To discuss:
How and why would the student nurse respond to this situation.
Case summary:
Ms. C is a nursing college sophomore reports in tears to the student nurse who is her colleague that she had been date raped. Ms. C was drinking at parties and remembers that she awake in a room with an unknown guy she met in the party. She can conclude that she had been raped, when she saw signs of penetration and blood and semen stains. She thought, she might have lost her consciousness due to date rape drugs or too much intake of alcohol. Ms. C told is have been one month and she cannot move on and get hold of her life.
Explanation of Solution
The student nurse should advocate for Ms. C, that there are certain resources that is available in the campus to encounter the situation like this. The student nurse counsels her colleague, Ms. C to seek professional help.
To discuss:
The adequacy of the personal attributes and competencies for professional practice and what that is tell about the student nurse.
Case summary:
Ms. C is a nursing college sophomore reports in tears to the student nurse who is her colleague that she had been date raped. Ms. C was drinking at parties and remembers that she awake in a room with an unknown guy she met in the party. She can conclude that she had been raped, when she saw signs of penetration and blood and semen stains. She thought, she might have lost her consciousness due to date rape drugs or too much intake of alcohol. Ms. C told is have been one month and she cannot move on and get hold of her life.
Explanation of Solution
The nursing student still not an Advanced Practice Registered Nurse (APRN) to become a nurse counselor to counsel her patient or a nurse advocate to advocate for the patient. The student nurse has no experience to handle this situation, and provides her with a listening ear and resources that is available in the campus.
To discuss:
Whether to agree with the criteria by the nursing student to evaluate a successful outcome.
Case summary:
Ms. C is a nursing college sophomore reports in tears to the student nurse who is her colleague that she had been date raped. Ms. C was drinking at parties and remembers that she awake in a room with an unknown guy she met in the party. She can conclude that she had been raped, when she saw signs of penetration and blood and semen stains. She thought, she might have lost her consciousness due to date rape drugs or too much intake of alcohol. Ms. C told is have been one month and she cannot move on and get hold of her life.
Explanation of Solution
The nursing student searched the resources and found that her colleague is showing symptoms of the rape-trauma syndrome. Hence, the nursing made a correct decision to seek a professional help for her colleague. Since, only the professional nurse or a counselor could provide counseling or rehabilitate the rape victims.
To discuss:
The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for patients like Ms. C.
Case summary:
Ms. C is a nursing college sophomore reports in tears to the student nurse who is her colleague that she had been date raped. Ms. C was drinking at parties and remembers that she awake in a room with an unknown guy she met in the party. She can conclude that she had been raped, when she saw signs of penetration and blood and semen stains. She thought, she might have lost her consciousness due to date rape drugs or too much intake of alcohol. Ms. C told is have been one month and she cannot move on and get hold of her life.
Explanation of Solution
- The nursing student should have good communication skills to obtain more information from the patients.
- The student nurse should have good interpersonal skills to gain trust of the patient.
- The student nurse should search for articles or resources that are available to rehabilitate the patients who have been rape victims.
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Chapter 15 Solutions
NU 231 CUSTOM NURSING BUNDLE
- You have chosen a career in the medical field. Often you will see the news or social medial report on stressors that nurses experience. What activities will help you alleviate stress and decompress from a difficult day? Respond using your self-care routines and stress-management techniques. If you do not have a self-care routine, what activities do you plan to incorporate in the future. Please cite in text sources and list references.arrow_forwardNutrition Intervention (education, like your talking to the pt) Nutrition monitoring and evaluation Need to know: Fluid needs Feeding frequnecy Foods that thicken stools Foods that thicken stools Foods that cause discomfort vitamin type neededarrow_forwardNeed: What labs are high Nutrition Intervention (what to educate her on, like you're talking to her) Nutrition Monitoring and Evaluationarrow_forward
- A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/dayarrow_forwardTwo kind verbarrow_forwardNutrition Internventionarrow_forward
- Mrs. Sara Bellum Lab data: All High GFR: 10 mL/min/1.73^2 Creatinine: 2.5 mg/dL BUN: 33 mg/dL HbgA1c: 9.2% Potassium: 5.5 mEq/L Phosphourous: 5 mg/dL Mrs. Sara Bellum's questions to answer: How much protein to eat What types of protein to eat What other liquids can she drink How to avoid being thirsty Dairy options and amount What kind of founds cound as fluid Are veggie dinners ok How much water to drink Nutrition intervention Are carbs ok with pts with ckd Calories: 1300-18200 kcal/day Protein: 52-62 g protein/kg Fluid: 18 ounces (6 cups) per day Sodium (less than 2,300 milligrams a day) Potassium Calciumarrow_forwardQuestions to as a CKD patient with diabetes during an assessment (as a dietitian)?arrow_forward* Question Completion Status: Usual Padiat Patient's Doss Directions for Micing NDC 61442-202-01 CEPHALEXIN For Oral Suspension USP Low 250 mg per 5 mL Each 5ml Arom than contain: Cephalesin Manched quant to 250 ing Cephasn Rev. 09 10 Rx Only Carlsbad Technology, Inc. 100 ml (When Mored) 61442 2020 Lot CCP50 Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs. What is the child's weight in kg to the nearest tenths? Calculate the safe total "daily dose range" for this child (round to whole number) Calculate the safe "single dose range" for this child (round to a whole number) Is the ordered dose a "safe dose"? How many mLs will the nurse administer for each dose? 31 798 mg/day; 1,599 mg/day 198.7 mg/dose; 397.5 mg/dose Yes 7 mL O 31.8 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose Yes 7 mL 31.8 795 mg/day; 1,590 mg/day 198.75 mg/dose; 397.5 mg/dose Yes 7 mL 31 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose No 7 mL Click Save and Submit to save and…arrow_forward
- Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hrarrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/mlarrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forward
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