Choice and Conceptual Actual Frequently
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Linda Pittmon Scenario 1 - ANSWER 1-IV fluid challenge/bolus
-Wound Cultures
-IV Antibiotics
-Blood Cultures
2-Stop the infusion
-Notify the provider after stopping the infusion
3-Notify the physician that the patient may be suffering from alcohol withdrawal.
-Check her blood glucose
4-Notify anesthesia to come to the floor to evaluate the patient.
-Wait until anesthesia evaluates the patient and have them assist in restarting the
IV.
-Have the next of kin sign the operative consent if available.
5-Use therapeutic communication to convey empathy
,-Notify HCP and nursing supervisor
-Tell the patient that dressing must be changed
Mary Barkley Scenario 1 - ANSWER 1-Put a mask on yourself
-Provide mask for patient
-Direct patient back to her room
2-Ensure UAP has proper PPE
-Ensure precaution sign is on the door
-Introduce UAP and Mrs. Barkley to each other
-Have UAP use therapeutic communication
3-Have UAP gather fresh linens
-Explain to Mrs. Barkley that you are going to change her linens
-Apply dry sterile dressing to IV site
4-Offer patient a tissue
-Assist patient in performing hand hygiene
-Wipe down chair with disinfectant
5-Use disposable blood pressure cuff
-Apply new probe cover to probe before assessing temperature
-Take respiration and pulse
, -Check pulse Ox
Sarah Kathryn Horton Room 302 - ANSWER -Cognition
-Coping
-Grief
1-Introduce and sit down by the patient's bedside
-Determine cognition by asking questions to determine if she knows who, where,
and what happened
-Review of body systems and evaluate pain on a scale of 1-10
2-The patient has survived a mass shooting
-She experienced life threatening wounds with 2 gunshot wounds, including one
to the shoulder
-The patient is unable to process the event so far
3-Comfort and orient patient to person, place, and time.
-Request assistance with your other patients and determine family's availability to
stay with the patient
-Remain with the patient
-Check to see availability for PRN anxiolytic medication
4-Orient arriving family member to the situation, and explain importance of
remaining with the patient