NUR105 M5.8: ATI vSim Swift River: John Duncan – Gastroenteritis
In this NUR105 M5.8: ATI vSim Swift River simulation, you’re presented with various scenarios involving different patients and their unique healthcare needs. Let’s explore the questions and responses:
Scenario 1: Mrs. Stukes – Post-Op Laparoscopic Cholecystectomy with Ileostomy
Mrs. Stukes appears sad and depressed. What steps should you take?NUR105 M5.8: ATI vSim Swift River
Response: You should use therapeutic communication, perform a full assessment, allow the expression of feelings, educate the patient, and evaluate her understanding.
Scenario 2: Mrs. Stukes – Nausea
Mrs. Stukes is feeling nauseated. How should you respond?NUR105 M5.8: ATI vSim Swift River
Response: Proper hand hygiene and gloving are essential. You should perform a full assessment, check the NG tube placement, and consider administering IV antiemetic medication.
Scenario 3: Mrs. Stukes – Appliance Leaking
Mrs. Stukes’s appliance is leaking. What actions should you take?
Response: Conduct a full assessment, educate the patient, evaluate her understanding, notify the lead nurse and doctor, and consult the wound care team.
Scenario 4: Mrs. Stukes – Lack of Support for Stoma Care
Mrs. Stukes’s husband is not willing to assist with her stoma care after discharge. What steps should you follow?
Response: Discuss with the patient to identify her home health needs, notify the lead nurse/doctor of the new circumstances, contact social services for a new consult, and update the patient on discharge changes.
Scenario 5: Mrs. Stukes – Post-Discharge Request for Information NUR105 M5.8: ATI vSim Swift River
Three days after discharge, you receive a phone call from Mrs. Stukes’s neighbor requesting the names and home phone number of the wound care nurse who saw her while she was an inpatient. What actions should you take?
Response: You should follow HIPAA protocol, explain HIPAA protocol to the caller, offer resource assistance, contact the wound care team directly, and document the conversation.
Scenario 6: Ann Rails – Coping with Back Pain
Ann Rails is expressing fear and concern about her pain and numbness. How should you respond?NUR105 M5.8: ATI vSim Swift River
Response: You should use therapeutic communication, educate the patient regarding her care, evaluate her understanding, ensure the patient’s safety, and document the results and findings.
Scenario 7: Ann Rails – Pain Management
Ann Rails is experiencing increased pain despite receiving medication. What actions should you take?
Response: After proper hand hygiene and gloving, assess the patient’s condition, provide comfort measures, notify the doctor, and document the results and findings.
Scenario 8: Ann Rails – Fear of Discharge to an Abusive Home
Ann Rails shares her fear of being discharged to an abusive home. How should you address her concerns?
Response: Listen to the patient’s concerns, reassure her of available options, notify the lead nurse/doctor, contact Social Services, and document the results.
Scenario 9: Ann Rails – Post-Medication Sleep
Ann Rails is sleeping after receiving medication. What should you do in this situation?
Response: After washing and gloving your hands, conduct a visual assessment, avoid disturbing the patient, verify call light and bed safety precautions, and document the results.
Scenario 10: Ann Rails – Bowel Movement Concerns
Ann Rails mentions she hasn’t had a bowel movement in two days. How should you address this issue?
Response: Assess bowel sounds, encourage fluids, fiber, and ambulation, evaluate the patient’s understanding, provide fluids/fiber diet and assisted ambulation, and document the results. The simulation emphasizes the importance of effective communication, patient assessment, and collaborative care in addressing the unique needs of each patient.
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