Videos
Case summary:
Person X is working as a nurse in oncology unit (during her nursing school). Person X meets Person RP who is 38 years old and suffering from metastatic colon cancer. Person RP underwent chemotherapy and radiation treatment. Due to this, his body became weak and malnourished.
Additionally, he was undergoing numerous intravenous treatments. He had ulcer and colostomy, which required special care. The orientation received by Person X was brief due to short staffing.
Person X was in night shift and the other nurse asked to care and perform several tasks to Person RP. Person X has to perform the task even though she is unfamiliar with a few tasks because other nurses were busy and she has to help them. Due to her lack of familiarity and skills, Person X has to face some difficulties by performing on her own as she could put the patient in risk, intimidating the license of the nurses.
Characters in the case:
- Person RP: The patient.
- Person X: The nurse (student).
- Nurse.
To discuss:
The response of the given situation in the case by Person X.
Explanation of Solution
Responses to the situation are as follows:
Firstly, Person X must inform the other nurses that she is not specialized in doing these tasks, and request them to assign task according to her scope of duty. She must inform the nurse that she is new to the work and ask the nurse to be present while she is performing the task.
Case summary:
Person X is working as a nurse in oncology unit (during her nursing school). Person X meets Person RP who is 38 years old and suffering from metastatic colon cancer. Person RP underwent chemotherapy and radiation treatment. Due to this, his body became weak and malnourished.
Additionally, he was undergoing numerous intravenous treatments. He had ulcer and colostomy, which required special care. The orientation received by Person X was brief due to short staffing.
Person X was in night shift and the other nurse asked to care and perform several tasks to Person RP. Person X has to perform the task even though she is unfamiliar with a few tasks because other nurses were busy and she has to help them. Due to her lack of familiarity and skills, Person X has to face some difficulties by performing on her own as she could put the patient in risk, intimidating the license of the nurses.
Characters in the case:
- Person RP: The patient.
- Person X: The nurse (student).
- Nurse.
To discuss:
The professional knowledge, skill, and practice of Person X.
Explanation of Solution
The professional knowledge, skill, and practice of Person X under this situation are as follows:
The professional knowledge, skill and, practice of Person X were up to the mark because even though she was not familiar with that task she helped the nurses in performing those tasks. The very next day she informed the nurse manager about her discomfort due to the risks in the future.
Case summary:
Person X is working as a nurse in oncology unit (during her nursing school). Person X meets Person RP who is 38 years old and suffering from metastatic colon cancer. Person RP underwent chemotherapy and radiation treatment. Due to this, his body became weak and malnourished.
Additionally, he was undergoing numerous intravenous treatments. He had ulcer and colostomy, which required special care. The orientation received by Person X was brief due to short staffing.
Person X was in night shift and the other nurse asked to care and perform several tasks to Person RP. Person X has to perform the task even though she is unfamiliar with a few tasks because other nurses were busy and she has to help them. Due to her lack of familiarity and skills, Person X has to face some difficulties by performing on her own as she could put the patient in risk, intimidating the license of the nurses.
Characters in the case:
- Person RP: The patient.
- Person X: The nurse (student).
- Nurse.
To discuss:
Whether the action of the nurse is legal and ethical.
Explanation of Solution
Whether the action of the nurse is legal and ethical:
Yes, the action of the nurse is legal and ethical as she has informed the nurse manager that she is not comfortable in performing the tasks that she is not familiar with.
Case summary:
Person X is working as a nurse in oncology unit (during her nursing school). Person X meets Person RP who is 38 years old and suffering from metastatic colon cancer. Person RP underwent chemotherapy and radiation treatment. Due to this, his body became weak and malnourished.
Additionally, he was undergoing numerous intravenous treatments. He had ulcer and colostomy, which required special care. The orientation received by Person X was brief due to short staffing.
Person X was in night shift and the other nurse asked to care and perform several tasks to Person RP. Person X has to perform the task even though she is unfamiliar with a few tasks because other nurses were busy and she has to help them. Due to her lack of familiarity and skills, Person X has to face some difficulties by performing on her own as she could put the patient in risk, intimidating the license of the nurses.
Characters in the case:
- Person RP: The patient.
- Person X: The nurse (student).
- Nurse.
To discuss:
The knowledge, skill, and attitudes to be improved to have a quality and safety of the patients like Person RP.
Explanation of Solution
Knowledge, skill, and attitudes of Person X:
- Person X must develop communication skills with patients.
- Critical thinking is an important skill for a nurse.
- Confident is the most important knowledge and skill to the nurse that helps in performing there job to the best.
Want to see more full solutions like this?
Chapter 1 Solutions
NU 231 CUSTOM NURSING BUNDLE
- Provides a thoughtful and relevant analysis of how identifying key sources of fear and anxiety and effective interventions in school age patients will impact nursing practice, supportedby specific examplesarrow_forwardOrganize a series of questions that you will ask to our virtual patient Sara Bellum, based on new guidelines. Find patient's medical charting separately.arrow_forwardMake a patient interview sheet for patients with Diabetes and CKD: Assessing symptoms Signs Biochemical data Nutrition focused physical exam key points.arrow_forward
- Module 4 - Interpreting Labs.pd X CB CastleBranch Login Merged-TDL-Files--2024103012280X pl Dietetic Practitic 6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition-inline DaVita Dietitian Reference Manual - + 90% Module 4-Evaluating Laboratory Values Case 3 Ray dialyzes three times a week on 2 K+ bath. His appetite is fair and he takes ReGen (4 oz. TID) to supplement his intake. His medications include: Nephrovite RX, PhosLo (1 at breakfast, 1 at lunch, 2 at supper) Prilosec, Imdur, Zemplar and Epogen. He says he's been feeling weak and tired and has SOB (shortness of breath). He reports having diarrhea for 2 days. His blood pressure is low Date PreBUN PostBUN URR KUV Creat Alb CO2 K+ Ca PO4 PTH- Hgb intact 5.3 9.0 4.9 160 11.5 5.4 8.9 5.4 6.5 9.3 6.1 01/01 02/01 03/01 37 8 40 9 104 missed 78% 1.6 7.7 3.2 25 78% 1.6 3.5 22 3.0 21 7.5 7.6 10.8 8.4 What do you suspect is the reason for his change in lab values? Case 4 Margaret is a 78-year-old woman…arrow_forwardModule 4 - Interpreting Labs.pd X CB CastleBranch Login Merged-TDL-Files--2024103012280X 1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline DaVita Dietitian Reference Manual + 90% Module 4-Evaluating Laboratory Values CASE STUDIES Case 1 Steve has been on hemodialysis for 3 years. His medications include Nephrocaps, PhosLo (3 at breakfast, 2 at lunch, 3 at supper), Lisinopril, EPO and Venofer. Patient reports he has had the flu and not eaten much for the past 4-5 days, but has continued to take all medications as prescribed. Date PreBUN PostBUN URR KWV Creat Alb CO2 K+ Ca PO4 PTH- Hgb intact 12/01 54 01/02 55 02/02 40 18 17 12 68% 1.33 12.3 3.9 24 4.7 11.0 5.9 69% 1.39 12.2 4.0 23 4.8 11.0 5.2 70% 1.45 12.5 4.0 26 4.1 12.5 4.5 96 12.3 12.1 11.9 What are possible reasons for increasing hypercalcemia in February? Case 2 Barb has been on hemodialysis for 1½ years. She has diabetes, but is not currently taking an antiglycemic agent.…arrow_forwardzm Module 4 - Interpreting Labs.pd X CB CastleBranch Login X Merged-TDL-Files--2024103012280X marks Tools Window Help 100% E pl Dietetic Practitioners s://d3da1k6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline + 90% DaVita Dietitian Reference Manual Module 4-Evaluating Laboratory Values REVIEW QUESTIONS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. True False A patient who has a low bicarbonate level will also have a low potassium level. Causes of low albumin include low protein intake, infection, proteinuria and severe liver disease. Inaccurate handling of the blood specimen can result in a falsely low PTH. In a patient on hemodialysis, a potassium level of 6.0 is acceptable. An excessive intake of meat will result in higher levels of BUN, phosphorus and potassium. In a patient without kidney function, hyperglycemia will be accompanied by hypokalemia. A patient with access problems is likely to have increased levels of potassium, BUN, creatinine…arrow_forward
- Tools Window Help zm Module 4 - Interpreting Labs.pd X CB CastleBranch Login x Merged-TDL-Files--2024103012280X pl Dietetic Prac Halk6uo8tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inlin - + 90% CASE STUDIES-DISCUSSION Case 1 His lower BUN, K+ and phosphorus are consistent with his reported decrease in intake due to the flu. His high calcium level is a consequence of taking his prescribed amount of PhosLo while eating less food. Thus, he absorbed more calcium from his phosphate binder. In this patient, with adynamic bone disease (low PTH without IV vitamin D therapy), he is unable to deposit calcium in his bones, so serum level rose quickly. PhosLo was held and the next week his calcium was 11.0 and phosphorus 5.8. Other possibilities for a rise in calcium might be that patient took Tums (or another calcium-containing antacid) because of the flu or heartburn; took phosphate binders between meals rather than with meals; was consuming…arrow_forwardlast two please (3 and 4)arrow_forward08tbjf.cloudfront.net/68f85c32-16e5-11ef-925e-aaa4f1cd8999?response-content-disposition=inline DaVita Dietitian Reference Manual + 90% Module 4-Evaluating Laboratory Values DISCUSSION QUESTIONS 1. Why is hyperkalemia dangerous? 2. What are 3 possible causes of hyperkalemia? 3. How is hyperkalemia managed? 4. What are 3 reasons for hypoalbuminemia in hemodialysis patients? 5. What are the side effects of hypoalbuminemia? 6. What are 3 possible reasons for a patient to have a low BUN? A high BUN? FEB 5 tv MacBook Airarrow_forward
- As nursing students dealing with school age patients with anxiety or fear related to hospitalisation, identify relevant and credible resources and explains their significance.arrow_forwardDescribe which of the 4 biomolecules could be used as a source of carbon and energy in a microbial growth media?arrow_forwardHow to teach mock dialysis (HD) patients how to decrease phosphorus on his/her dietarrow_forward
Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:Saunders
Fundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning