QuestionPatient: Susan Right Age: 23; DOB 11/4/1995 Scenario: You are the… 1. Patient: Susan Right Age: 23; DOB 11/4/1995 Scenario:You are the nurse. The health care provider has completed an assessment of the patient. You cared for her yesterday after delivery. She appears more confused than when you cared for her previously. The newborn is in the crib in the corner, sucking on her fist.Vital Signs are: Temp 100.9, HR 116, RR 32, BP 80/60, SPO2 85% on Room Air.On your assessment, you note a boggy fundus, large clots, fundus remains boggy on massage. Saline lock is in Right hand.What will you do next? 2. Patient: Emma RightAge: 1 day; DOB 11/13/XX Scenario:You are the nurse. The newborn is in the crib in the corner of the mom’s room.Vital Signs are: Temp 37.2 C., HR 140, RR 34, BP 70/55, SPO2 95% Weight: 7lb 2oz. Admit Apgar 8 at 1 minute and 9 at 5 minutesOn assessment, you note the vital signs are the same as what was given to you in the hand-off report. The baby is sucking on her fist and moving around. You attempt to obtain a feeding schedule from the mom, but she has a flat effect, not looking at the baby, and not responding to the question.What will you do next?3. Patient: Elizabeth WillyouAge: 24; DOB 3/24/1994Scenario:You are the nurse. Vital signs are: Temp 98.6, HR 80, RR 16, BP 116/80. On assessment the fundus is boggy with clots; the fundus firms with massage.Hgb is 8 from 11 on yesterdayHct is 28 from 32 yesterdayYou received from hand-off report that the patient is receiving a unit of PRBCs. Upon entering the room, the patient was having respiratory distress.What will you do next? 4. Patient: JoAnna TrainAge: 27; DOB 04/19/1991Scenario:You are the nurse for the patient who is 39 weeks gestation, Gravida 2 Para 2. Vital Signs are: Temp 99.1, HR 88, BP 122/60.Her underpad is wet. You place the external fetal monitor and interpret the reading as contractions 8 minutes apart, irregular, FHR is 120-130, moderate variability.What will you do next? 5. Patient: Rebecca DoweeAge 24: DOB 4/23/1994Scenario:You are the nurse. Vital signs are: Temp 98.6, HR 110, RR 28, BP 98/60. On assessment the fundus is boggy; she is diaphoretic. The patient is Muslim. Her husband is not present at the time of your assessment.Hgb is 8 from 11 on yesterdayHct is 28 from 32 yesterdayWhat will you do next, while being culturally sensitive? 1. Which patient requires attention First and how might you accomplish this? Please explain the rationale for your decision: 2. Which patient will you see next, and how might you accomplish this BEST? Please explain the rationale for your decision? 3. Which patient will you see next? Please explain the rationale for your decision? 4. Which patient will you see next? Please explain the rationale for your decision? 5. Which patient will you see last? Please explain the rationale for your decision?6. Place yourself in this situation, with this patient assignment. Reflect on what your BEST course of action would be and how you might ensure patient-centered care.Please Explain: Rather than work as a group, you can work in pairs, share among the entire group and come up with one document. Write a progress note on one of the patients with PIE Health Science Science NursingNURSING 2362
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