SOUTHERN UNION STATE COMMUNITY COLLEGE SIMULATION LAB PREP SHEET FOR N201-B

SOUTHERN UNION STATE COMMUNITY COLLEGE SIMULATION LAB PREP SHEET FOR N201-B Answer the following questions in writing to prepare for the simulated clinical experience. Each group can collectively prepare the answers, BUT ...

SOUTHERN UNION STATE COMMUNITY COLLEGE SIMULATION LAB PREP SHEET FOR N201-B Answer the following questions in writing to prepare for the simulated clinical experience. Each group can collectively prepare the answers, BUT each student must be prepared to articulate knowledge of the conditions. A question and answer session will begin the clinical experience, any student deemed unprepared will be sent home and rescheduled. Bring your book; you will develop a concept map as part of the debriefing. Be prepared to perform the following skills (but not limited to): o Assessment o Medication calculation and administration o IV fluid calculation and administration o NGT maintenance o SBAR o Communication with o Team o Patient of different developmental stages o Family o Pre and post operative care o Documentation QUESTIONS: 1. Describe the clinical manifestations of appendicitis with its underlying pathophysiology and associated lab findings. Include information about the typical timeframe for progression of symptoms. 2. What assessment findings would indicate the appendix has or is about to rupture? Discuss how this would affect the nursing plan of care for the pediatric patient. 3. What affect does race, age and insurance status have on the risk of rupture in cases of appendicitis? 4. What developmental factors need to be considered when assessing a child’s self-rating of pain? 5. Why isn’t the test for rebound tenderness consistently recommended with the pediatric patient? 6. What would be the priority nursing diagnoses in the care of the family coping with emergency surgery for appendicitis in a child? 7. Discuss the postoperative nursing management of the child with appendicitis. Include both the traditional open appendectomy as well as the laparoscopic approach. 8. What are the early signs and symptoms that will be present in the pediatric patient who is developing sepsis? 9. What are the priority nursing interventions in the patient experiencing early sepsis? 10. What strategies can the nurse use to assist the family of a child who is hospitalized? 11. Develop a discharge plan for the pediatric patient being discharged on home antibiotic therapy. 12. Discuss the importance of including other members of the healthcare team in discharge planning. 13. Compare and contrast ulcerative colitis and Crohn’s disease.( define, medical/ nursing management, prognosis, teaching/learning; etc.) 14. List nursing assessment in priority order for a patient, immediately post-operative, with a total colectomy with ileoanal anastomosis and formation of an ileal reservoir. 15. Identify the clinical manifestations of inadequate oxygenation in the post-operative patie pg. 367 med surg book a. CNS-- restlessness, agitation, muscle twitching, seizures, coma b. CV- hyper/hypotension, tachycardia, bradycardia, dysrhythmias, delayed capillary refill, decreased O2 saturation c. Integumentary- flushed moist skin, cyanosis d. Pulmonary- increased to absent respiratory effort, use of accessory muscles, abnormal breath sounds, abnormal arterial blood gases e. Renal - urine output <0.5 ml/kg/hrnt 16. Identify potential problems in each system in the postoperative period: a. Psychosocial- b. CV- c. Respiratory- d. GI- e. Urinary- f. Integumentary- g. Fluid and electrolyte- 17. Discuss the nursing management of the postoperative abdominal surgery patient. 18. Identify the top three priorities for the nursing management of post-operative abdominal surgery patient. 19. Discuss the following types of IV solutions utilized in the care of postoperative patients and identify at least two specific solutions for each: 20. What is the function of the peritoneum? 21. Discuss the pathophysiology and potential causes of peritonitis. 22. What are the clinical signs and symptoms of peritonitis? 23. What is the prognosis for patients with peritonitis? 24. Surgery and volume support are the primary interventions for secondary peritonitis, explain how volume support and possibly surgery aid in the treatment of peritonitis. 25. What is the difference between normal, abnormal and significant findings? 26. Describe the differences between serous, serosanguinous and sanguinous drainage. 27. What is the correct technique for grading edema? Describe each grade of edema. 28. What would be strategies a nurse would use to assist the patient to cope with a new diagnosis? 29. Compare and contrast colostomy and ileostomy. .( define, medical/ nursing management, prognosis, teaching/learning etc.)