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swift river med surg pt scenarios exam study guide 2024
Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Non-significant past
medical history. No known allergies (NKA). Vital signs -Temp 98.6, BP 114/62, P 100,
RR 20, SaO2 94%. Neuro WNL, alert, and cooperative. Skin warm and dry, daily
dressing changes, T-tube without drainage. NG tube to low suction possibly D/C'd today
after Dr. Levine rounds. Today's incentive spirometry Tidal Volume is 1250ml,
improvement over yesterday's 900ml. NPO with small amount of ice chips only. Today's
weight 226. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Last pain medicine
2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Ambulates with assistance. Dr.
Levine - Educational Needs Increased acuity
Fall Risk Increased acuity
Health Change Increased acuity
Pain Level Increased acuity
Psychological Needs Normal acuity
Sensorium Normal acuity
Ramona Stukes - Physiological
Bleeding, Risk for True
Constipation False
Deficient Fluid Volume, Risk for True
Dysfunctional Gastrointestinal Motility False
Imbalanced Fluid Volume False
Impaired Mobility True
Safety
Anxiety False
Fall, Risk for True
Ineffective Self-Health Management False
Infection, Risk for True
Ramona Stukes
Scenario 1
Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection
with a temporary ileostomy in place. Now, third day post-op, Mrs. Stukes appears sad
and depressed upon entering the room.
Scenario 2
Mrs. Stukes is feeling nauseated.
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Specifications
- School: Chamberlain College Of Nursing
- Course: NURSING
- Subject: swift river med surg
- All documents for this course ›
Document
- Section: Examinations
- Made on: 05-17-2024
- Type: .pdf
- Pages: 6
- Language: English
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Subjects of NURSING - Chamberlain College Of Nursing
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