*NURSING > vSim For Nursing > 2021-Clinical Reasoning Case Study-Priority Patient Activity (All)

2021-Clinical Reasoning Case Study-Priority Patient Activity

Document Content and Description Below

PRIORITY Patient Activity Part I: Who does the nurse see first? Part I-Patient Care Scenarios You are the RN on a busy medical-surgical/telemetry floor at Anytown General Hospital. Each nurse on y... our unit typically cares for 3-5 patients. You have just arrived for your day shift and are receiving nurse-to-nurse reports from three different night shift nurses. After you receive reports, you will have an opportunity to review the current orders for each of your patients. >>Herbie Saunders is a 62-year-old male who came in last night for a CHF exacerbation. His doctor is Dr. Davis and he’s a full code. He’s alert and oriented and can make his needs known. He’s on tele, normal sinus rhythm with occasional PVCs. His pressures are fine, heart rate is in the 70s. Lungs are clear in the uppers with crackles in the bases. He’s coughing up a small amount of white frothy secretions. He’s been on room air since he arrived, oxygen sats are in the low-mid 90s. He got 40 mg IV Lasix last night in the ED; I think you might have something scheduled during your shift but I haven’t given anything overnight. He has a 20 gauge in his right forearm. I’m not sure how he gets around since he’s been in bed since he got here.” >>>>David Mueller is 72 years old, here for a right BKA. He is Dr. Snyder’s patient. Vitals are fine, he’s not on telemetry. Lungs are clear, he’s on room air. I think he still has an 18 gauge in his left a/c but I didn’t get a chance to flush it because he was sleeping most of the night. His finger sticks have been in the high 200s and he gets a sliding scale. That’s really all I have for him. I was so busy last night with a new admission and another patient who was on the call light all night long.” >>>>Gladys Parker is a sweet little 92-year-old lady. She’s here because she had a fall at her nursing home that they think was due to dehydration and weakness. She was admitted by the night float but Dr. Howard will probably be her attending. She’s DNR/DNI. Alert to self and place, but definitely disoriented to time and situation. She’s really forgetful and doesn’t seem to want to bother anyone so she hasn’t used her call light all night. I’d guess she’s at least an assist of one for transfers. She’s on telemetry because her electrolytes were off when she arrived. EKG showed Afib with a heart rate in the 90s. Blood pressures are pretty soft, her systolic blood pressures were in the low 90s for me. Lungs are clear, she’s on room air. They put her on a mechanical soft diet. She takes her pills whole in pudding or applesauce. The nursing home said her last bowel movement was 3 days ago and that she’s incontinent of both bowel and bladder. Her urine seems really concentrated and has a strong odor. I noticed that there is still an outstanding order to collect a UA but I couldn’t get one since she was incontinent all night. Maybe you can address that with the doctor today if they still want it. She’s got a 22 gauge in her left wrist with LR running at 100 mls/hr for a total of one liter. I started that at 0200.” [Show More]

Last updated: 1 year ago

Preview 1 out of 21 pages

Add to cart

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

We Accept:

We Accept

Reviews( 0 )

$13.00

Add to cart

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
101
0

Document information


Connected school, study & course


About the document


Uploaded On

Jul 06, 2021

Number of pages

21

Written in

Seller


seller-icon
Prof.Exams

Member since 3 years

60 Documents Sold


Additional information

This document has been written for:

Uploaded

Jul 06, 2021

Downloads

 0

Views

 101

Document Keyword Tags


$13.00
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·