Stan Checketts Post-Sim Quiz
The nurse is admitting Stan Checketts with complaints of severe abdominal pain with nausea
and vomiting. The nurse suspects an obstruction. What assessment findings support the nurse's
suspicions? (Select all that apply.) - CORRECT ANSWER-Dizziness, Poor skin turgor, Blood
pressure 90/58, Urine dark yellow color
Based on the client's objective and subjective findings, the nurse suspects that Mr. Checketts'
medical diagnoses are hypovolemia and bowel obstruction. The nurse will anticipate the
provider's order to include _____ to treat the hypovolemia and insertion of a _____ as the
priority intervention to prevent the complications of a small bowel obstruction. - CORRECT
ANSWER-Blank-1: infusion of normal saline
Blank-2: nasogastric tube
When monitoring Stan Checketts after he has been diagnosed with bowel obstruction, which of
the following complaints would cause concern requiring immediate intervention? (Select all that
apply.) - CORRECT ANSWER-His complaints of pain increase after medication administration.,
He reports increasing dizziness and becomes hard to arouse.,
His nasogastric drainage becomes bright red in color.,
His blood pressure decreases and heart rate increases significantly.,
His urine output has decreased over the past 12 hours.
The nurse is reviewing the client's health history. The nurse knows that which of the following
conditions contribute to the development of bowel obstructions? (Select all that apply.) -
CORRECT ANSWER-Abdominal hernia, Adenocarcinoma, Abdominal adhesions, Volvulus
The nurse is caring for a client with a nasogastric tube inserted in the right nare. Which of the
following protocols should the nurse anticipate when managing a client with a nasogastric tube
(NGT)? (Select all that apply.) - CORRECT ANSWER-Radiographic confirmation of correct
placement of NGT., NGT is secured to the right nare with hypoallergenic tape., Accurate record
of the drainage removed from NGT., Sublingual medications may be administered as
prescribed.
The nurse is aware that prolonged complications of bowel obstruction could result in ____,
which would warrant a _____. - CORRECT ANSWER-Blank-1: tissue necrosis
Blank-2: bowel resection
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