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). damilola2 years ago Thank you Students also viewed BPH & Renal Calculi shock practice questions CVA Patient Assessment form The Which of the following should also be included in necessary supplies to perform this procedure? Riskforconstipationr/tinactivityAEBbedrestduetopainandhealing. Output from colostomy A patient is placed on omeprazole 20 mg daily. S: Marvin Hayes, male, age 43. Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? Reading. symmetry of the abdomen. regularly. - I know that what I eat has a large impact on my bowel function. indicates a need for thorough cleaning with soap and water. Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal. having a stoma. Document all patient education regarding colostomy care, diet, and safety issues provided What information concerning diet and nutrition will the nurse include? Until now, this nascent field did not have a unifying conceptual approach, let alone a text. Document your findings related to the focused assessment regarding Mr. Hayes's stoma. image and condition. B: Patient experienced weight loss, an increase of fatigue, and changes in his bowel movements w/s, stool. Scenario Analysis Questions* status, peristomal skin, abdominal and perineal incisions. Mr.Hayes has been up and ambulating and is taking full liquids. Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perinealresection with a permanent sigmoid colostomy yesterday for rectal cancer. Assess vital signs, adbomen, stoma, and bowel sounds the teaching and was encouraged to get accustomed with new colostomy e. 'Marvin should limit fluid intake to ensure the bag does not overfill.' d. Client's reaction to procedure Describe how you would apply the knowledge and skills that you obtained in Marvin Unique, Personalized Learning. Marvin Hayes reflection W VSIM University California State University Bakersfield Course Nursing (202) Uploaded by Whitney hersley Academic year2020/2021 Helpful? progresstoasolidfooddietgradually. -Thestomashouldbemeasuredonceaweekforthefirst6-8weekstomonitorinflammation, D. 120.0A. EBP Explain why it is important to measure the stoma at least once a week for the first 6- B. Company Registration Number: 61965243 recommended. Document your findings related to the focused assessment regarding Mr. Hayes's stoma abdominal incision has no sign of infection or bleeding, dehiscence, and 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. Output from colostomy reveale. Marvin Hayes Documentation assignment for Vsim, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. a. Assessing the stoma (Select all that apply.) Educated pt on diet RESPONSE: Patient understood and engaged in Riskforsituationallowself-esteemr/tdisturbedbodyimageAEBptstatementI'ma Answer: Patient was educated on current clear liquid diet, which will be changed to full liquids 3. vSim. Which statements will guide the nurse when preparing to educate a patient whose condition requires a permanent colostomy? When will the nure administer the medication? Answer: Marvin Hayes and his family should all be educated on stoma care, changing of bags. Recommend not using a straw to prevent excessive air and flatus. ), -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? Starting from rest, a 65.0-kg athlete jumps down onto the platform from a height of 0.600 m. While she is in contact with the platform during the time interval 0 < t < 0.800 s, the force she exerts on it is described by the function F=9200t11500t2F=9200 t-11500 t^{2}F=9200t11500t2 where F is in newtons and t is in seconds. We're available through e-mail, live chat and Facebook. RESPONSE: Patient used the incentive spirometer 10 times per hour with The colostomy was deep (Select all that apply.) Which interventions will the nurse implement to help minimize a postoperative patient's risk for surgical site complications? What hours Hayes underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 4 days ago for rectal cancer.Hayes has been diagnosed with rectal carcinoma and is recovering from surgery. d. Active lifestyle Which interventions will the nurse implement to help minimize a postoperative patient's risk for surgical site complications? Technique to (Select all that apply.). (Select all that apply.) Vitals were recorded RESPONSE: The pt was cooperative. proper technique (Select all that apply.). to prevent blockages at the stoma opening. and palpation. d. Moderate output liquid brown stool 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. 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Involving family members in care Which of these is an incorrect contrast between monocots - A 63-year-old who is healthy No signs of drainage, infection. This is a non-returnable/non-refundable item. 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In what order should the nurse complete the assessment? 2. e. Stoma that is pale pink b) The goal is frequent assessment of the surgical incision site. Marvin Hayes - Marvin Hayes Documentation Assignments Document your findings related to the focused - Studocu Marvin Hayes marvin hayes documentation assignments document your findings related to the focused assessment regarding mr. stoma status, peristomal skin, Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew vSim: Fundamentals Scenario Marvin Hayes Flashcards | Quizlet vSim: Fundamentals Scenario Marvin Hayes Term 1 / 20 Which nursing interventions are implemented primarily to prevent respiratory complications in a patient after abdominal surgery? was some leaking between the skin and skin barrier. Educate on stoma care, and diet. b. Treatment of the solution with dilute BaCl2_22, AgNO3_33, and Cu(NO3_33)2_22 produces no precipitate. Lab Report #11 - I earned an A in this lab class. Why are Brnsted's definitions more useful in describing acid-base properties? I noticed that my ankles and, Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. d. 'For the first 6 to 8 weeks, Marvin should avoid foods high in fiber.' c. pollen with three porespollen with one pore 5. information on colostomy care and resources. andpain. palpation there are masses or swelling noted. Vitals are stable. ), Which nursing intervention(s) are implemented primarily to prevent respiratory complications in a patient after surgery? stoolsthatshowednosignofhemorrhage. b. Stoma measurement guide Assessment findings r/t GI function revealed normal bowel sounds present in Can you please empty your bladder before we begin? focus on one thing and left less room for error or missing a required component of the focused response to this care. - A 50-year-old whose diet includes red meat daily The focused abdominal assessment revealed. a. Assess the patient for indications of hypotension. From vSim for Nursing | Fundamentals. (d) To what height did she jump upon leaving the platform? c. Leakage around the colostomy bag Theptwas The pt was - I'm anxious to get a bathing suit that accommades my colostomy. around the site was kept clean and dry. Patient has reported self-medicating with aspirin three times since surgery. What other interprofessional team members should be involved in Marvin Hayess care? The stoma is red and moist with liquid, brown stool, output. Which statement made by the patient indicates an understanding of diet progression after surgery? Inspection, auscultation, percussion, palpation. When will the nure administer the medication? ago). - My ostomy nurse always has helpful suggestions about daily care routine. Marvin Hayes Documentation Assignments- Document in DocuCare Document your findings related to the focused assessment regarding Mr. Hayes's stoma status, peristomal skin, abdominal and perineal incisions. Answer: Patient showed interest to learn about diet and care for his stoma to manage his new body - I've gotten accustomed to drinking at least two quarts of water a day. Heshouldalso a. 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Become Premium to read the whole document. T, leakage on the peristomal skin, which indicates a need for thorough cleaning with soap and, The perineal incision with no sign of infection. Not a shame stoma. Wrap-up - this is 302 psychology paper notes, researchpsy, 22. Whenever the pouch is one-third full of fecal drainage. (Select all that apply.) EBP/PCC Describe the components of a focused abdominal assessment. many other situations this may not be the case. vSim Health Assessment | Kim Johnson (Musculo, Course Point Edith Jacobson (Health Assessmen, Julie S Snyder, Linda Lilley, Shelly Collins. (SBAR) format to communicate Mr. Hayes's future needs. c. Obesity informed that for 6-8 weeks he should avoid high fiber, product that cause Manage classes and monitor student results by viewing pre-simulation and post-simulation . 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 Write the abbreviation for the following units: What information will the nurse include when providing education for a patient scheduled for a colostomy as treatment for rectal cancer? Interpret the following equation in terms of relative numbers of representative particles, numbers of moles, and masses of reactants and products. Patient History diet. e. All of these are correct contrasts. - Advancing diet as appropriate to provide adequate nutrition. were hypoactive Followed by palpation for any tenderness, masses, and/or pain. I was able to complete the assignment within 1 try b. 10. A. : 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. Exam (elaborations) - Marvin hayes post- sim assignment 4. What information will the nurse include when providing education for a patient scheduled for a colostomy as treatment for rectal cancer? A patient is placed on omeprazole 20 mg daily. 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Pertinent client teaching - The term ostomy refers to an opening from the inside of an organ to the outside of the body. The goal is to ensure uneventful recovery from surgery. Current orders are, Omeprazole 40 mg, Enoxaparin sodium 40 mg and. Are you having any nausea or vomiting? Ptparticipatedduringtheteachingandwas 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. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler). is clean and dry. Document your findings related to the focused assessment regarding Mr. stoma status, peristomal skin, abdominal and perineal incisions. time for a change. c. 'If the colostomy bag fills with gas, I can use a needle to pop a hole in it.' vSim for Nursing: Fundamentals: Vernon Russell, PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm, Julie S Snyder, Linda Lilley, Shelly Collins, Genes: Structure, Replication, and Mutation. leakageontheperistomalskin,whichindicatesaneedforthoroughcleaningwithsoapand (a) What impulse did the athlete receive from the platform? Which statements indicate that a patient who recently required a colostomy has achieved the outcomes set for regular bowel elimination? Assume that you have an aqueous solution of an unknown salt. dysmorphia, and diet. - Having a colostomy is a small price to pay for being healthy. future cases. within normal limit; minor pain present, 1 out of 10. Nosignofdistensionorobstruction. - Providing sufficient fluids to maintain hydration. The need for a sigmoid colostomy is generally a result of cancer at what point in the intestinal tract? Happiness - Copy - this is 302 psychology paper notes, research n, 8. A patient is placed on omeprazole 20 mg daily. First 6 weeks should avoid 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! evisceration. c. Scissors Which statements best support the nurse's evaluation that a patient who recenty experienced a sigmoid colostomy has begun to accept the body change? Threedays ago, he underwent a laparoscopic abdominalperineal resection with a permanent sigmoidcolostomy. to Mr. Hayes, as well as his response to the teaching. 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? - My stoma continues to be red and moist. 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! Agoodsealisimportanttoprotectthesurroundingskin. Right lower quadrant moving clockwise for auscultation Which intervention takes priority when the nurse determines that a postoperative patient has hypoactive bowel sounds ? type to use, what his stoma and stool should look like. Wolters Kluwer. As well as education for support groups or external physocolgical groups that can make the History of ulcerative colitis Fundamentals: Marvin Hayes 4.6 (12 reviews) Term 1 / 10 Which patients have an increased risk for developing colorectal cancer? Marvin Hayes is a 43-year-old white male who has rectal cancer. (Select all that apply.) WOCnurse,Physicaltherapist,Speechpathologist. Answer: First patient was aducated and asked if he was okay with myself proceding with the focused The nurse recognizes the need for further education or support when Mr. Hayes's wife states which of the following? The pouch/bag was 1/2 full, which indicates Refer to the two paragraphs about the holding tank for synthetic lubricating oil in the MCAT Review section on those paragraphs, answer the A force platform is a tool used to analyze the performance of athletes by measuring the vertical force the athlete exerts on the ground as a function of time. Hehasbeenonafullliquiddietfor3days. One hour before breakfast. Which of the following is the priority nursing intervention? Referring to your feedback log, document all nursing care provided and Mr. Hayes's After patient consented, I inspected the abdominal skin, contour and at maximum power output from a single 600-V power Concluding Questions vSim for Mental Health (released in 2017), in the pre-populated case library on the My Case Library tab: . I Cite one source that you could give to Marvin Hayes that would provide more There was minor leakage on the peristomal skin, which Iwouldusealltheknowledgeandskillsinthiscasetointeract,coordinatecare,andeducatethe andsizereplacementpouches. The nurse is completing an abdominal assessment and observes a pulsating midline mass. - Patient's response to the process Wolters Kluwer. Concluding Questions soundspresentinallfourquadrants. Marvin Hayes, 43 year old male diagnosed with rectal cancer. How did you feel throughout the simulation experience? 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