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VernonWatkins Pre-Post Sim Quiz | All Answers are Correct

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Patient Introduction Mr. Watkins is a 69-year-old male who presented to the Emergency Department 4 days ago with complaints of nausea, vomiting, and severe abdominal pain and was admitted for emerg... ent surgery for bowel perforation. He underwent a hemicolectomy. He has a midline abdominal incision without redness, swelling, or drainage. He is tolerating a soft diet without nausea or vomiting. Bowel sounds are present in all four abdominal quadrants. He had a bowel movement yesterday. Last urinary output was 400 ml at 6 a.m. He is reluctant to use the incentive spirometer, but his wife encourages him to do his deep breathing. Abdominal pain has been controlled with morphine. He has refused to ambulate this morning because of fatigue and a sore leg. He is ringing the call light requesting to see his nurse. Medical-Surgical Nursing Care Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th EditionMedicalSurgical Nursing  Care of the Postoperative Patient, Chapter 19, pp. 456-476  Pulmonary Embolism, Chapter 23, pp. 614-618 Diagnostics Expert Clinical Content from Lippincott Advisor  Arterial blood gas analysis  D-dimer test  Prothrombin time  International normalized ratio Pharmacology Clinical Content from Lippincott Advisor  Heparin  Morphine Pre-Sim Quiz 1. Which of the following nursing assessment findings are excluded for a pulmonary embolism? (Select all that apply.) 2. The nurse understands that heparin acts in which of the following ways? 3. What measure would the nurse take after interpreting the following arterial blood gas (ABG) results for a postoperative patient on a 40% oxygen face mask? 4. Morphine is administered by the nurse in the patient experiencing pulmonary embolism in order to accomplish which of the following? (Select all that apply.) 5. The nurse knows that death from an acute pulmonary embolism commonly occurs within how many hours after the onset of symptoms? 7. Is the following statement TRUE or FALSE? A pulmonary embolism requires emergency treatment. Post-Sim Quiz 1. Vernon Watkins was originally admitted through the emergency department with a diagnosis of bowel perforation. Complications of bowel perforation can include peritonitis. Which of the following are hallmark signs of peritonitis for which the nurse should assess?2. In the patient who has had a hemicolectomy, the nurse would expect to find which type of bowel sounds four hours postoperatively? 10. If Vernon Watkins develops hypotension due to right ventricular failure resulting from the PE, it may be treated with which of the following medications, since this medication has an inotropic effect and also causes mild vasodilation therefore causing decreased afterload for the heart? [Show More]

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