vSim #1 Stan checketts / Stan Checketts - Preoperative Bowel Obstruction: Fluid and Electrolyte Imbalance (answered)

Kaitlin Podmore Stan Checketts VSIM  Document your focused assessment of Stan Checketts’ abdomen. o HR 129, BP 107/77, Resp 29, SPO2 90%, Temp 99 F, A & O x3, hyperactive BS, pain 6/10, c/o of cramping that hurts worse with activity. Vomiting provides temporary relief.  Document immediate priority actions related to the treatment of hypovolemic shock. o Administer fluids. NS 500 ml/30 min. Administer O2.  Document the changes in Stan Checketts’ vital signs throughout the scenario. o VS were consistent throughout the scenario. HR 129, BP 107/77, Resp 29, SPO2 90%, Temp 99 F. Bp remained the same, but the SPO2 did improve after O2 was applied.  Identify and document key nursing diagnoses for Stan Checketts. o Risk for fluid and electrolyte imbalance related to vomiting