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To discuss:
How and why would the student nurse respond to this situation?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The nursing student must document the incident about the patient’s fears and it should be reported immediately to the physician. The patient must be isolated from other patient to avoid spreading of infection if she had the flu. The student nurse should do a quick research about the virus as she will gain more knowledge over the virus.
To discuss:
The adequacy of the skills for professional practice and what that is tell about the student nurse?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The student nurse is still not a Registered Nurse (RN) to become a nursing staff, who has knowledge over the communicable diseases and how to take immediate action if she encounters one. The nursing student still needs more knowledge to act in the emergency situations.
To discuss:
The factors that influenced the nursing students’ actions?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The nursing student still does not know much about the signs and symptoms of the virus, but she knows it is contagious. Hence, the nursing student recoiled herself when the patient sneezed.
To discuss:
What type of data that could have led the nursing student to different course of action?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The nursing student could have used initial assessment data to record the medical status of the patient. The nursing student could also used focused assessment to gather more information about the patient by asking a set of questions.
To discuss:
How the nursing student have assesses the patient differently?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The nursing student must make an assessment on the patient about her current medical conditions and her fears, which would be helpful to develop a care plan for the patient.
To discuss:
Whether to agree with criteria that the nursing student used to evaluate a successful outcome?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
The nursing student develops a care plan for the patient that she receives a quality medical care and her fears are eased. The nursing student also ensures to isolate the patient to avoid spreading of the disease to other patients.
To discuss:
The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for patients like Ms. W?
Case summary:
The nursing student is caring for a 17-year-old female patient Ms. W, who just arrived back to the United States after visiting her family in China. The patient got flu like symptoms and arrived in the emergency department. The patient had a fear of getting herself infected with the flu virus as she had read about the virus in newspapers and these viruses are currently spreading in Asia. The patient is trying to convince her by asking the student nurse that she only got some cold and not infected by the virus.
Explanation of Solution
- The nursing student needs good communication and interpersonal skills to gain trust and establish nurse-patient relationship.
- The nursing student must have assessment skill to assess the patient conditions.
- The nursing student must develop the knowledge and skill to act in emergency situations.
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Chapter 14 Solutions
FUNDAMENTALS OF NURSING-PACKAGE
- Focus Part II: Please create an electronic bulletin board for each of the following concepts (one per bullet): . Bulletin board 1: List of foods/beverages that are high and low in phosphorus Bulletin board 2: List of foods/beverages that are high and low in potassium Bulletin board 3: List of foods/beverages that are high and low in protein Harrow_forwardFolic Acid Vitamin B6 Vitamin C Vitamin B12 14. What are the dietary recommendations for a dialysis patient? Calories Protein-HD- Potassium-HD- Phosphorus- PD-3000-4000mg/d 15. Should dialysis pts take fat-soluble vitamins why or why not? 16. Should patients take their B-complex vitamins prior to treatment? Why or why not? 17. What are the recommendations for physical activity? 18. What are some possible causes of low serum albumin? What are some possible dietitian Interventions? 19. What are some possible causes of dry weight loss? Dietitian intervention? 20. What are some possible causes of hyperkalemia? Dietitian Intervention? 21. What are some possible causes of hypokalemia? Dietitian Intervention? 22. What are some possible causes of hyperphosphatemia? Dietitian Intervention? 23. What are some possible causes of hypophosphatemia? Dietitian Intervention? 24. What are some possible causes of Hypercalcemia? Hypocalcemia? Dietitian Intervention? +Hypercalcemia- Hypocalcemia- Dietition…arrow_forwardStudy Guide on anatomy, physiology and pathophysiology of kidneys (basics)arrow_forward
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- DaVita Dietitian Reference Manual Module 12-Peritoneal Dialysis DISCUSSION QUESTIONS 1. Identify 3 advantages and 3 disadvantages of peritoneal dialysis compared to hemodialysis. 2. How do the nutritional needs of PD patients differ from those of HD patients? 3. What are the goals for Kt/V for PD?arrow_forwardDaVita Dietitian Reference Manual Module 12--Peritoneal Dialysis 1. 2 3. 4 5 6. 7. 8. 9. 10. REVIEW QUESTIONS True False With PD, there is a greater responsibility for patients to monitor their own dialysis than with hemodialysis. The higher the dextrose concentration in the PD solution, the more fluid removed and the more calories absorbed. PET testing is used to measure peritoneal dialysis adequacy. PD is contraindicated in diabetics due to the high glucose load of PD solutions. Malnutrition is prevalent among PD patients due to protein losses through the peritoneal membrane. This protein malnutrition contributes to increased morbidity and mortality. Sodium and phosphorus are restricted in the diet for PD patients, however potassium intake is usually more liberal than for HD patients. Protein losses are greater during peritonitis. The calories absorbed from dialysate are negligible. Insulin can be given intraperitoneally, if necessary. PD patients are at risk for high triglycerides…arrow_forwardDaVita Dietitian Reference Manual REVIEW QUESTIONS Module 8-Anemia Management True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The renal vitamin should be taken daily and after dialysis on hemodialysis days. An adequate supply of vitamins B12, folate, and B6, as supplied by the renal vitamin, is needed for red blood cell production. The start dose for Epogen therapy is based on body weight and hemoglobin level. A patient's Iron Saturation (ISAT) is 15% and Ferritin is 95 ng/mL. This indicates absolute iron deficiency. A patient's Ferritin is 1200 ng/mL. This may be due to iron excess, infection, inflammation, or multiple transfusions. The healthy liver produces the hormone erythropoietin, necessary for red blood cell production in the bone marrow. A high normal or high MCV (close to or greater than 100 um³/cell) suggests a deficiency of B12 and/or folate. The DaVita Dietitian should reinforce taking the renal vitamin and timing it properly. The renal vitamin contains vitamin A in order to…arrow_forward
- DaVita Dietitian Reference Manual Module 9-Counseling Skills REVIEW QUESTIONS 1. 2. 3. 4. 9 5. 6. 7. 8. 9. 10. True False It is not appropriate to sit down when counseling patients. It is appropriate to use small, less technical terms when educating patients. The environment or surroundings play a role in effective patient counseling. Renal diet education can be completed in one thirty-minute session. If a patient cannot communicate, it is acceptable to eliminate the diet instruction. It is not possible for a hemodialysis patient to follow a vegetarian diet. Using audiotapes or large print materials might be beneficial in educating patients with visual impairments. Frequently missed or shortened treatments are associated with increased morbidity and mortality. It is acceptable to label a patient 'noncompliant' in the medical record. Social and financial concerns have little effect on the patient's ability to adhere to the treatment regimen.arrow_forwardDaVita Dietitian Reference Manual Module 8-Anemia Management CASE STUDIES Case 1 Peter is new to hemodialysis. His renal failure is due to hypertension. He weighs 120 kg. Prior to admission to the dialysis facility, he did not receive Procrit, Aranesp or Epogen (EPO). His bloodwork includes: • Hemoglobin = 9.0 mg/dL • Iron Saturation (ISAT) = 15% Fernüin = 95 ng/mL HD SHAPE 5.1 was ordered by the physician. What are your recommendations? Case 2 Sandy is new to hemodialysis. Her renal failure is due to diabetes. During the month prior to admission to the dialysis facility, she received Procrit (2000 units, once a week which is comparable to Epogen at the same dose). She weighs 65 kg. Sandy has an infection on her foot due to diabetes Her bloodwork includes the following. Hemoglobin = 9.4 mg/dL Iron Saturation (ISAT) = 25% Ferritin = 1230 ng/mL HD SHAPE 5.1 was ordered by the physician. What are your recommendations? What factors are affecting this patient's response to erythropoietin?arrow_forwardQuestion 1: Between the 1850’s and 1930’s, physicians gained authority and status. What is one condition or event that led to this? Starr mentions many conditions or events that led to physicians gaining authority and status, just post one (Consult the Starr textbook, Chapter 3). Question 2: Due to the litigious nature of medicine, physicians often order more tests (lab, X-ray, CT, MRI, EKG, etc.) than the standards of care suggest. This is sometimes referred to as “defensive medicine.” Additionally, a significant amount of a physician’s income is used to pay malpractice/liability insurance. If health care reform initiatives considered capping or limiting the physician’s liability to keep health care costs down, how could it be done?arrow_forward
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