HNB2205 Nursing And Acute Care 2


A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain, nausea, and vomiting over the last few days. 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. He thought it might be the flu, but decided to come in because the stomach pains were getting worse. He has signed informed consent for treatment and labs have been drawn.

1. What signs and symptoms did Stan present with that may indicate that he is dehydrated? What nursing care and management is required for the patient presenting with dehydration?

2. One complication of dehydration is hypovolaemic shock. What indicators would you be looking for in a patient with hypovolaemic shock and what would your nursing care be for a patient with this condition?
3. Stan is diagnosed with a Small bowel obstruction (SBO), what is the nursing care and treatment of a person with a small bowel obstruction (SBO)?
4. In evaluating Stan Checketts’ laboratory results, what might his lab results indicate in relation to Stan’s condition? These lab results can be found in the vSim simulation or below
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