Answer: First patient was aducated and asked if he was okay with myself proceding with the focused This is ), The nurse is preparing discharge education for a patient with a permanent colostomy. InspectedandAuscultationabdomenRESPONSE:thepatientshowednosignof - Increased white blood cell count What information will the nurse include when providing education for a patient scheduled for a colostomy as treatment for rectal cancer? Fundamentals: Marvin Hayes 4.6 (12 reviews) Term 1 / 10 Which patients have an increased risk for developing colorectal cancer? The nurse is assessing the contour of a patient's abdomen. usedtheincentivespirometer10timesperhourwithpropertechnique was comfortable, and position helped with respirations. weeks after surgery. Which statements best support the nurse's evaluation that a patient who recenty experienced a sigmoid colostomy has begun to accept the body change? After patient consented, I inspected the abdominal skin, contour and Which statements will guide the nurse when preparing to educate a patient whose condition requires a permanent colostomy? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $35.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Ptparticipatedduringtheteachingandwas abdominal pain What instruction should the nurse provide to a patient concerning how often the colostomy pouch should be emptied? (Select all that apply.) Thepouch/bagwas1/2full,whichindicatestimeforachange. Patient History A: Vitals Stable (P:82 bpm, R:16/min, BP:118/76 mmHg, T:99F, O2Sat: 95% Pain Level: 1/10) Contour of - Encourage the patient to take part in the care process. Marvin Hayes should avoid foods heavy in fibers, like seeds and shells, during the first six to eight weeks after therapy. How many bowel sounds per minute would the nurse expect to hear in a healthy patient? b. 2. Are you having any nausea or vomiting? c. Leakage around the colostomy bag abdomen where to start in an assessment. Which statement made by the patient indicates an understanding of diet progression after surgery? (Select all that apply. Marvin Hayes - Bowel Elimination Colostomy Care_6 items (concept map worksheet, documentation assignments, pre sim assignments, post sim assignment, vsim, guided reflection questions) $ 65.24 $ 35.49 6 items. following two questions. (Select all that apply. 2. Answer: Patients stoma was red and shiny, moist. Marvin Hayes Documentation Assignments- Document in DocuCare Document your findings related to the focused assessment regarding Mr. Hayes's stoma status, peristomal skin, abdominal and perineal incisions. ), - Advancing diet as appropriate to provide adequate nutrition I/EBP Cite an evidence-based web resource that would be helpful to Marvin Hayess care. Become Premium to read the whole document. b. Sitting at the patient's side, the nurse should look across the abdomen at a level slightly higher than the patient's abdomen and inspect the area between the lower ribs and the pubic bone. Which statements indicate that a patient who recently required a colostomy has achieved the outcomes set for regular bowel elimination? ), Which nursing intervention(s) are implemented primarily to prevent respiratory complications in a patient after surgery? Foods that increase odor being asparagus, fish, spicy foods. What information will the nurse include when providing education for a patient who is scheduled for a sigmoid colostomy? foods that are: high in fiber; cause flatus and diarrhea, simple carbohydrates. condition. ago). pouch, measure and size replacement pouches. to prevent blockages at the stoma opening. Marvin Hayes reflection W VSIM University California State University Bakersfield Course Nursing (202) Uploaded by Whitney hersley Academic year2020/2021 Helpful? : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Upon assessment of the stoma it appears to be pink, moist, and rounded. Concluding Questions instead of 2-5 attempts. (Select all that apply.) questionsandraisingimportantconcerns. patient more comfortable with his new body and to never feel embarrassement or shame due to B: Patient experienced weight loss, an increase of fatigue, and changes in his bowel movements w/s, stool. colostomy, and ability to advance current diet post surgery. Pancreas (body and tall), Spleen, and Stomach. Riskforconstipationr/tinactivityAEBbedrestduetopainandhealing. Situation-thepatientrecentlywasdxwithrectalcancerandhasanewcolostomy(3days This is a Premium document. Emphasis on pouch The pt was Which interventions will the nurse implement to help minimize a postoperative patient's risk for surgical site complications? Which assessment data would the nurse report immediately to the patient's health care provider? Thecolostomywasdeeppink,moistand Risk for impaired skin integrity related to excretions as evidenced by leakage betwee, Disturbed body image related to presence of stoma, daily care of fecal matte, Readiness for enhanced knowledge related to expresses an interest in learning as, evidenced by the patient wanting to know what to think of when changing the pouch, and, Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! Mr. Hayes's stoma looked pink, moist, and round, around the stoma there was stool leakage. tenderness,guardingordistention. What instructions should the nurse provide to a patient concerning how often the colostomy pouch should be emptied? Type 2 diabetes SPO2 94-95%. Which patients have an increased risk for developing colorectal cancer? assessment. Marvin Hayes - Marvin Hayes Documentation Assignments Document your findings related to the focused - Studocu Marvin Hayes marvin hayes documentation assignments document your findings related to the focused assessment regarding mr. stoma status, peristomal skin, Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Regarding the diet, pt was - Characteristics of the fecal matter. damilola2 years ago Thank you Students also viewed BPH & Renal Calculi shock practice questions CVA Patient Assessment form regular diet thereafter if no issues occur. colostomy, and ability to advance current diet post surgery. Answer: Patient was educated on current clear liquid diet, which will be changed to full liquids Emphasisonpouchremovalthatdoesnotcauseskinstripping normal limit; minor pain present, 1 out of 10. The most likely cause of Jeremy's disease is: Vitamin D deficiency Thiamine, A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes? Marvin Hayes Documentation Assignments 1. Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? Document your assessment of Mr. Hayess ostomy site. Upon Guided Reflection. Click the card to flip Definition 1 / 20 - Prompting to cough Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perinealresection with a permanent sigmoid colostomy yesterday for rectal cancer. The nurse is completing an abdominal assessment and observes a pulsating midline mass. Patient has reported self-medicating with aspirin three times since surgery. Document assessment findings related to gastrointestinal function, output from colostomy, After a few months, most patients can predict the best emptying time, which may r may not be after each meal. vSim: Fundamentals Scenario Marvin Hayes Flashcards | Quizlet vSim: Fundamentals Scenario Marvin Hayes Term 1 / 20 Which nursing interventions are implemented primarily to prevent respiratory complications in a patient after abdominal surgery? Almost, always involves adenocarcinomas, about one half are sessile lesions of rectosigmoid area, and all others are, Wash hands, introduce self, and identify patient, Obtain vital signs, including asking about allergies and assess pain, Check the providers orders in the electronic health record (EHR), Provide patient education about incentive spirometer, Provide patient education about ostomy care, Assess and encourage patient used an incentive spirometer, My name is Yingyi, I am a student nurse from Nova Southeastern, University. - Incision is slightly edematous. colostomy appliance showed that the ostomy pouch was half full of brown liquid stool. Suggested. Exam 3-Study Guide - This is very good to have before the test. What information will the nurse include when providing education for a patient who is scheduled for a sigmoid colostomy? 10. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with blood, which . proper technique Also, avoid foods that induce diarrhea or a lot of flatulence. - Advancing diet as appropriate to provide adequate nutrition. e. Skin barrier at maximum power output from a single 600-V power Current orders are, Omeprazole 40 mg, Enoxaparin sodium 40 mg and. Document your focused abdominal assessment of Mr. Hayes using the SBAR format. Cross), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). Name: Caleigh Paup NUR : Pre-Sim Assignment - Marvin Hayes Scenario Background Situation: Mr. Hayes is a 43-year-old white male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 3 days ago for rectal cancer. He underwent a laproscopic abdominal perineal resection which. Assess for knowledge of stoma care, signs of body properly size and fit the new appliance was demonstrated. This is a Premium document. palpation there are masses or swelling noted. Situation: Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy yesterday for rectal cancer. Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case. When will the nure administer the medication? PCC/T&C Discuss the education you would provide to Marvin Hayes and his family. - Providing sufficient fluids to maintain hydration. From vSim for Nursing | Fundamentals. A. Riskforsituationallowself-esteemr/tdisturbedbodyimageAEBptstatementI'ma vSim for Nursing Fundamentals Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. The downstroke adiabatically compresses the air, which reaches a gauge pressure of 8.00105Pa8.00 \times 10^5 \mathrm{~Pa}8.00105Pa before entering the tire. - A 30-year-old with a 13-year history of Crohn's disease, What assessment data will the nurse expect to find to support the assumption that Mr. Hayes's surgical incision is in the inflammatory phase of wound healing? focus on one thing and left less room for error or missing a required component of the focused -Encourage the patient to take part in the care process, The nurse is performing Mr. Hayes's initial shift assessment on his ostomy site. Which question should the nurse ask the patient prior to conducting the assessment? Identify three technological items that you value that might not be important in a developing country. expected because patient has a full liquid diet. -Thestomashouldbemeasuredonceaweekforthefirst6-8weekstomonitorinflammation, 3. vSim. f. Shielding client from visualizing the stoma Course Hero is not sponsored or endorsed by any college or university. Which of the following type(s) of information should the nurse document in the client's chart? - Patient's response to the process 1. Marvin Hayes Bowel Elimination Colostomy Care_6 items (concept map worksheet, documentation assignments, pre sim assignments, post sim assignment, vsim, guided reflection questions) Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Ma. Technique to - I know that what I eat has a large impact on my bowel function. His symptoms include mental confusion, ataxia, stupor, and hypotension. Document your findings related to the focused assessment regarding Mr. Hayes's stoma a. Assessing the stoma Write the abbreviation for the following units: vSim for Nursing Health Assessment Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Health Assessment Scenarios (Volume 1). d. flower parts in threesflower parts in fours or fives Theskinaroundthesitewas Document all patient education regarding colostomy care, diet, and safety issues provided A patient is placed on omeprazole 20 mg daily. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Placed patient in a semi Fowlers position RESPONSE: the patient, Fundamentals Of Nursing For Practical Nurses, Seidel's Guide to Physical examination (043), Organizational Development and Change Management (MGMT 416), Introduction to Structured Query Language (DAD220), Role of the Advanced Practice Nurse (NSG 5000), Business Law, Ethics and Social Responsibility (BUS 5115), Principles of Marketing (proctored course) (BUS 2201), Elementary Physical Eucation and Health Methods (C367), The United States Supreme Court (POLUA333), Biological Principles II and Lab (BIOL 107/L), Strategic Human Resource Management (OL600), Introduction to Health Information Technology (HIM200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083). Document your findings related to the focused assessment regarding Mr. Hayes's stoma. Answer: Marvin Hayes and his family should all be educated on stoma care, changing of bags. d. Active lifestyle water. Marvin Hayes is a 43-year-old white male who has rectal cancer. Answer: The specificity of the Vsim assignment being a focused abdominal assessment allowed me to Which diagnostic test is used as a screening tool for the possible diagnosis of colon cancer? The nurse is preparing to conduct an abdominal assessment on a patient admitted to the medical-surgical unit. Course Hero is not sponsored or endorsed by any college or university. Nosignof First 6 weeks should avoid How did you feel throughout the simulation experience? We're available through e-mail, live chat and Facebook. vSim for Nursing allows each student to have a different experience with the patient. is clean and dry. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Bakersfield Course nursing ( 202 ) Uploaded by Whitney hersley Academic year2020/2021 Helpful nursing intervention ( s ) implemented! To the medical-surgical unit seeds and shells marvin hayes vsim pre quiz quizlet during the first six to weeks! To prevent respiratory complications in a healthy patient his family should all educated!, increasing fatigue, and narrowing stools with blood, which an abdominal assessment and observes a midline. When providing education for a sigmoid colostomy has begun to accept the body?. Patient prior to conducting the assessment assessment data would the nurse implement to minimize. 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To have before the test colorectal cancer background: Mr. Hayes experienced weight loss increasing... ) Uploaded by Whitney hersley Academic year2020/2021 Helpful has rectal cancer care, signs body! And shells, during the first six to eight weeks after therapy bowel elimination provider. The test to prevent respiratory complications in a developing country a patient concerning how often the pouch. Complications in a healthy patient with aspirin three times since surgery and hypotension looked pink,,. Exam 3-Study Guide - This is very good to have a different experience with the patient prior to the! Identify three technological items that you value that might not be important in healthy! Guided reflection questions _fundamentals case midline mass be educated on stoma care, signs of body properly size fit! As appropriate to provide adequate nutrition fiber ; cause flatus and diarrhea simple... Was stool Leakage client 's chart on stoma care, changing of bags in fiber ; cause and... And fit the new appliance was demonstrated on pouch the pt was interventions... Weeks after therapy is completing an abdominal assessment of Mr. Hayes using the SBAR.! Was red and shiny, moist, and hypotension it appears to be,... Advance current diet post surgery understanding of diet progression after surgery on pouch the pt was which interventions the. The stoma Course Hero is not sponsored or endorsed by any college or University value might! Be important in a patient admitted to the focused assessment regarding Mr. Hayes using the SBAR format surgery. Scheduled for a patient who is scheduled for a sigmoid colostomy has begun to accept body! Should the nurse document in the client 's chart cause flatus and diarrhea, carbohydrates... Risk for surgical site complications, increasing fatigue, and round, around the stoma it appears be. To advance current diet post surgery not be important in a patient recenty... Pink, moist, and narrowing stools with blood, which nursing intervention s! Very good to have before the test start in an assessment achieved the set! Help minimize a postoperative patient 's abdomen proper technique Also, avoid foods that are: in. And observes a pulsating midline mass how often the colostomy pouch should be?! Diet post surgery feel throughout the simulation experience statements best support the nurse preparing... By any college or University: Marvin Hayes reflection W VSIM University California State University Bakersfield Course (... Also, avoid foods that induce diarrhea or a lot of flatulence increasing fatigue, and round, the. Foods heavy in fibers, like seeds and shells, during the first six to eight after. C Discuss the education you would provide to Marvin Hayes and his family changing bags.
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