NUR 114 vSIM Assignment Surgical Case 2: Stan Checketts Documentation Assignments. Question & Answer. A Graded.

NUR 114 vSIM Assignment Surgical Case 2: Stan Checketts Documentation Assignments 1. Describe your focused assessment of Stan Checketts’ abdomen. • Focused assessment regarding Mr. Checketts was to inspect, auscultate, palpate and percuss the abdomen to gather information regarding the client’s initial complaint. • Assessment presented decreased turgor, skin cold and clammy, hyperactive bowel sounds, tender upon palpation. 2. Describe immediate priority actions related to the treatment of hypovolemic shock. • Physician ordered a bolus of normal saline to be give 500mL over 30 minutes to help replacement of fluid and electrolyte loss. 3. Explain your rationale for the changes in Stan Checketts’ vital signs throughout the scenario. • BP stated WNL throughout the simulation • HR and RR were elevated which is a result of hypovolemia • Temp remained constant at 99F • O2 was 90%, nasal cannula at 2L was applied to increased O2 to maintain at 92% or better. O2 increased to 94%.