DorisBowmanStudentQuestions,WELL EXPLAINED GRADED A.

NLN II, Surgical Scenario 3, Complex: Postop Abdominal Hysterectomy/Opioid Intoxication, Doris Bowman A. Pre-Simulation Questions a. Please answer the following questions prior to your simulation time. Bring your answers with you to simulation. i. Opioids are a common medication used in PACU to control the patient’s pain. What side effect of these drugs should the nurse be alert to in the immediate postoperative period? ii. What drug classification is Narcan and when is it indicated? iii. A patient has had a bowel resection with an ileostomy created on the left lower abdomen. What information will the nurse gather during a focused stoma assessment? B. Post-Simulation Questions a. Please answer the following questions after your simulation time. i. A patient has returned from PACU. The PACU nurse stated that the patient did well during the surgery, had stable vital signs, and was just medicated with morphine sulfate 4 mg IVP. When the surgical nurse assesses the patient, she finds that the patient is difficult to arouse and her respiratory rate was 5 and the pulse oximeter reading on 2L nasal cannula is 87%. What is the nurse’s next course of action? ii. A surgical patient returns to the floor after a right sided mastectomy. The patient’s IV infiltrates into her left hand. Where should the nurse place the new IV start? iii. What are some common signs and symptoms patients may have that may necessitate a hysterectomy? C. Learning Objectives a. The student will be able to demonstrate documenting a focused gastrointestinal assessment. b. The student will be able to demonstrate documenting a surgical incision assessment. D. Documentation Activities a. Document the following vital signs: blood pressure 146/78, heart rate 68, respiratory rate 14, and temperature 97.6°F. b. Document the primary nursing diagnosis for postoperative abdominal surgery. E. Homework Preview for Disease or Condition a. Pathophysiology and pharmacological treatments of nausea. F. Follow-Up Activity for the Classroom/Homework a. Review the disease process associated with nausea. G. QSEN Tips a. Discuss the strengths and reasons associated with evidence-based practice for nausea treatments while ensuring a patient-centered care is maintained. This is correlational with QSEN’s value for the need of continuous improvement of evidence-based clinical practice. H. NCLEX Tips a. Consider the types of diagnostic tests and laboratory values used to diagnose and treat nausea. These correlate with the NLCEX-RN’s candidate preparation of reduction of risk potential. b. Consider the alterations in body systems, illness management, pathophysiology, and unexpected responses to therapies associated with nausea. These correlate with the NCLEX-RN’s candidate preparation of physiological adaptation