Oral And Parenteral Medication AdministrationSkills & Reasoning
Oral and Parenteral Medication AdministrationSkills & Reasoning
Summary
Summary Oral and Parenteral Medication AdministrationSkills & Reasoning
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Course
Oral and Parenteral Medication AdministrationSkills & Reasoning
Institution
Oral And Parenteral Medication AdministrationSkills & Reasoning
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis)
• Gas Exchange
• Clinical Judgment
• Patient Education
NCLEX Client Need Categories Percentage of Items from Each
Category/Subcategory Covered in
Case Study
Safe and Effective Care Environment
Manage...
primary concept perfusion interrelated concepts in order of emphasis • gas exchange • clinical judgment • patient education nclex client need categories percentage of items from each categorysub
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Oral and Parenteral Medication AdministrationSkills & Reasoning
Jerry Williams, 62 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis)
Gas Exchange
Clinical Judgment
Patient Education
NCLEX Client Need Categories Percentage of Items from Each Covered in
Category/Subcategory Case Study
Safe and Effective Care Environment
Management of Care 17-23%
, Oral and Parenteral Medication AdministrationSkills & Reasoning
Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
Basic Care and Comfort 6-12%
Pharmacological and Parenteral Therapies 12-18%
Reduction of Risk Potential 9-15%
Physiological Adaptation 11-17%
, Oral and Parenteral Medication AdministrationSkills & Reasoning
History of Present Problem:
Jerry Williams is a 62-year old obese (BMI 35.2) Caucasian male with a history of diastolic heart failure and
type II diabetes. Last evening, he began having difficulty breathing with activity. He thought he might be
getting a cold becausehe had a runny nose. He reports more swelling in his lower legs the past couple days. He
woke up this morning with increased difficulty breathing when he woke up and his wife called 911.
Paramedics report that his initial VS: HR:92 RR: 28 BP: 172/88 O2 sat: 80% on room air with scattered
expiratory wheezing bilat. He was placed on oxygen by facemask and albuterol nebulizer administered with
some improvement in his breathing. His RR is now 24 upon arrival to the emergency department ED). His
initial labs have resulted; creatinine of 2.5 (last adm. 1.8), K+ 3.5 (last adm. 3.7) and BNP 944 (last adm. 322).
Jerry is given furosemide 40 mg IV in the ED and had 800 mL urine output in the last hour. He is admitted to
cardiac telemetry, and you are the nurse responsible for hiscare.
What data from the present problem do you NOTICE as RELEVANT and why is it clinically significant?
(Reduction of Risk Potential/Health Promotion and Maintenance)
RELEVANT Data: Clinical Significance:
1. obese, type II diabetes, 1. shows that patient was not in the best health
Diastolic heart failure before these problems began
2. shortness of breath with 2. shows that there is something going on
activity/ increased difficulty with his gas exchange
breathing when he woke up 3. could be a problem with purfusion, possible DVT
3. more swelling in his lower 4. proves that hes is having difficulty breathing and
legs
his heart is trying to pick up the slack
4. High RR and BP and low O2 sat
5. increase risk for kidney and heart failure
5. high creatine and BNP labs
What is the RELATIONSHIP of his past medical history and current medications? Why is your patient
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