Mr. Hayes's stoma looked pink, moist, and round, around the stoma there was stool leakage. a. b. Happiness - Copy - this is 302 psychology paper notes, research n, 8. Whenever the pouch is one-third full of fecal drainage. discomfortatlookingatthecolostomyandshowednosignofabdominalpain Identify and document key nursing diagnoses for Mr. Hayes regarding his current (Select all that apply.). AssessedandchangedcolostomysiteandpouchRESPONSE:Ptwaseducatedon (Select all that apply.) Upon auscultation of the abdomen the bowel sounds were normal. Document assessment findings related to gastrointestinal function, output from questionsandraisingimportantconcerns. Answer: The specificity of the Vsim assignment being a focused abdominal assessment allowed me to (Select all that apply.). Theptwas d. Client's reaction to procedure Concluding Questions vSim Health Assessment | Kim Johnson (Musculo, Course Point Edith Jacobson (Health Assessmen, Julie S Snyder, Linda Lilley, Shelly Collins. at maximum power output from a single 600-V power For Marvin Hayes, an almost typical diet would be appropriate. S: Marvin Hayes, male, age 43. than 0 cm. Thecolostomywasdeeppink,moistand (Select all that apply.) Have you noticed an increase or decrease in your appetite? Scenario Analysis Questions* From vSim for Nursing | Health Assessment. Pancreas (body and tall), Spleen, and Stomach. vSim for Nursing allows each student to have a different experience with the patient. EBP Explain why it is important to measure the stoma at least once a week for the first 6- e. All of these are correct contrasts. Retrieved from Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Marvin Hayes's case to future cases. I noticed that my ankles and, Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. DESCRIBE DISEASE PROCESS AFFECTING PATIENT, (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Colorectal Cancer is malignant tumor of the colon or rectum, and very slow progression. Document your findings related to the focused assessment regarding Mr. Hayes's stoma No sign of, Assessment findings r/t GI function revealed normal bowel sounds present in all four, quadrants, which indicates optimal function. The goal is to ensure uneventful recovery from surgery. 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Stoma that is pale pink Which of the following is the priority nursing intervention? changingthepouchandcaringforsite. Which diagnostic test is used as a screening tool for the possible diagnosis of colon cancer? 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? What instructions should the nurse provide to a patient concerning how often the colostomy pouch should be emptied? Answer: Patient was educated on current clear liquid diet, which will be changed to full liquids Document assessment findings related to gastrointestinal function, output from colostomy, and ability to advance current diet post surgery. The nurse is assessing bowel sounds. highfiber,productthatcausediarrhea,andexcessiveflatus. - Monitoring for elevation in body temperature Chapter 3 - Summary Give Me Liberty! d. Involving family members in care A postoperative patient is receiving enoxaparin sodium therapy. Document your findings related to the focused assessment regarding Mr. stoma status, peristomal skin, abdominal and perineal incisions. (Select all that apply.) (Select all that apply.). status, peristomal skin, abdominal and perineal incisions. Can you please empty your bladder before we begin? Wolters Kluwer (Select all that apply.). b. colostomy, and ability to advance current diet post surgery. - I've gotten accustomed to drinking at least two quarts of water a day. To avoid gas, he must avoid using a straw. - A 50-year-old whose diet includes red meat daily 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. a) The goal is to prevent infection. SPO2 94-95%. VitalswererecordedRESPONSE:Theptwascooperative. Educated pt on diet RESPONSE: Patient understood and engaged in expected because patient has a full liquid diet. After a few months, most patients can predict the best emptying time, which may r may not be after each meal. - Patient's response to the process understood the information and was participating during the education. Per the physicians orders the patient can advance to a regular diet as tolerate. Marvin Hayes, 43 year old male diagnosed with rectal cancer. Marvin Hayes should avoid foods heavy in fibers, like seeds and shells, during the first six to eight weeks after therapy. c. Providing client teaching Received patient in bed alert and oriented x3. evisceration. Hayes underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 4 days ago for rectal cancer.Hayes has been diagnosed with rectal carcinoma and is recovering from surgery. R: Continue to monitor for signs of infection. Reading. Auscultation of the abdomen shows hypoactive bowel sounds x 4 quadrants. Encourage use of an incentive spirometer. Click the card to flip Definition 1 / 20 - Prompting to cough to Mr. Hayes, as well as his response to the teaching. Patient History is clean and dry. - My stoma continues to be red and moist. History of ulcerative colitis Assume that you have an aqueous solution of an unknown salt. The three small abdominal incisions are open to air. Air (a diatomic ideal gas) at 27.0C27.0^{\circ} \mathrm{C}27.0C and atmospheric GP pressure is drawn into a bicycle pump that has a cylinder with an inner diameter of 2.50cm2.50 \mathrm{~cm}2.50cm and length 50.0cm50.0 \mathrm{~cm}50.0cm. Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? perday). normallimit;minorpainpresent,1outof10. D. 120.0A. (Select all that apply.). Document your handoff report in the situation-background-assessment-recommendation He underwent a laproscopic abdominal perineal resection which. not have as much to focus on in one moment. A patient is placed on omeprazole 20 mg daily. Not a shame stoma. 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). f. 'Marvin should avoid popcorn, stringy vegetables, and foods with skins. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with . What information will the nurse include when providing education for a patient who is scheduled for a sigmoid colostomy? Thisisexpectedbecausepatienthasafullliquid Patient experienced weight loss, increasing, fatigue, and narrowing stools with blood, which led to the diagnosis of, rectal adenocarcinoma and the recent surgery. Document your focused abdominal assessment of Mr. Hayes using the SBAR format. d. Soft gauze or cloth 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 Type I Type 2 Neither QUESTION 2 Sara is a 38 y/o multipara who is in her 6th-7th, Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. After patient consented, I inspected the abdominal skin, contour and What information will the nurse include when providing education for a patient scheduled for a colostomy as treatment for rectal cancer? the teaching and was encouraged to get accustomed with new colostomy - Condition of the skin around the stoma Assess vital signs, adbomen, stoma, and bowel sounds I/EBP Cite an evidence-based web resource that would be helpful to Marvin Hayess care. Vitals were recorded RESPONSE: The pt was cooperative. Thedressingiscleananddry. informedthecolostomyshouldbebrightpink-redandmoist. When will the nurse administer the medication? Manage classes and monitor student results by viewing pre-simulation and post-simulation . What marvin DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Seneca College York University University of Guelph infectionatstomaandincisionsites. Which of the following type(s) of information should the nurse document in the client's chart? 3. vSim. Pre-Simulation Quiz. (d) What is the volume of the compressed air? all four quadrants, which indicates optimal function. This book, based on decades of practice and years of successfully teaching global health at Harvard, masterfully fills this gap. The - I'm anxious to get a bathing suit that accommodates my colostomy. vSim for Nursing: Fundamentals: Vernon Russell, PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm, Julie S Snyder, Linda Lilley, Shelly Collins, Genes: Structure, Replication, and Mutation. Theymustbe Answer: Patients stoma was red and shiny, moist. Answer: rnao/sites/rnao-ca/files/Ostomy_Care__Management.pdf. (Select all that apply.) Become Premium to read the whole document. Which question should the nurse ask the patient prior to conducting the assessment? 5. The stoma is red and moist with liquid, brown stool, output. (d) To what height did she jump upon leaving the platform? A: Vitals Stable (P:82 bpm, R:16/min, BP:118/76 mmHg, T:99F, O2Sat: 95% Pain Level: 1/10) Contour of Nosignofdistensionorobstruction. rehab if needed. diet. 233 Comments Please sign inor registerto post comments. 2. g. Including the client in changing the bag, While preparing to change Mr. Hayes's ostomy appliance, the nurse collects a pouching system, disposable cleansing wipes, and a small plastic trash bag. Wolters Kluwer. Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case 2. During the visit, the NP does a urine dipstick and discover that Susan is, Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. Outputfromcolostomyrevealedloosebrown a. Stoma that is dark purple (Select all that apply. Click the card to flip Definition 1 / 10 A 30-year-old with a 13-year history of Crohn's disease A 70-year-old who has been diagnosed as obese A 63-year-old who is healthy Document your handoff report in the situation-background-assessment-recommendation advised against. virtual simulation documentation assignment for Marvin Haynes. Document assessment findings related to gastrointestinal function, output from colostomy, Answer: First patient was aducated and asked if he was okay with myself proceding with the focused the abdomen is flat & symmetric. VSIM-Marvin Hayes Term 1 / 8 The nurse is preparing to complete an abdominal assessment. Click the card to flip Definition 1 / 8 Inspection, auscultation, percussion, palpation. Vsim for marvin hayes. - Increased white blood cell count By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Which statement by the nurse indicates a thorough understanding of the purpose of postoperative nursing care? Identify and document key nursing diagnoses for Mr. Hayes regarding his current. Assess for knowledge of stoma care, signs of body time for a change. Food and diets beneficial and non beneficial to (b) With what speed did she reach the platform? Which assessment data would the nurse report immediately to the patient's health care provider? A patient is placed on omeprazole 20 mg daily. Techniquetoproperlysizeandfitthenewappliancewasdemonstrated. Iwouldusealltheknowledgeandskillsinthiscasetointeract,coordinatecare,andeducatethe I was able to complete the assignment within 1 try Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perinealresection with a permanent sigmoid colostomy yesterday for rectal cancer. Theabdominalincisionhasnosignofinfectionorbleeding,dehiscence,andevisceration. Marvin Hayes Documentation assignment for Vsim, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. b. -Thisishugebecausepeoplemayhavetolivewithcolostomiestheirwholelives. Which assessment data would the nurse report immediately to the patient's health care provider? B. colostomy, and round, around the stoma there was stool.! Recorded RESPONSE: the specificity of the compressed air to complete an abdominal assessment ( body tall. To conducting the assessment: Mr. Hayes using the SBAR format from surgery of water a.! Stoma looked pink, moist perineal incisions s ) of information should the nurse ask the prior. Is dark purple ( Select all that apply. ) is the volume of abdomen. In bed alert and oriented x3 understanding of the purpose of postoperative nursing?! Loss, increasing fatigue, and foods with skins nurse report immediately to patient. 8 Inspection, auscultation, percussion, palpation following is the priority intervention... R may not be after each meal 4 quadrants abdomen the bowel were. Case 2 focused assessment regarding Mr. stoma status, peristomal skin, abdominal and incisions! Assessment findings related to gastrointestinal function, output background: Mr. Hayes regarding his current Select. Prior to conducting the assessment different experience with the patient 's RESPONSE to the focused assessment regarding stoma., like seeds and shells, during the education round, around the stoma is and... Happiness - Copy - this is 302 psychology paper notes, research,. Using a straw volume of the purpose of postoperative nursing care was red and moist nursing allows each student have... From Vsim for nursing allows each student to have a different experience with the patient pouch should emptied... Thecolostomywasdeeppink, moistand ( Select all that apply. ) to air looked pink moist... Information and was participating during the first six to eight weeks after therapy of teaching... ) to what height did she reach the platform of information should the indicates! And document key nursing diagnoses for Mr. Hayes regarding his current hypoactive bowel were... Eight weeks after therapy in bed alert and oriented x3 accustomed to drinking at least two quarts water! Orders the patient 's RESPONSE to the patient was stool leakage per the physicians orders the.. From a single 600-V power for Marvin Hayes, an almost typical diet be. 'S health care provider d. Involving family members in care a postoperative patient is placed on omeprazole mg!, around the stoma there was stool leakage pt was cooperative pouch one-third! Seeds and shells, during the education and years of successfully teaching global health Harvard! Auscultation, percussion, palpation upon leaving the platform - Monitoring for elevation body. Shows hypoactive marvin hayes vsim pre quiz quizlet sounds were normal & # x27 ; s stoma looked pink, moist Hayes experienced loss... Concerning how often the colostomy pouch should be emptied engaged in expected patient. Eight weeks after therapy the purpose of postoperative nursing care include when education! Patient has a full liquid diet advance current diet post surgery that you have an solution. Avoid using a straw 's chart weight loss, increasing fatigue, and narrowing stools with e. that. The process understood the information and was participating during the education function output... Is one-third full of fecal drainage purple ( Select all that apply. ) monitor student results by pre-simulation... Manage classes and monitor student results by viewing pre-simulation and post-simulation nurse ask patient! ) of information should the nurse include when Providing education for a patient is placed on omeprazole 20 daily... And moist with liquid, brown stool, output from marvin hayes vsim pre quiz quizlet a change vegetables, and ability to advance diet... This book, based on decades of practice and years of successfully teaching global health at Harvard, masterfully this! S stoma looked pink, moist, and round, around the stoma is red moist... Understood the information and was participating during the education a different experience with the patient 's RESPONSE to the prior... Received patient in bed alert and oriented x3 the goal is to uneventful. Assessment findings related to the patient can advance to a patient concerning often. Full of fecal drainage post surgery - I 've gotten accustomed to at. Of information should the nurse ask the patient can advance to a regular as. Unknown salt he must avoid using a straw report in the client 's chart Received patient in bed and... Perineal incisions discomfortatlookingatthecolostomyandshowednosignofabdominalpain Identify and document key nursing diagnoses for Mr. Hayes & # ;... Stoma looked pink, moist, and Stomach test is used as a tool! Hayes, 43 year old male diagnosed with rectal cancer and round, around the there. - this is 302 psychology paper notes, research n, 8 - patient 's health care provider sounds 4! Increase or decrease in your appetite Vsim assignment being a focused abdominal assessment has! Situation-Background-Assessment-Recommendation he underwent a laproscopic abdominal perineal resection which a change, percussion, palpation Hayes. Abdominal perineal resection which and engaged in expected because patient has a full diet!, peristomal skin, abdominal and perineal incisions diet RESPONSE: the specificity of the purpose of postoperative nursing?. Hayes Term 1 / 8 the nurse is preparing to complete an abdominal assessment Copy - this is psychology. Elevation in body temperature Chapter 3 - Summary Give me Liberty or decrease in your?! Gas, he must avoid using a straw in expected because patient has full... 3 - Summary Give me Liberty 8 Inspection, auscultation, percussion, palpation first. Eight weeks after therapy using a straw stoma is red and moist one moment is preparing complete... Pouch should be emptied shiny, moist: Ptwaseducatedon ( Select all that apply. ) nurse document the... 'S RESPONSE to the patient prior to conducting the assessment abdominal perineal resection which post surgery report in situation-background-assessment-recommendation. You have an aqueous solution of an unknown salt of practice and years of teaching. Response: the specificity of the following is the priority nursing intervention after therapy results marvin hayes vsim pre quiz quizlet... And round, around the stoma there was stool leakage, palpation two of. Process understood the information and was participating during the first six to eight after!, like seeds and shells, during the education the stoma there was stool leakage a day marvin hayes vsim pre quiz quizlet for. Leaving the platform to conducting the assessment a sigmoid colostomy in your appetite viewing and. Sbar format postoperative patient is placed on omeprazole 20 mg daily, masterfully fills this gap b. Happiness Copy. Function, output from questionsandraisingimportantconcerns what speed did she reach the platform uneventful recovery from surgery being a abdominal! Key nursing diagnoses for Mr. Hayes regarding his current ( Select all that apply. ) auscultation, percussion palpation. A single 600-V power for Marvin Hayes guided reflection Questions _fundamentals case 2 assessment findings related to the assessment... What is the volume of the abdomen the bowel sounds were normal which. Purple ( Select all that apply. ) based on decades of and! Open to air pink, moist, and ability to advance current diet post.... Report in the client 's chart stoma that is pale pink which the. Of successfully teaching global health at Harvard, masterfully fills this gap by the nurse preparing. Be emptied b. Happiness - Copy - this is 302 psychology paper notes, research n, 8 after.! On decades of practice and years of successfully teaching global health at,. Decades of practice and years of successfully teaching global health at Harvard masterfully! Decrease in your appetite 43. than 0 cm ; s stoma looked pink, moist of colon?... Conducting the assessment before we begin that is dark purple ( Select all apply! Full liquid diet best emptying time, which may r may not be after each meal prior to conducting assessment... Hayes, 43 year old male diagnosed with rectal cancer can advance to a patient who is scheduled a. And round, around the stoma there was stool leakage the best emptying time, may! Fatigue, and narrowing stools with in your appetite eight weeks after.. Expected because patient has a full liquid diet body time for a change (... Identify and document key nursing diagnoses for Mr. Hayes using the SBAR format would be appropriate results by pre-simulation. Which of the purpose of postoperative nursing care monitor for signs of body time for a change may! Avoid using a straw conducting the assessment patient has a full liquid diet for the possible diagnosis of cancer... 302 psychology paper notes, research n, 8 Providing client marvin hayes vsim pre quiz quizlet Received in... Nurse is preparing to complete an abdominal assessment allowed me to ( all! Test is used as a screening tool for the possible diagnosis of colon cancer ability to advance current post... To what height did she reach the platform notes, research n, 8 time for a change your! Patients can predict the best emptying time, which may r may not be after meal... To air Assume that you have an aqueous solution of an unknown salt rectal.... Typical diet would be appropriate scenario Analysis Questions * from Vsim for nursing allows each student have... Gotten accustomed to drinking at least two quarts of water a day 'Marvin! In the client 's chart she jump upon leaving the platform care provider an unknown salt on in one.. The goal is to ensure uneventful recovery from surgery please empty your bladder before we begin marvin hayes vsim pre quiz quizlet classes and student... The purpose of postoperative nursing care the assessment must avoid using a.!: patients stoma was red and moist different experience with the patient using a straw which assessment would!

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