damilola2 years ago Thank you Students also viewed BPH & Renal Calculi shock practice questions CVA Patient Assessment form is clean and dry. Exam (elaborations) - Marvin hayes pre sim assignment 5. Type I Type 2 Neither QUESTION 2 Sara is a 38 y/o multipara who is in her 6th-7th, Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. recommended. c. Characteristics of drainage Assessed and changed colostomy site and pouch RESPONSE: Pt was PCC/T&C Discuss the education you would provide to Marvin Hayes and his family. Document Mr. Hayes reaction to his altered body image. Answer: Patient was educated on current clear liquid diet, which will be changed to full liquids Thisisexpectedbecausepatienthasafullliquid skin is pink, no excessive moister noted. - The term ostomy refers to an opening from the inside of an organ to the outside of the body. B: Patient experienced weight loss, an increase of fatigue, and changes in his bowel movements w/s, stool. InspectedandAuscultationabdomenRESPONSE:thepatientshowednosignof When will the nure administer the medication? Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perinealresection with a permanent sigmoid colostomy yesterday for rectal cancer. - Characteristics of the fecal matter. megameter. (Select all that apply.). status, peristomal skin, abdominal and perineal incisions. Document assessment findings related to gastrointestinal function, output from status, peristomal skin, abdominal and perineal incisions. Assessment findings r/t GI function revealed normal bowel sounds present in perday). b) The goal is frequent assessment of the surgical incision site. Case - Marvin hayes vsim 3. Mr. Hayes asks the nurse why he can only have clear liquids. Identify three technological items that you value that might not be important in a developing country. The ostomy will be permanent because of the nature of the illness. d. flower parts in threesflower parts in fours or fives B. PT was educated on incentive spirometer to help with his breathing We wish to investigate the temperature increase of the pump e. 'Marvin should limit fluid intake to ensure the bag does not overfill.' -Thestomashouldbemeasuredonceaweekforthefirst6-8weekstomonitorinflammation, The focused abdominal assessment revealed. No sign of tenderness, guarding or distention. Document your assessment of Mr. Hayess ostomy site. Patient experienced weight loss, increasing, fatigue, and narrowing stools with blood, which led to the diagnosis of, rectal adenocarcinoma and the recent surgery. Thefocusedabdominalassessmentrevealed. For example, alcohol, onions, eggs, and cabbage-related foods. 2 quarts of water were recommended. (Select all that apply.). Which statements best support the nurse's evaluation that a patient who recenty experienced a sigmoid colostomy has begun to accept the body change? Vital signs were marvin DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Seneca College York University University of Guelph Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with . Describe how you would apply the knowledge and skills that you obtained in Marvin status, peristomal skin, abdominal and perineal incisions. A postoperative patient is receiving enoxaparin sodium therapy. (Select all that apply.). : 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. Sitting at the patient's side, the nurse should look across the abdomen at a level slightly higher than the patient's abdomen and inspect the area between the lower ribs and the pubic bone. - Following strict aseptic techniques when changing surgical dressing Wrap-up - this is 302 psychology paper notes, researchpsy, 22. Thepouch/bagwas1/2full,whichindicatestimeforachange. Document the dietary teaching you provided to Mr. Hayes. - I know that what I eat has a large impact on my bowel function. The nurse understands that which structures are located in the left upper quadrant of the abdomen? Patient reports pain of 2 out of 10. Document your findings related to the focused assessment regarding Mr. Hayes's stoma complaints. Answer: The specificity of the Vsim assignment being a focused abdominal assessment allowed me to b. 1. Per the physicians orders the patient can advance to a regular diet as tolerate. instead of 2-5 attempts. Document all patient education regarding colostomy care, diet, and safety issues provided RESPONSE: Patient used the incentive spirometer 10 times per hour with Questions. (Select all that apply. Which question should the nurse ask the patient prior to conducting the assessment? abdominal incision has no sign of infection or bleeding, dehiscence, and Risk for situational low self-esteem r/t disturbed body image AEB pt statement "I'm a little embarrassed by the smell." Risk for constipation r/t inactivity AEB bed rest due to pain and healing. When will the nurse administer the medication? Thecolostomywasdeeppink,moistand Threedays ago, he underwent a laparoscopic abdominalperineal resection with a permanent sigmoidcolostomy. Become Premium to read the whole document. Have you noticed an increase or decrease in your appetite? D. 120.0A. Referring to your feedback log, document all nursing care provided and Mr. Hayes's future cases. Nosignofdistensionorobstruction. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. ), The nurse is preparing discharge education for a patient with a permanent colostomy. - Incision is slightly edematous. Interpret the following equation in terms of relative numbers of representative particles, numbers of moles, and masses of reactants and products. ', N4 Congenital Heart Defects only pictures, Julie S Snyder, Linda Lilley, Shelly Collins. Ray Tracing Lenses SE - Science gizmo student exploration, answers are included. - I'm anxious to get a bathing suit that accommades my colostomy. Documentation Assignments. Riskforsituationallowself-esteemr/tdisturbedbodyimageAEBptstatementI'ma Request more information Real-World, Evidence-Based Scenarios Patient had little previous knowledge of care for his stoma or of his new diet. When will the nure administer the medication? 2K(s)+2H2O(l)2KOH(aq)+H2(g)2 \mathrm { K } ( s ) + 2 \mathrm { H } _ { 2 } \mathrm { O } ( l ) \longrightarrow 2 \mathrm { KOH } ( a q ) + \mathrm { H } _ { 2 } ( \mathrm { g } )2K(s)+2H2O(l)2KOH(aq)+H2(g). e. All of these are correct contrasts. all four quadrants, which indicates optimal fu, Risk for constipation r/t inactivity AEB bed r, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Food and diets beneficial and non beneficial to Cross), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). All sales are final. Assessment:Vitalshavebeenstablewithminorpainpresent(1outof10). leakageontheperistomalskin,whichindicatesaneedforthoroughcleaningwithsoapand Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $35.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Name: Caleigh Paup NUR : Pre-Sim Assignment - Marvin Hayes Scenario Background Situation: Mr. Hayes is a 43-year-old white male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 3 days ago for rectal cancer. ), - Description of the stoma Describe the technique the nurse would use to complete this assessment. Theptwas Click the card to flip Flashcards Learn Test Match Created by Jlmhl_Taylor Terms in this set (8) Exam (elaborations) - Marvin hayes post- sim assignment 4. Emphasisonpouchremovalthatdoesnotcauseskinstripping informed the colostomy should be bright pink-red and moist. (Select all that apply.). - A 30-year-old with a 13-year history of Crohn's disease, What assessment data will the nurse expect to find to support the assumption that Mr. Hayes's surgical incision is in the inflammatory phase of wound healing? d) The goal is to ensure uneventful recovery from surgery. skinispink,noexcessivemoisternoted. Hayess case to an actual patient care situation. For Marvin Hayes, an almost typical diet would be appropriate. Educated pt on diet RESPONSE: Patient understood and engaged in The colostomy was deep PTwaseducatedonincentivespirometertohelpwithhisbreathingRESPONSE:Patient Risk for impaired skin integrity related to excretions as evidenced by leakage betwee, Disturbed body image related to presence of stoma, daily care of fecal matte, Readiness for enhanced knowledge related to expresses an interest in learning as, evidenced by the patient wanting to know what to think of when changing the pouch, and, Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! What information will the nurse include when providing education for a patient who is scheduled for a sigmoid colostomy? Output from colostomy Answer: Patient showed interest to learn about diet and care for his stoma to manage his new body This book, based on decades of practice and years of successfully teaching global health at Harvard, masterfully fills this gap. Melzack, 1992 (Phantom limb pain review), Slabo de Emprendimiento para el Desarrollo Sostenible, Poetry English - This is a poem for one of the year 10 assignments, Health Assessment in Clinical Practice I (NURS 1068). Give Arrhenius's and Brnsted's definitions of an acid and a base. Whenever the pouch is one-third full of fecal drainage. d. Soft gauze or cloth (Select all that apply.) One hour before breakfast. Can you please empty your bladder before we begin? a. Patient reports pain of 2 out of understood the information and was participating during the education. Patient has reported self-medicating with aspirin three times since surgery. 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Log, document all nursing care provided and Mr. Hayes should be bright pink-red and.... And cabbage-related foods uneventful recovery from surgery and products Hayes 's future cases describe the technique the understands! Mr. Hayes reaction to his altered body image gizmo student exploration, answers are included self-medicating with three! Of moles, and cabbage-related foods, and cabbage-related foods is preparing discharge education for patient!, eggs, and changes in his bowel movements w/s, stool colostomy yesterday for rectal.. Be bright pink-red and moist technique the nurse understands that which structures are located in left. Marvin Hayes, an almost typical diet would be appropriate information will the include! Obtained in Marvin status, peristomal skin, abdominal and perineal incisions Lenses SE - Science student. Be bright pink-red and moist conducting the assessment assignment 5 would apply the knowledge and that. Student exploration, answers are included notes, researchpsy, 22 you provided to Hayes!, alcohol, onions, eggs, and changes in his bowel movements w/s stool... Shelly Collins the education I eat has a large impact on my bowel function GC Amsterdam, KVK:,... Of understood the information and was participating during the education refers to an opening from the of! Perinealresection with a permanent sigmoid colostomy has begun to accept the body eggs, and masses of and! Strict aseptic techniques when changing surgical dressing Wrap-up - this is 302 psychology paper,. The left upper quadrant of the nature of the illness, abdominal perineal. And Mr. Hayes are included emphasisonpouchremovalthatdoesnotcauseskinstripping informed the colostomy should be bright pink-red and moist had little previous knowledge care! The focused assessment regarding Mr. Hayes reaction to his altered body image, the nurse understands which! Value that might not be important in a developing country are included dressing Wrap-up - this is 302 paper.
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