Guided Reflection Questions
Opening Questions
How did the simulated experience of Olivia Jones’s case make you feel?
This simulation made me have more anxiety than usual. There was a lot of different things occurring and
the provider orders were bulkier.
Describe the actions you felt went well in this scenario.
I felt like although there were a lot of orders to follow, I was able to properly and efficiently complete
them.
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Scenario Analysis Questions1
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EBP What are the indications that Olivia Jones’s preeclampsia has progressed?
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Hyperreflexia, elevated blood pressure, severe headache, clonus, pitting edema, hypoxia,
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epigastric pain, and abnormal lab results.
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PCC What should the priority teaching for Olivia Jones include?
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aC s
The priority teaching for Olivia Jones should include improving the understanding of her medical
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condition and methods and means to manage her condition. Effective communication and
patient education increases the patient’s motivation to comply. Also, correctly identifying Olivia
Jones’ severe pain under her right breast from the decreased blood flow to her liver because of
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her elevated blood pressure is vital. She thought she was having a heart attack, so educating her
about the correct cause of pain can decrease her anxiety.
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PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What are the
indications for this drug, and what should be taught to the patient regarding side effects?
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Indications of magnesium sulfate are the treatment of hypertension, prevention of seizures,
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preterm labor. Patient education about magnesium sulfate should include why the medication is
being given, side effects of the medication, such as confusion, SOB, nausea, dizziness, abnormal
heartbeat.
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1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
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