Revised Edition: Nursing Practice Scenarios
Section 1: Patient Assessment and Care
1. Assessment of a Client with a Plaster Cast
o Action: Check that one finger fits between the cast and the leg to ensure it is not
too tight, allowing for swelling.
2. Teaching for Radiation Therapy in Esophageal Cancer
o Understanding Indicator: "I will use my hands rather than a washcloth to clean
the radiation area."
3. Discharge Teaching for Hemianopia
o Instruction: Remind the client to scan their complete range of vision during
ambulation to reduce fall risk.
Section 2: Prioritization of Care
1. Client Assessment Priorities
o First Assessment: A client post-myocardial infarction requesting PRN sublingual
nitroglycerin.
2. Postoperative Care for Total Hip Arthroplasty
o Lab Value to Report: Hemoglobin of 8 g/dL.
Section 3: Medication Interactions and Adverse Effects
1. Feverfew and Medication Interaction
o Interacting Medication: Naproxen.
2. Adverse Effects of Propranolol
o Finding to Monitor: Report of a night cough.
3. Monitoring After Magnesium Sulfate Administration
o Adverse Effect: Respiratory paralysis.
Section 4: Patient Education and Safety
1. Teaching about TPN Administration
o IV Pump Calculation: For 2,000 kcal/day with TPN solution providing 500
kcal/L, set at 167 mL/hr.
2. Seizure Management Priority
o First Action: Turn the client to the side.
3. Teaching for Total Parenteral Nutrition
o Action During Interruption: Administer dextrose 10% in water until a new TPN
bag arrives.
Section 5: Client Rights and Ethical Considerations
1. Informed Consent for Research Trials
Section 1: Patient Assessment and Care
1. Assessment of a Client with a Plaster Cast
o Action: Check that one finger fits between the cast and the leg to ensure it is not
too tight, allowing for swelling.
2. Teaching for Radiation Therapy in Esophageal Cancer
o Understanding Indicator: "I will use my hands rather than a washcloth to clean
the radiation area."
3. Discharge Teaching for Hemianopia
o Instruction: Remind the client to scan their complete range of vision during
ambulation to reduce fall risk.
Section 2: Prioritization of Care
1. Client Assessment Priorities
o First Assessment: A client post-myocardial infarction requesting PRN sublingual
nitroglycerin.
2. Postoperative Care for Total Hip Arthroplasty
o Lab Value to Report: Hemoglobin of 8 g/dL.
Section 3: Medication Interactions and Adverse Effects
1. Feverfew and Medication Interaction
o Interacting Medication: Naproxen.
2. Adverse Effects of Propranolol
o Finding to Monitor: Report of a night cough.
3. Monitoring After Magnesium Sulfate Administration
o Adverse Effect: Respiratory paralysis.
Section 4: Patient Education and Safety
1. Teaching about TPN Administration
o IV Pump Calculation: For 2,000 kcal/day with TPN solution providing 500
kcal/L, set at 167 mL/hr.
2. Seizure Management Priority
o First Action: Turn the client to the side.
3. Teaching for Total Parenteral Nutrition
o Action During Interruption: Administer dextrose 10% in water until a new TPN
bag arrives.
Section 5: Client Rights and Ethical Considerations
1. Informed Consent for Research Trials
