GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit (solved)

GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit (solved)-GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit. Overview Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. The scenario takes place on Tuesday at 1930, at which time Lou is hypotensive and tachycardic. During this scenario, students will have the opportunity to assess and manage care for a postoperative patient experiencing hypotension due to fluid volume deficit. Pre sim Quiz Questions 1. 1.ID: Which factors are thought to be possible causes of colorectal cancer? Select all that apply. A. Familial adenomatous polyposis B. High fat intake C. Low vegetable intake D. High fiber intake 2. 2.ID: Following abdominal surgery, a patient will likely have a nasogastric (NG) tube placed in order to _____. Select all that apply. A. provide fluids B. drain secretions from stomach C. remove gas from stomach D. draw lab samples 3. 3.ID: A nurse is reviewing a patient's intake and output measurements over the past 24 hours. Which results would the nurse expect to find in a generally healthy adult? A. Intake 2570 mL, output 2525 mL B. Intake 5800 mL, output 3500 mL C. Intake 1200 mL, output 950 mL D. Intake 3000 mL, output 2000 mL 4. 4.ID: Medical treatment of colorectal cancer can include ____. Select all that apply. A. surgery B. chemotherapy C. sigmoidoscopy D. colonoscopy E. radiation 5. 5.ID: Which assessment findings suggest that a patient is experiencing fluid volume deficit due to dehydration? Select all that apply. A. Blood pressure 101/60 B. Specific gravity 1.000; decreased hemoglobin, hematocrit, and red blood cell count C. Blood pressure 160/80 D. Specific gravity 1.040; increased hemoglobin, hematocrit, and red blood cell count 6. 6.ID: You are caring for a postoperative patient following abdominal surgery. The patient has an IV line, PCA pump, antiembolism stockings/sequential compression devices (SCDs), and Jackson-Pratt drain to the abdominal wound as well as an NG tube to low wall suction. The patient has incisional pain with movement and prefers to remain immobile and take shallow breaths. Which nursing diagnosis would be most pertinent for this patient? A. Impaired peripheral circulation related to immobility B. Ineffective breathing pattern related to immobility C. Imbalanced fluid volume intake D. Risk for infection related to surgical incision 7. 7.ID: Which conditions can lead to hypovolemia? Select all that apply. A. Diarrhea B. Vomiting C. Blood loss from surgery D. Concentrated tube feedings Post sim exercises Which of Lou Thao's assessment findings indicate that she is experiencing a postoperative fluid volume deficit? 1. Pulse is high, BP low, RR high, O2 kind of low, bowl sounds absent