Question

Name: Click here to enter text. Instructions: Read the scenario provided and answer the questions below. Submit written answers by 0900 (9:00 am) the morning of your group's simulation experience. Print the scenario and answered questions and bring them with you to the simulation experience. This is required for participation Historv/Information Alexis Alcorn, 76 year old female with a history of chronic gastritis whose chief complaint was frequent dyspepsia and epigastric pain relieved by antacids. She also complained of rapid weight loss and feeling fatigued. After a series of tests, a biopsy was performed which confirmed gastric cancer. A partial gastrectomy was performed 3 days ago to remove the cancerous lesion. She is also exhibiting signs of depression because of her recent diagnosis (BA post gastrectomy) Physician's Orders Lovenox 40 mg sq BID Oxycodone 5mg/acetaminophen 325mg 1-2 tabs PO every 3-4 hours prn pain Meperidine 25mg IM every 4-6 hours prn for severe pain Zofran 4mg IVP every 8 hours prn nausea 1000 ml of D5W with 20 KCL to run at 100m/hour Salem sump N/G tube to continuous suction (decompression) Clamp NG tube and begin clear liquid diet when bowel sounds return Keep HOB elevated Reinforce surgical dressing Foley catheter to gravity drainage Physical therapy for strengthening Compression hose (TED) or sequential compression device (SCD)

Answer 1

3) answer:

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• Patient with gastric cancer have many complications ,so as a health care provider We need to monitor the patient carefully .
• Patient is already having partial gastrectomy ,so there will a nutrition impairement , may have bloating and flatulence and severe pain and other emotional depression also .
• We need to check the vital signs
• Monitor the patient health status .
• Patient is already immuno compromised ,so infection control is most important .
• Provide nutritional support ,if indicated oral or otherwise naso gastric tube feeding .
• Allow the patient to express his feelings about his health condition .
• Provide emotional support .
• Provide psychological support .
• Administer medications as per doctors prescription
• Encourage the patient to take own ADL as possible .
• Try to limit the complications of client .
• Advice take more fluids as possible .
• Maintain bowel and bladder pattern .
• Do the sterile dressing to control the infection at surgical site .

4) components of basic physical assessment:

Inspection : collect the detailed history of patient includes present and past medical and surgical history .

Expose the surgical wound and assess for pain ,bleeding ,swelling , redness and presence of infection .

Palpation : palpate the organs for megalies such as hepatomegaly , spleenimegaly etc .

Palpate any abnormal lumps such as lymphnode enlargement and other lumps .

Percussion : percussion done to know the presence of any fluid such as presence of ascities etc .

Auscultation : We can auscultate the sounds clearly with help of stethoscope ,normally heart sounds and abnormal lung sounds such as murmurs etc