Name: L e e A r t h u r
NUR : Post-Sim Assignment – Junetta Cooper
Scenario Overview
Overview
● Situation: The patient’s, Junetta Cooper’s, husband brought her to the emergency
department this morning at 0815 because she was experiencing angina unrelieved by
nitroglycerin. She has been evaluated in the emergency room, and she is now awaiting
cardiac catheterization tomorrow to evaluate the extent of the coronary artery disease.
● Background: Mrs. Cooper is a 75-year-old African American woman who has had
primary
hypertension since age 55 years. Her blood pressure has been treated with
antihypertensive drugs. She has a 1-year history of stable (exertional) angina pectoris
secondary to CAD. Her pain has been successfully controlled with the nitroglycerin
patch and sublingual nitroglycerin tablets.
Debriefing
Scenario Review
How did the simulated experience of Junetta Cooper case make you feel?
I felt good about this simulation
What do you think went well in the scenario?
I was able to administer the Nitro properly to alleviate the patient’s angina
What would you do differently if you were to repeat this scenario? How might your patient
care change?
I would make sure to double-check my medications being given more often.
Discussion Questions
What priority problem(s) did you identify for Junetta Cooper?
Angina and pain
Identify Junetta Cooper’s risk factors specific to cardiovascular disease.
High cholesterol, HTN, and age
What potential problem could arise from sublingual nitroglycerin therapy and what teaching
should be
included specific to this potential problem?
Nitro can cause headaches, dizziness, and lightheadedness. We should teach the patient to
ask for assistance with ambulation and report signs of dizziness or faintness.
NUR : Post-Sim Assignment – Junetta Cooper
Scenario Overview
Overview
● Situation: The patient’s, Junetta Cooper’s, husband brought her to the emergency
department this morning at 0815 because she was experiencing angina unrelieved by
nitroglycerin. She has been evaluated in the emergency room, and she is now awaiting
cardiac catheterization tomorrow to evaluate the extent of the coronary artery disease.
● Background: Mrs. Cooper is a 75-year-old African American woman who has had
primary
hypertension since age 55 years. Her blood pressure has been treated with
antihypertensive drugs. She has a 1-year history of stable (exertional) angina pectoris
secondary to CAD. Her pain has been successfully controlled with the nitroglycerin
patch and sublingual nitroglycerin tablets.
Debriefing
Scenario Review
How did the simulated experience of Junetta Cooper case make you feel?
I felt good about this simulation
What do you think went well in the scenario?
I was able to administer the Nitro properly to alleviate the patient’s angina
What would you do differently if you were to repeat this scenario? How might your patient
care change?
I would make sure to double-check my medications being given more often.
Discussion Questions
What priority problem(s) did you identify for Junetta Cooper?
Angina and pain
Identify Junetta Cooper’s risk factors specific to cardiovascular disease.
High cholesterol, HTN, and age
What potential problem could arise from sublingual nitroglycerin therapy and what teaching
should be
included specific to this potential problem?
Nitro can cause headaches, dizziness, and lightheadedness. We should teach the patient to
ask for assistance with ambulation and report signs of dizziness or faintness.
