Stan Checketts I Student Document: Latest

121 SIMULATION: PRE-OPERATIVE/SMALL BOWEL
OBSTRUCTION-STAN CHECKETTS
Textbook:

Harding, M. M. (2020). Lower gastrointestinal problems. In Harding, M. M., Kwong, J., Roberts, D., Hagler,
D., & Reinisch, C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical
problems (11th ed., pp. 924-967). St. Louis, MO: Elsevier.


Neil, J. A. (2020). Preoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch,
C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical problems (11th ed.,
pp. 299-312). St. Louis, MO: Elsevier.




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Rudolphi, D. M. (2020). Postoperative care. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D.,
& Reinisch, C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical




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problems (11th ed., pp. 328-347). St. Louis, MO: Elsevier.




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ATI Skills Modules:
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Nasogastric Tube
 Inserting a nasogastric tube
 Gastric decompression
Care and maintenance of
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
nasogastric tube
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STUDENT NAME:
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After receiving verbal report, please utilize that information and the above listed references to respond to the
following questions. Please be prepared to discuss your responses, as well as electronically submitting your
responses after group discussion.
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Prepare the following medication for submission on medication cards. Use the ATI medication sheet
format:
1. Cefazolin
2. Ondansetron
3. Morphine


Part 1

1. What are the four hallmark clinical manifestations of a small bowel obstruction (SBO)?

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, 121 SIMULATION: PRE-OPERATIVE/SMALL BOWEL
OBSTRUCTION-STAN CHECKETTS
The most common symptoms of SBO are abdominal distention, vomiting, cramping abdominal pain, and
inability to pass flatus.



2. Identify at least 5 complications associated with SBO and discuss the mechanisms involved in the
development of each of the complications you identified.

 Sepsis: Due to translocation of intestinal bacteria from tissue breakdown
 The intestine can get swollen from the trapped air, fluid, and food. This swelling can make the
intestine less able to absorb fluid. This leads to dehydration and kidney failure. Nausea and




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vomiting will also cause dehydration.




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 Excess swelling of the intestine can cause the intestine to rupture or burst. A ruptured intestine can




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lead to peritonitis, or a severe infection in the abdominal cavity.




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 When the intestine is blocked, the blood vessels that bring oxygen to the intestine get blocked, too.
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Without blood, parts of the intestine can die.
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 Short Bowel Syndrome is a condition that results in malabsorption of nutrients
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3. What is an exploratory laparotomy and what is the indication for this procedure in this patient?

Exploratory laparotomy is surgery to open up the belly area (abdomen). This surgery is done to find the
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cause of the obstruction that testing could not diagnose. It is also used when an abdominal injury needs
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emergency medical care.
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4. What specific laboratory (bloodwork) and radiologic/diagnostic tests can a nurse anticipate needing to be
done preoperatively in preparing this patient for surgery? Identify 4 tests in each of the 2 categories and
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explain the purpose for each test.

Labs
Glucose. This test measures your blood sugar levels.
Potassium. This test measures the amount of potassium, sodium, and other electrolytes in your blood. ...
Complete blood count (CBC).
Coagulation studies (PT/PTT).

Diagnostics
Xray
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https://www.coursehero.com/file/93226134/Stan-Checketts-I-Student-Document-Part-1docx/