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Medical Surgical (MEDSRG101) Pre-Sim - Clinical Pre Work

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John Marsh
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Chamberlain College of Nursing

Medical Surgical 1 (MEDSRG101)

Pre-sim – clinical pre work

Pre-Sim Questions: Keola Akana
1. What are the nutritional implications, key assessment findings, and nursing interventions
for a patient with hypokalemia?
 Nutritional Implications: low sodium and high potassium diet.
 Assessment Findings: weakness and fatigue, muscle cramps and spasms, digestive
problems, heart palpitations, muscle aches and stiffness, tingling and numbness,
dyspnea, tachycardia, tachypnea, decreased bowel sounds and hyperglycemia.
 Nursing Interventions: give prescribed drugs, get serum potassium levels evaluated,
insert Foley catheter with physician order, inspect patient’s abdomen and listen to
bowel sounds, and provide a high potassium diet.
2.What are the signs and symptoms of digoxin toxicity and how would the nurse assess for these
symptoms? In your response, be sure to include specific body systems.
 Signs and symptoms: confusion, irregular pulse, loss of appetite, fast heartbeat, vision
changes, decreased consciousness, decreased urine output, and systematic edema.
 A nurse may assess for these symptoms by taking a pulse, checking level of
consciousness, and auscultate heart sounds.

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Medical Surgical (MEDSRG101) Pre-Sim - Clinical Pre Work

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