PRIORITY Patient Activity
Part III: New Orders/Evaluation/Problem Recognition
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%
© 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
This study source was downloaded by 100000830772748 from CourseHero.com on 02-12-2022 03:12:01 GMT -06:00
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, You have completed your initial assessments for each of your three patients. You
noticed that Herbie Saunders was experiencing increased shortness of breath due
to fluid overload and you appropriately administered his morning medications
without delay.
You sent pages to each of your patients’ providers with order requests and
pertinent updates. Before you begin medication passes for David Mueller and
Gladys Parker, you see that you have new orders for your patients.
New Primary Care Provider Orders
New Orders
Patient #2: David Mueller
Medications: PRN polyethylene glycol, 17g, PO QDAY PRN for constipation
docusate/senna 50/8.8 mg PO BID PRN for constipation
bisacodyl 10 mg PR QDAY PRN for constipation
Diagnostics: CBC, now
Nursing Orders: Reinforce surgical dressing, call surgeon if wound continues to drain through
Based on these new orders, is there anything you would do differently for your 0900 medication pass?
I would ask the patient if they would like to take their bowel care medications this morning, and strongly
recommend that they do. To cluster my care, I would also take the glucometer into the room to obtain another
CBC and bring in new dressing supplies to reinforce the surgical dressing.
New Orders
Patient #3: Gladys Parker
Diagnostics: Basic metabolic panel + Mg, now
Nursing Orders: Straight cath once for urine sample collection
Based on these new orders, is there anything you would do differently for your 0900 medication pass?
I would talk to Gladys about the new order to perform a straight catheterization in order to obtain a urine
sample and answer any questions she may have. I would bring in the morning medications with the straight
catheter supplies and perform the straight cath after she has taken her medications.
You have completed your morning medication pass for each of your patients, collected the
urine for Ms. Parker, charted your assessments, ensured that labs have been drawn and you
are now ready to round on each of your patients again.
This study source was downloaded by 100000830772748 from CourseHero.com on 02-12-2022 03:12:01 GMT -06:00
https://www.coursehero.com/file/89535963/KeithRN-Case-Study-Part-3-Priority-docx/
Part III: New Orders/Evaluation/Problem Recognition
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%
© 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
This study source was downloaded by 100000830772748 from CourseHero.com on 02-12-2022 03:12:01 GMT -06:00
https://www.coursehero.com/file/89535963/KeithRN-Case-Study-Part-3-Priority-docx/
, You have completed your initial assessments for each of your three patients. You
noticed that Herbie Saunders was experiencing increased shortness of breath due
to fluid overload and you appropriately administered his morning medications
without delay.
You sent pages to each of your patients’ providers with order requests and
pertinent updates. Before you begin medication passes for David Mueller and
Gladys Parker, you see that you have new orders for your patients.
New Primary Care Provider Orders
New Orders
Patient #2: David Mueller
Medications: PRN polyethylene glycol, 17g, PO QDAY PRN for constipation
docusate/senna 50/8.8 mg PO BID PRN for constipation
bisacodyl 10 mg PR QDAY PRN for constipation
Diagnostics: CBC, now
Nursing Orders: Reinforce surgical dressing, call surgeon if wound continues to drain through
Based on these new orders, is there anything you would do differently for your 0900 medication pass?
I would ask the patient if they would like to take their bowel care medications this morning, and strongly
recommend that they do. To cluster my care, I would also take the glucometer into the room to obtain another
CBC and bring in new dressing supplies to reinforce the surgical dressing.
New Orders
Patient #3: Gladys Parker
Diagnostics: Basic metabolic panel + Mg, now
Nursing Orders: Straight cath once for urine sample collection
Based on these new orders, is there anything you would do differently for your 0900 medication pass?
I would talk to Gladys about the new order to perform a straight catheterization in order to obtain a urine
sample and answer any questions she may have. I would bring in the morning medications with the straight
catheter supplies and perform the straight cath after she has taken her medications.
You have completed your morning medication pass for each of your patients, collected the
urine for Ms. Parker, charted your assessments, ensured that labs have been drawn and you
are now ready to round on each of your patients again.
This study source was downloaded by 100000830772748 from CourseHero.com on 02-12-2022 03:12:01 GMT -06:00
https://www.coursehero.com/file/89535963/KeithRN-Case-Study-Part-3-Priority-docx/
