RNSG 1261 Medical Surgical Nursing (RNSG1261)

Stan Checketts VSIM. A patient handoff was performed. Vomiting results in a loss of hydrogen ions and potassium from the stomach, leading to a reduction of chlorides and potassium in the blood and to metabolic alkalosis. Dehydration and acidosis develop from loss of water and sodium. With acute fluid losses, severe hypovolemia and hypovolemic shock may occur, and fluid resuscitation is critical. Treatment of metabolic alkalosis is aimed at reversing the underlying disorder (small bowel ob...

RNSG 1261 - Medical-Surgical Nursing | Kenneth Bronson VSIM. Anaphylactic reactions may be triggered by medications. Symptoms range from flushing, warmth, urticaria, anxiety, itching, cough, and wheezing, to severe systemic reactions, such as severe bronchospasm, laryngeal edema, acute dyspnea, cyanosis, and hypotension. Dysphagia, abdominal cramping, vomiting, diarrhea, and seizures with cardiac arrest and coma may follow. Early recognition and withdrawal of the triggering substance is pi...

RNSG 1261; Vernon Watkins VSIM Medical Surgical Nursing (2023) You took a venous blood sample. This is reasonable. 15:08 You provided patient education. 15:10 Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 112. Pulse: Present. Blood pressure: 152/91 mm Hg. Respiration: 24. Conscious state: Appropriate. SpO2: 91%. Temp: 99 F (37 C) 15:39 You asked the patient how he felt. He replied: 'Not too good.' 15:45 You asked the patient if he had any diff...

Marilyn Hughes VSIM Medical Surgical (RNSG 1261) You asked the patient if she could feel her toes. She replied: 'My left foot feels really numb.' 9:57 A patient handoff was performed. A potential complication of fracture, compartment syndrome in an extremity is a limb-threatening condition that occurs when perfusion pressure falls below tissue pressure within a closed anatomic compartment. Without prompt intervention, the decrease in blood flow to tissues results in ischemia. Frequent a...

RNSG 1261: Doris Bowman VSIM (Medical Surgical Nursing) Nursing management objectives for the patient in the post anesthesia care unit are to provide care until the patient has recovered from the effects of anesthesia, is oriented, has stable vital signs, and shows no evidence of complications. Pain control is a critical component of postoperative care and often includes IV opioid analgesic medications to provide immediate but short-acting pain relief. The most common adverse effects of op...

RNSG 1261: Vernon Watkins VSIM | Medical Surgical Nursing. Diagnosis: Postoperative Hemicolectomy. Patient status - ECG: Sinus tachycardia with signs of pulmonary hypertension. Heart rate: 104. Pulse: Present. Blood pressure: 147/88 mm Hg. Respiration: 25. Conscious state: Appropriate. SpO2: 96%. Temp: 99 F (37 C) 0:10 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus tachycardia with signs...

(RNSG 1261) Kenneth Bronson VSIM | Medical Surgical Nursing 2023. Diagnosis: Pneumonia. You introduced yourself. 0:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blood pressure: 136/82 mm Hg. Respiration: 19. Conscious state: Appropriate. SpO2: 95%. Temp: 103 F (39.2 C) 0:14 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 1:10 Patient status - ECG: Sinus rhythm. Heart rate: 97. Pulse: Present. Blo...

(RNSG 1261) Doris Bowman VSIM Medical Surgical Nursing. Diagnosis: Immediate Postop. Abdominal Hysterectomy. You arrived at the patient's side. 0:00 You introduced yourself. 0:09 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0:10 Patient status - ECG: Sinus tachycardia. Heart rate: 108. Pulse: Present. Blood pressure: 151/91 mm Hg. Respiration: 21. Conscious state: Appropriate. SpO2: 93%. Temp: 99 F (37 C) 1:10 Pati...