NUR 114 VSIM ASSIGNMENT SURGICAL CASE STAN
CHECKETTS DOCUMENTATION ASSIGNMENTS
LATEST EDITION 2026 WITH COMPLETE SOLUTIONS
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,Patient Overview
Stan Checketts is a 52-year-old male admitted with worsening abdominal pain, nausea,
vomiting, abdominal distention, and signs of dehydration. The patient has a history of
abdominal surgeries, which increases his risk for adhesions and small bowel obstruction. During
the scenario, the patient demonstrates symptoms associated with hypovolemic shock including
tachycardia, tachypnea, low oxygen saturation, dizziness, poor skin turgor, and reduced fluid
volume.
The nurse’s role is to perform rapid assessment and initiate interventions to stabilize the patient
while preparing for possible surgical management.
Focused Abdominal Assessment
A focused abdominal assessment is one of the most important components of this case. The
nurse should assess inspection, auscultation, palpation, pain characteristics, and gastrointestinal
symptoms.
Inspection
The abdomen is visibly distended, which suggests bowel obstruction and accumulation of
intestinal contents or gas. The patient may appear pale, diaphoretic, and uncomfortable.
Auscultation
Hyperactive bowel sounds are commonly noted in early bowel obstruction due to increased
intestinal activity attempting to move contents through the obstructed bowel. Some
documentation sources describe hypoactive sounds later in the progression of obstruction.
Palpation
The abdomen is tender to palpation. The patient reports aching or cramping abdominal pain
usually rated around 4/10 initially.
Additional Findings
Other important assessment findings include:
• Nausea and vomiting
• Dry mucous membranes
, • Poor skin turgor
• Decreased urine output
• Tachycardia
• Tachypnea
These findings strongly indicate dehydration and fluid deficit.
Vital Signs and Clinical Deterioration
Vital signs provide important evidence of hypovolemic shock.
Initial Vital Signs
Typical initial vital signs include:
• Heart rate: 129–131 bpm
• Blood pressure: approximately 108/76 to 110/78 mmHg
• Respiratory rate: 28–29 breaths/min
• Oxygen saturation: 90% on room air
• Temperature: approximately 99°F
These findings suggest compensatory shock, where the body attempts to maintain perfusion
through tachycardia and tachypnea.
Post-Intervention Vital Signs
After interventions, improvements may include:
• Reduced heart rate
• Increased oxygen saturation
• Reduced pain level
• Slight blood pressure stabilization
Ongoing monitoring is essential to determine the patient’s response to therapy.
Immediate Priority Nursing Actions
CHECKETTS DOCUMENTATION ASSIGNMENTS
LATEST EDITION 2026 WITH COMPLETE SOLUTIONS
RANKED A+
,Patient Overview
Stan Checketts is a 52-year-old male admitted with worsening abdominal pain, nausea,
vomiting, abdominal distention, and signs of dehydration. The patient has a history of
abdominal surgeries, which increases his risk for adhesions and small bowel obstruction. During
the scenario, the patient demonstrates symptoms associated with hypovolemic shock including
tachycardia, tachypnea, low oxygen saturation, dizziness, poor skin turgor, and reduced fluid
volume.
The nurse’s role is to perform rapid assessment and initiate interventions to stabilize the patient
while preparing for possible surgical management.
Focused Abdominal Assessment
A focused abdominal assessment is one of the most important components of this case. The
nurse should assess inspection, auscultation, palpation, pain characteristics, and gastrointestinal
symptoms.
Inspection
The abdomen is visibly distended, which suggests bowel obstruction and accumulation of
intestinal contents or gas. The patient may appear pale, diaphoretic, and uncomfortable.
Auscultation
Hyperactive bowel sounds are commonly noted in early bowel obstruction due to increased
intestinal activity attempting to move contents through the obstructed bowel. Some
documentation sources describe hypoactive sounds later in the progression of obstruction.
Palpation
The abdomen is tender to palpation. The patient reports aching or cramping abdominal pain
usually rated around 4/10 initially.
Additional Findings
Other important assessment findings include:
• Nausea and vomiting
• Dry mucous membranes
, • Poor skin turgor
• Decreased urine output
• Tachycardia
• Tachypnea
These findings strongly indicate dehydration and fluid deficit.
Vital Signs and Clinical Deterioration
Vital signs provide important evidence of hypovolemic shock.
Initial Vital Signs
Typical initial vital signs include:
• Heart rate: 129–131 bpm
• Blood pressure: approximately 108/76 to 110/78 mmHg
• Respiratory rate: 28–29 breaths/min
• Oxygen saturation: 90% on room air
• Temperature: approximately 99°F
These findings suggest compensatory shock, where the body attempts to maintain perfusion
through tachycardia and tachypnea.
Post-Intervention Vital Signs
After interventions, improvements may include:
• Reduced heart rate
• Increased oxygen saturation
• Reduced pain level
• Slight blood pressure stabilization
Ongoing monitoring is essential to determine the patient’s response to therapy.
Immediate Priority Nursing Actions
