Surgical Case 2: Stan Checketts Guided Reflection Questions ALL ANSWERS 100% CORRECT FALL -2021 SOLUTION AID GRADE A+

1. How did the scenario make you feel? I felt I was able to do a non rushed assessment and interact with the patient better. 2. When reflecting on the care of Stan Checketts, what are signs and symptoms you can as- sess in the next patient you care for who might be at risk for dehydration? I can ask the patient questions about their bowel movement frequency and characteristics, Urine output, abdominal pain, bowel sounds 3. Discuss signs and symptoms of hypovolemic shock. As you monitor vital signs High heart rate and Low blood pressure is relevant because the body is trying to compensate for the decrease in blood circulation to vital organs. Cool clammy skin to the touch, the patient complains of feeling weak & tired, confused, and shal- low breathing is noted. 4. Discuss assessment and expected findings in a small bowel obstruction. The patient shows signs of anorexia, complains of cramp like abdominal pain, unable to have a bowel movement, vomiting. Physical assessment findings include swelling of the ab- domen, abdominal distention, and tympani to percussion. 5. What key questions does the nurse ask in an acute abdominal pain assessment? Where is the pain? How long have you have this pain? What relieves the pain? What makes the pain worst? When was the last time you had a bowel movement? Are you passing gas? History of bowel surgeries? 6. In evaluating Stan Checketts’ laboratory values, what if any abnormalities did you find? Sodium and Chloride levels where high, an indication of dehydration. 7. Stan Checketts had a nasogastric (NG) tube inserted for gastric decompression. What are the preferred methods for confirming placement of the NG tube? The preferred method for confirming NG tube placement