100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Priority Patient Activity Part 1 Herbie Saunders, 62 years old David Mueller, 71 years old Gladys Parker, 92 years old $6.79   Add to cart

Case

Priority Patient Activity Part 1 Herbie Saunders, 62 years old David Mueller, 71 years old Gladys Parker, 92 years old

 43 views  1 purchase
  • Course
  • Institution

Priority Patient Activity Part 1 Herbie Saunders, 62 years old David Mueller, 71 years old Gladys Parker, 92 years old

Preview 2 out of 11  pages

  • March 13, 2023
  • 11
  • 2021/2022
  • Case
  • Priority patient activity part 1 herbie saunders,
  • A+
avatar-seller
lOMoARcPSD|3013804




lOMoARcPSD|3013804




PRIORITY Patient Activity
Part I: Who does the nurse see first?
Suggested Answer Guidelines




Herbie Saunders, 62 years old David Mueller, 71 years old Gladys Parker, 92 years old
CHF Exacerbation Below-the-Knee Amputation Weakness and Falls


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%
 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%

, lOMoARcPSD|3013804




© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or
transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior
written permission of KeithRN

Part I-Patient Care Scenarios
You are the RN on a busy medical-surgical/telemetry floor at Anytown General
Hospital. Each nurse on your 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.

NOC Nurse Report
Patient #1: Herbie Saunders
Patient Report: What Do You Notice? Clinical Significance:
“Herbie Saunders is a 62-year-old male who came Abnormal lung Crackles indicate that air is
in last night for a CHF exacerbation. His doctor is sounds: crackles in moving through fluid or
Dr. Davis and he’s a full code. He’s alert and bases secretions.
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 Coughing up white Coughing up excess fluid is one
bases. He’s coughing up a small amount of white frothy secretions. way the body attempts to
frothy secretions. He’s been on room air since he remove it from the lungs.
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 The patient is receiving Patients receiving diuretics
but I haven’t given anything overnight. He has a 20 IV diuretics. are at risk for hypotension,
gauge in his right forearm. I’m not sure how he nephrotoxicity, and electrolyte
gets around since he’s been in bed since he got imbalances.
here.”

Most Recent Vital Signs @ 0357 What Do You Notice? Clinical Significance:
T: 98.6 F (oral) These vital signs are all The patient’s vital signs are
within normal limits. stable.
P: 76
R: 20
BP: 128/87 (MAP 101 mmHg)
O2 sat: 92% on room air
Pain: denies
Admission Weight: 196 lb (89.1 kg)

In one sentence, describe the ESSENCE of the patient scenario that will guide your plan of care?
This patient is here for CHF exacerbation, which means that he is fluid overloaded and will require diuresis to
remove the excess fluid.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller AcademicAssignments. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $6.79. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

71498 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$6.79  1x  sold
  • (0)
  Add to cart