V.W, a 69-year-old male. You will address a postoperative client who has been non-compliant with ambulation and the use of his incentive spirometer. Ultimately, the client develops respiratory complications associated with pulmonary embolism. Clinical Picture: VW is a 69 year old male who presented to the ER 4 days ago for c/o nausea, vomiting and severe abdominal pain. He underwent emergency surgery for bowel perforation. PMHX: Cataracts, HTN Final DX: bowel perforation, s/p left hemicolectomy The scenario will begin with the charge nurse giving students a report on the patient. Chart Name: Vernon Watkins Age: 69 Gender: Male Weight: 80 kg Height: 5 feet, 10 inches Race: Caucasion Religion: Christian Wife: (major support) - Martha Watkins Allergies: Penicillin (hives) Immunizations: Current Current set of vitals on the chart: T: 98.6 HR: 100 RR: 21 BP: 146/88 SP02: 96% on RA LAB DATA: None available Provider's Orders Diet: Soft advance as tolerated Fall Precautions Vital signs every 4 hours Intake and output Activity: Ambulate with assistance using abdominal binder 4 times per day IV with saline lock Percocet 1 - 2 PO every 4 hours prn for pain Hydrochlorothiazide 25 mg PO daily Incentive spirometer 10 times per 2 hours while awake Compression stockings Using the 5 step method presented in the Strategies for Success presentation of the Adult I course, complete the 5 steps on the following: Pulmonary Embolism Hemicolectomy As a reminder, the 5 step method consists of the following: What is the anticipated cause for the illness/problem? What signs and symptoms will need to be monitored for? What labs should the nurse be reviewing? What evidence-based interventions should the RN be anticipating performing? What orders will the RN anticipate? These will become your recommendations!! 2. Begin the SBAR for your client. Using your new skills of creating a focused assessment (the clinical picture learned from the lab), list your focused assessment data you will want to gather. 3. Pharmacology alternative learning templates (ALTs) Complete the following ATI Active Learning Templates (ALTs): Heparin 4. Complete a discharge plan for the patient based on the case to include all of the IDEAL components (see Introduction for help).
V.W, a 69-year-old male. You will address a postoperative client who has been non-compliant with ambulation and the use of his incentive spirometer. Ultimately, the client develops respiratory complications associated with pulmonary embolism. Clinical Picture: VW is a 69 year old male who presented to the ER 4 days ago for c/o nausea, vomiting and severe abdominal pain. He underwent emergency surgery for bowel perforation. PMHX: Cataracts, HTN Final DX: bowel perforation, s/p left hemicolectomy The scenario will begin with the charge nurse giving students a report on the patient. Chart Name: Vernon Watkins Age: 69 Gender: Male Weight: 80 kg Height: 5 feet, 10 inches Race: Caucasion Religion: Christian Wife: (major support) - Martha Watkins Allergies: Penicillin (hives) Immunizations: Current Current set of vitals on the chart: T: 98.6 HR: 100 RR: 21 BP: 146/88 SP02: 96% on RA LAB DATA: None available Provider's Orders Diet: Soft advance as tolerated Fall Precautions Vital signs every 4 hours Intake and output Activity: Ambulate with assistance using abdominal binder 4 times per day IV with saline lock Percocet 1 - 2 PO every 4 hours prn for pain Hydrochlorothiazide 25 mg PO daily Incentive spirometer 10 times per 2 hours while awake Compression stockings Using the 5 step method presented in the Strategies for Success presentation of the Adult I course, complete the 5 steps on the following: Pulmonary Embolism Hemicolectomy As a reminder, the 5 step method consists of the following: What is the anticipated cause for the illness/problem? What signs and symptoms will need to be monitored for? What labs should the nurse be reviewing? What evidence-based interventions should the RN be anticipating performing? What orders will the RN anticipate? These will become your recommendations!! 2. Begin the SBAR for your client. Using your new skills of creating a focused assessment (the clinical picture learned from the lab), list your focused assessment data you will want to gather. 3. Pharmacology alternative learning templates (ALTs) Complete the following ATI Active Learning Templates (ALTs): Heparin 4. Complete a discharge plan for the patient based on the case to include all of the IDEAL components (see Introduction for help).
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
V.W, a 69-year-old male. You will address a postoperative client who has been non-compliant with ambulation and the use of his incentive spirometer. Ultimately, the client develops respiratory complications associated with pulmonary embolism.
Clinical Picture: VW is a 69 year old male who presented to the ER 4 days ago for c/o nausea, vomiting and severe abdominal pain. He underwent emergency surgery for bowel perforation.
PMHX: Cataracts, HTN
Final DX: bowel perforation, s/p left hemicolectomy
The scenario will begin with the charge nurse giving students a report on the patient.
Chart
Name: Vernon Watkins
Age: 69
Gender: Male
Weight: 80 kg
Height: 5 feet, 10 inches
Race: Caucasion
Religion: Christian
Wife: (major support) - Martha Watkins
Allergies: Penicillin (hives)
Immunizations: Current
Current set of vitals on the chart:
T: 98.6
HR: 100
RR: 21
BP: 146/88
SP02: 96% on RA
LAB DATA:
None available
Provider's Orders
Diet: Soft advance as tolerated
Fall Precautions
Vital signs every 4 hours
Intake and output
Activity: Ambulate with assistance using abdominal binder 4 times per day
IV with saline lock
Percocet 1 - 2 PO every 4 hours prn for pain
Hydrochlorothiazide 25 mg PO daily
Incentive spirometer 10 times per 2 hours while awake
Compression stockings
Using the 5 step method presented in the Strategies for Success presentation of the Adult I course, complete the 5 steps on the following:
Pulmonary Embolism
Hemicolectomy
As a reminder, the 5 step method consists of the following:
What is the anticipated cause for the illness/problem?
What signs and symptoms will need to be monitored for?
What labs should the nurse be reviewing?
What evidence-based interventions should the RN be anticipating performing?
What orders will the RN anticipate? These will become your recommendations!!
2. Begin the SBAR for your client. Using your new skills of creating a focused assessment (the clinical picture learned from the lab), list your focused assessment data you will want to gather.
3. Pharmacology alternative learning templates (ALTs)
Complete the following ATI Active Learning Templates (ALTs):
Heparin
4. Complete a discharge plan for the patient based on the case to include all of the IDEAL components (see Introduction for help).
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