NURSING > EXAM > Doris Bowman Post Op NV,WELL EXPLAINED GRADED A. (All)

Doris Bowman Post Op NV,WELL EXPLAINED GRADED A.

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Doris Bowman: Postop Abdominal Hysterectomy/Opioid Intoxication A. Learning Objectives a. The student will be able to demonstrate documenting a nurse’s note of the patient comments. b. The student will be able to demonstrate documenting a focused abdominal assessment. B. Pre-Simulation Questions a. Please answer the following questions prior to your simulation time. Bring your answers with you to simulation. i. List three complications of general anesthesia. - pain, nausea and vomiting, and sore throat ii. A patient has had a bowel resection with an abdominal incision covered with 4 x 4 gauze. She also had a Jackson Pratt drainage appliance to the right of the incision. What information will the nurse gather during a focused wound assessment? - location, size (length x width x depth), wound bed (black, yellow, red, pink, undermined), exudate, wound edge, odor, REEDA. iii. A patient has had an abdominal hysterectomy. What information concerning the surgical procedure will the primary care physician need to know in terms of follow-up hormonal replacement therapy? - what kind of hysterectomy was performed and what structures were removed. b. Documentation Activities i. Document a gastrointestinal assessment of nausea, bowel sounds hypoactive, abdominal assessment midline, flat, distended, and NPO. c. Please answer the following questions: i. A patient has returned from PACU. The PACU nurse stated that the patient did well during the surgery, had stable vital signs, and was just medicated with MS 4 mg IVP. When the surgical nurse assesses the patient, she finds that the patient is difficult to arouse and her respiratory rate is 5 and the pulse oximeter reading on 2L nasal cannula is 87%. What is the nurse’s next course of action? -prepare to administer Narcan to reverse the effects of the morphine ii. A surgical patient returns to the floor after a right-sided mastectomy. The patient’s IV infiltrates into her left hand. Where should the nurse place the new IV start? -the nurse should look for alternate sites in her left arm or possibly a different area of the body. iii. What are some common signs and symptoms patients may have that may necessitate a hysterectomy. - cancer, severe bleeding, infection, fibroids, endometriosis, uterine prolapse

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