Part I: Emergency Department (ED) Unfolding Reasoning ALL SOLUTION 100% CORRECT FALL-2022 LATEST GUARANTEED GRADE A+

Primary Concept Infection/Immunity Interrelated Concepts (In order of emphasis) • Clinical judgment • Communication NCLEX Client Need Categories Covered in Case Study NCSBN Clinical Judgment Model Covered in Case Study Safe and Effective Care Environment Step 1: Recognize Cues • Management of Care Step 2: Analyze Cues • Safety and Infection Control Step 3: Prioritize Hypotheses Health Promotion and Maintenance Step 4: Generate Solutions Psychosocial Integrity Step 5: Take Action Physiological Integrity Step 6: Evaluate Outcomes • Basic Care and Comfort • Pharmacological and Parenteral Therapies • Reduction of Risk Potential • Physiological Adaptation© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any Th foisrmstuodyr sboyurace nywams edoawnnsl,oa edleedctbryon 10ic0,00m0e 81c9h1a9n82ic2a8l,frpomhoCtooucrosepHyeinrog.c,ormecoonr0d1in-2g4-o2r02o2th1e0:r2w0i:s1e 9,GwMitTh- o0u6t:0t0he prior written permission of KeithRNHave you had an elevated temp? Have you been exposed to anyone with known Covid19 infection? Have you had any loss in your sense of taste or smell? Have you travelled anywhere with a high incidence of Covid19? Pt. needs Covid19 testing and should be wearing a mask – do not expose to other patients Initial Triage Assessment in ED Present Problem: John Taylor is a 68-year-old African-American male with a history of type II diabetes and hypertension who came to the emergency department (ED) triage window because he felt crummy; complaining of a headache, runny nose, feeling more weak, “achy all over” and hot to the touch and sweaty the past two days. When he woke up this morning, he no longer felt hot but began to develop a persistent “nagging cough” that continued to worsen throughout the day. He has difficulty “catching his breath” when he gets up to go the bathroom. John is visibly anxious and asks, “Do I have that killer virus that I hear about on the news?” Personal/Social History: John lives in a large metropolitan area that has had over three thousand confirmed cases of COVID-19. He has been married to Maxine, his wife of 45 years and is retired police officer and active in his local church. 1. What data from the histories are RELEVANT and must be NOTICED as clinically significant by the nurse? (NCSBN: Step 1 Recognize cues/NCLEX: Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance: Age Higher risk for complication due to Covid19 Diabetes, HTN Comorbidities that increase complications from Covid19 Headache and weakness Symptoms of Covid19 Nagging cough Symptom of Covid19 Difficulty catching breath Symptom of Covid19 RELEVANT Data from Social History: Clinical Significance: Urban location with high positive cases of Covid19 Community spread of Covid19