Surgical Case 2: Stan Checketts Guided Reflection Questions

Surgical Case 2: Stan Checketts

Guided Reflection Questions

   How did the scenario make you feel? 

2.   When reflecting on the care of Stan Checketts, what are signs and symptoms you can assess in the next patient you care for who might be at risk for dehydration?

3.   Discuss signs and symptoms of hypovolemic shock.

4.   Discuss assessment and expected findings in a small bowel obstruction.

5.   What key questions does the nurse ask in an acute abdominal pain assessment?

6.   In evaluating Stan Checketts’ laboratory values, what if any abnormalities did you find?

7.   Stan Checketts had a nasogastric (NG) tube inserted for gastric decompression. What are the preferred methods for confirming placement of the NG tube?

8.   What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.

S: 52 year old male who has severe abdominal pain, nausea, and vomiting over the last few days.

B: His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. He has felt dizzy and weak all evening.

A: Labs show CBC and he has elevated HB, HCT, WBC, NA+, CL, Urea nitrogen, & creatinine. Per Dr. orders an IV was started and administered NS fluid bolus 500 mL over 30 min, O2 to maintain SPO2 greater than 92%, a Nasogastric tube on intermittent suction, Buprenorphine, and Ondansetron PRN.

9.   What would you do differently if you were to repeat this scenario? How would your patient care change?