Lone Star College

Vernon Watkins VSIM. A patient handoff was performed. Postoperative patients are at risk for complications such as atelectasis, pneumonia, deep vein thrombosis, pulmonary embolism, constipation, paralytic ileus, and wound infection. This patient's pulmonary embolism (PE) is most likely the result of deep vein thrombosis related to surgery and decreased mobility. PE is a life-threatening medical emergency. Signs and symptoms range from dyspnea, pleuritic chest pain, and tachynpnea to ...

Stan Checketts VSIM. A patient handoff was performed. Vomiting results in a loss of hydrogen ions and potassium from the stomach, leading to a reduction of chlorides and potassium in the blood and to metabolic alkalosis. Dehydration and acidosis develop from loss of water and sodium. With acute fluid losses, severe hypovolemia and hypovolemic shock may occur, and fluid resuscitation is critical. Treatment of metabolic alkalosis is aimed at reversing the underlying disorder (small bowel ob...

RNSG 1261 - Marilyn Hughes VSIM Medical Surgical Nursing. A potential complication of fracture, compartment syndrome in an extremity is a limb-threatening condition that occurs when perfusion pressure falls below tissue pressure within a closed anatomic compartment. Without prompt intervention, the decrease in blood flow to tissues results in ischemia. Frequent assessment of neurovascular function after fracture is essential. Sensory deficits, such as paresthesia (burning or tingling sensa...

RNSG 1261 - Medical-Surgical Nursing | Kenneth Bronson VSIM. Anaphylactic reactions may be triggered by medications. Symptoms range from flushing, warmth, urticaria, anxiety, itching, cough, and wheezing, to severe systemic reactions, such as severe bronchospasm, laryngeal edema, acute dyspnea, cyanosis, and hypotension. Dysphagia, abdominal cramping, vomiting, diarrhea, and seizures with cardiac arrest and coma may follow. Early recognition and withdrawal of the triggering substance is pi...

RNSG 1261 - Doris Bowman VSIM Medical Surgical Nursing. Nursing management objectives for the patient in the post anesthesia care unit are to provide care until the patient has recovered from the effects of anesthesia, is oriented, has stable vital signs, and shows no evidence of complications. Pain control is a critical component of postoperative care and often includes IV opioid analgesic medications to provide immediate but short-acting pain relief. The most common adverse effects of op...

RNSG 1261: Stan Checketts VSIM | Medical Surgical (2023) You placed a nasal oxygen cannula. This was part of your orders. 10:49 You turned the oxygen on. 11:10 Patient status - ECG: Sinus tachycardia. Heart rate: 122. Pulse: Present. Blood pressure: 107/76 mm Hg. Respiration: 28. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 11:21 You asked the patient if he felt nauseated. He replied: 'Yes, a little.' 11:34 You phoned the provider in order to discuss the patient.

RNSG 1261; Vernon Watkins VSIM Medical Surgical Nursing (2023) You took a venous blood sample. This is reasonable. 15:08 You provided patient education. 15:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 112. Pulse: Present. Blood pressure: 152/91 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 15:39 You asked the patient how he felt. He replied: 'Not too good.' 15:45 You asked the patient if he had any diff...

Marilyn Hughes VSIM Medical Surgical (RNSG 1261) You asked the patient if she could feel her toes. She replied: 'My left foot feels really numb.' 9:57 A patient handoff was performed. A potential complication of fracture, compartment syndrome in an extremity is a limb-threatening condition that occurs when perfusion pressure falls below tissue pressure within a closed anatomic compartment. Without prompt intervention, the decrease in blood flow to tissues results in ischemia. Frequent a...

RNSG 1261: Kenneth Bronson VSIM (Medical Surgical Nursing)

RNSG 1261: Doris Bowman VSIM (Medical Surgical Nursing) Nursing management objectives for the patient in the post anesthesia care unit are to provide care until the patient has recovered from the effects of anesthesia, is oriented, has stable vital signs, and shows no evidence of complications. Pain control is a critical component of postoperative care and often includes IV opioid analgesic medications to provide immediate but short-acting pain relief. The most common adverse effects of op...

RNSG 1261: Vernon Watkins VSIM | Medical Surgical Nursing. Diagnosis: Postoperative Hemicolectomy. Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 104. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 25. Conscious state: Appropriate. SpO2: 96%. Temp: 99 F (37 C) 0:10 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus tachycardia with signs...

RNSG 1261: Stan Checketts VSIM | Medical Surgical Nursing. Diagnosis: Rule Out Preoperative Bowel Obstruction

RNSG 1261: Marilyn Hughes VSIM | Medical Surgical Nursing. Diagnosis: Lower Leg Fracture

(RNSG 1261) Kenneth Bronson VSIM | Medical Surgical Nursing 2023. Diagnosis: Pneumonia. You introduced yourself. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 136/82 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C) 0:14 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blo...

(RNSG 1261) Doris Bowman VSIM Medical Surgical Nursing. Diagnosis: Immediate Postop. Abdominal Hysterectomy. You arrived at the patient's side. 0:00 You introduced yourself. 0:09 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 108. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 1:10 Pati...

Cerebral Vascular Accident (CVA) John Gates is a 59-year-old male -Answered Cerebral Vascular Accident (CVA) John Gates, 59 years old Primary Concept Perfusion Interrelated Concepts (In order of emphasis) 1. Stress 2. Coping 3. Clinical Judgment 4. Patient Education 5. Communication

1. Collecting the principal on a loan to another company would be reported on the investing activities section of the statement of cash flows. TRUE 2. Money received from issuing bonds payable would be included as part of a company's financing activities on the statement of cash flows. TRUE 3. The collection of a loan made to a supplier would be treated as an investing activity on a statement of cash flows. TRUE 4. Paying taxes to governmental bodies is considered a cash outflow in the...

1. Land held for possible plant expansion would not be included as an operating asset when computing return on investment (ROI). TRUE 2. When used in return on investment (ROI) calculations, operating assets do not include investments in land held for future use and investments in other companies. TRUE 3. A disadvantage of using ROI to evaluate performance is that it encourages the manager to reduce the investment in operating assets as well as increase net operating income. FALSE 4. Op...

1. Under variable costing, variable production costs are not treated as product costs. FALSE 2. Under variable costing, fixed manufacturing overhead cost is not treated as a product cost. TRUE 3. Under variable costing, product costs consist of direct materials, direct labor, and variable manufacturing overhead. TRUE 4. The costs assigned to units in inventory are typically lower under variable costing than under absorption costing. TRUE 5. Under variable costing, product cost does no...

1. Comparing a static planning budget to actual costs is a good way to assess whether variable costs are under control. FALSE 2. Directly comparing a static planning budget to actual costs helps to distinguish between differences in costs that are due to changes in activity and differences that are due to how well costs were controlled. FALSE 3. Fixed costs should be ignored when evaluating how well a manager has controlled costs. FALSE 4. Fixed costs should be included in a flexible b...