Christopher Parrish
Documentation Assignments
1. Document your focused gastrointestinal and dietary assessment of Christopher
Parrish.
o Obtain vital signs
o Assess bowel sounds and when last bowel movement occurred
o Assess placement of NG tube—due so before aspirating and flushing
o Assess for special diet implemented by doctor (check patient’
understanding)
high calorie, high fat diet
o Assess patient’s eating habits
Are they getting the meals they need on a daily basis?
o Assess use of vitamins or food supplements
o Ensure patient positioning is semi-fowler’s or higher
o Check patients understanding of tube feedings, aspiration
o Administer medication and fluid nutrition
2. Document two nursing diagnoses for this patient.
o Risk for aspiration as evidence by nasal tube and enteral feedings
o Risk for activity as evidence by respiratory condition (Cystic Fibrosis)
3. Document your priorities for care of this patient.
o Obtain vital signs and assessment of dietary and gastrointestinal
o Administer prescribed medication
o Administer prescribed fluid nutrition
Check position first then aspirate and flush
Keep at semi-fowler’s or higher to prevent aspiration
Prevent more weight loss
o Provide patient education about aspiration, intake/output, BMI, tube
feedings, diagnostics and the nutrition importance to prevent malnutrition
o Due to his cystic fibrosis, it should also be a priority to keep his SpO2 up
—94% or higher
4. Describe the age-related considerations you will use when caring for Christopher
Parrish.
o This patient is a new adult so it is important to keep him informed on his
medical care and let him ask questions. It is important to provide him with
the education and give him options. His privacy is still an important factor
at this age so it is crucial for the nurse to maintain this. His is in charge of
From vSim for Nursing | Fundamentals. © Wolters Kluwer
Documentation Assignments
1. Document your focused gastrointestinal and dietary assessment of Christopher
Parrish.
o Obtain vital signs
o Assess bowel sounds and when last bowel movement occurred
o Assess placement of NG tube—due so before aspirating and flushing
o Assess for special diet implemented by doctor (check patient’
understanding)
high calorie, high fat diet
o Assess patient’s eating habits
Are they getting the meals they need on a daily basis?
o Assess use of vitamins or food supplements
o Ensure patient positioning is semi-fowler’s or higher
o Check patients understanding of tube feedings, aspiration
o Administer medication and fluid nutrition
2. Document two nursing diagnoses for this patient.
o Risk for aspiration as evidence by nasal tube and enteral feedings
o Risk for activity as evidence by respiratory condition (Cystic Fibrosis)
3. Document your priorities for care of this patient.
o Obtain vital signs and assessment of dietary and gastrointestinal
o Administer prescribed medication
o Administer prescribed fluid nutrition
Check position first then aspirate and flush
Keep at semi-fowler’s or higher to prevent aspiration
Prevent more weight loss
o Provide patient education about aspiration, intake/output, BMI, tube
feedings, diagnostics and the nutrition importance to prevent malnutrition
o Due to his cystic fibrosis, it should also be a priority to keep his SpO2 up
—94% or higher
4. Describe the age-related considerations you will use when caring for Christopher
Parrish.
o This patient is a new adult so it is important to keep him informed on his
medical care and let him ask questions. It is important to provide him with
the education and give him options. His privacy is still an important factor
at this age so it is crucial for the nurse to maintain this. His is in charge of
From vSim for Nursing | Fundamentals. © Wolters Kluwer
