Clinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home. Identify what information is essential to obtain during report from the operating room.
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Clinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home.
- Identify what information is essential to obtain during report from the operating room.
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- Clinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home. Identify what information is essential to obtain during report from the operating room. What are your first three priorities for immediate care of this patient in the PACU? Identify the discharge instructions that the patient will need.Clinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home. Identify the discharge instructions that the patient will need.Clinical reasoning Scenario: Two patients are admitted to the day surgery unit for arthroscopies. One patient is a 30-year-old who will ambulate with crutches and the other is a 75-year-old who lives alone. How would your assessments, preoperative education, preparation and discharge planning differ for these two patients?
- Situation: You are a day shift nurse in a medical ward, you have received your assignment and was about to make your initial rounds, the outgoing nurse endorsed to you the patient X might be discharge today but is very demanding and difficult throughout the night shift. Upon entering patient X room, what should be your actions? All are correct Identify 2 to 3 goals he would like to achieve upon his discharge Ask patient X about his pending discharge and his goals for laving today Ask patient x on the activities and actions that can be done to assist him with his concernsThe client’s laboratory report today indicates severe hypokalemia, and the nurse has notified the provider. Nursing assessment indicates that heart rhythm is regular when looking at the telemetry monitor. What is the priority nursing intervention? Would it be initiating fall precautions due to potential postural hypotension and weak leg muscles, establish seizure precautions due to potential muscle twitching, cramps, and seizures, or examine sacral area and patient’s heels for skin breakdown due to potential edema. Which one is the priority of these three optionsMedication List: This should include ALL medications your patient is currently taking. (Attach additional sheets if necessary) Medication Name (Trade and Generic) and Drug Class Dose (with appropriate units) /Route/Time Ordered (ex: 30mg PO 1xD 8am) Why is YOUR patient on this medication? (Indication) Normal Dose Range for Indication Required nursing interventions for THIS medication in THIS patient. Pre/Post administration physical assessments, pertinent labs, specific time to re-evaluation effectiveness. Is this a home med? Y/N These are the medication Entresto 49/51mg Toprol XL 100mg Lasix 80mg Farxiga 10mg Atorvastatin 80 mg Spironolactone 50mg Patient lab work UWBC: 100,000 BUN/Creat: 60/3.0 GFR: 40 K+: 5.9 Na+: 135
- Clinical reasoning Scenario: During your preoperative assessment of your patient, a 68-year-old woman who is alert and oriented describes her surgery as 'getting a new right knee'. The Operating Room schedule indicates that she is having a left knee arthroscopy. What are the priorities of the perioperative nurse?TELEPHONE TRIAGE Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example. “Hi, this is Samantha calling from the ICU, I need to speak with the doctor regarding urgent orders for one of his patients that was admitted this afternoon.”TELEPHONE TRIAGE Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example.“Hi, this is Karen Olson, my son Ben has a sore throat, can you get the doctor to call in a prescription for antibiotics?”
- Clinical reasoning Scenario: A 56 year-old man is admitted to the cardiac unit and has been diagnosed as abdominal aortic aneurysm. In light of this, an abdominal aortic aneurysm resection is being considered by his medical team. Identify your first three priorities for immediate care of this patient in the emergency unit Describe the pharmacologic interventions that will most likely apply to this patient.Discuss and justify two nursing safety considerations/ interventions for patients receiving pre-operative medication while awaiting transfer to the operating room.You are assigned to train in a new LPN at your facility. Discuss the nursing considerations necessary to safely administer medications through a feeding tube, including the initial preparation of the medications and the actual administration of the medication at the client's bedside.