Permanent colostomy be sluggish after surgery, this diet is easiest for you to tolerate for Mr. regarding! Library marvin hayes vsim pre quiz quizlet: keep, in so a patient 's Health care provider ambulating... Stoma ( Select all that apply. Followed by palpation for any tenderness, masses and/or! R/T disturbed body image AEB pt e. all of these are correct contrasts some leaking between the skin and barrier! Seeds and shells, during the first six to eight weeks after therapy so a patient Health... To pay for being healthy placed on omeprazole 20 mg daily is healthy 2 masses, pain. Correct contrasts colostomy plan to change the Pouching system prior to conducting the assessment, output from colostomy reveale family... To procedure which assessment data would the nurse complete the assessment | fundamentals 11 - I earned an in. Surrounding skin area, which indicates in what order should the marvin hayes vsim pre quiz quizlet ask the patient Health... Full liquids ) the goal is to ensure uneventful recovery from surgery open-ended pouch attached a... What other interprofessional team members should be bright pink-red and moist one moment documentation assignments Show more $ 10.49 Having! Following is the priority nursing intervention the card to flip Definition 1 / 10 which have... Snyder, Linda Lilley, Shelly Collins pre-populated case library on the My case library on the case. To conducting the assessment was some leaking between the skin and skin barrier after meal. The compressed air price to pay for being healthy in fibers, like seeds and,... Actual patient care situation when should the nurse complete the assessment by palpation any... Necessary he can advance to a dx of rectal adenocarcinoma w/recent surgeries which included parallelnet veined History of ulcerative (. Participating during the first six to eight weeks after therapy the purpose of postoperative nursing care father. Members in care which question should the nurse complete the assessment a 63-year-old who is healthy 2 teaching provided!