Ticket to Ride - Nursing Care of Adult NURS 3623-Amber Roundtree PDF

Preview

Summary

Ticket to Ride before SIM...

Description

Nursing Care of Adult NURS 3623 Fall 2016 Ticket-to-Ride – CCSC Tarleton State University Hospital

 Provide the Author and page number for each answer. Ex. (Hunter, pg 1)

Patient: Amber Roundtree

DX: Post/op Gastric Bypass

1. Discuss the importance of frequent vital signs post op, including comparison with previous results. The importance is because all patients remain at risk for pneumonia, shock, cardiac arrest, respiratory arrest, clotting, VTE (venous thromboembolism) and GI bleeding. (Ignatavicius, pg 258). Taking frequent vital signs and comparing them with previous results helps the nurse know if something is wrong with the patient and catch the problem before it becomes worse.

2. Identify six signs of blood loss. A. Mild tachycardia B. Hypotension C. Narrowing of pulse pressure D. Respiratory rate increases E. Vasoconstriction in the skin making it pale and cool to the touch F. Anxious, confused and lethargic. (Murray, pg 602-603) 3. List and prioritize three nursing interventions for a patient with suspected hypovolemia. A. Oxygen therapy B. IV therapy C. Drug therapy (Ignatavicius, pg 747-748) 4. List pertinent lab values to be monitored post operatively. SpO2- >95%, ABG, electrolytes, CBC (complete blood count), WBCs, creatinine

At the completion of this simulation the learner will 1. Vital signs for post op patients, know the signs of blood loss and hypovolemia

References: Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care. St. Louis: Elsevier Saunders. Murray, S. S., & McKinney, E. S. (2010). Foundations of maternal-newborn and women's health nursing. Maryland Heights, MO: Saunders Elsevier....