Concept explainers
Case summary:
Nurse D underwent a course in therapeutic touch. When she was back to work, she was eagerly waiting to use the new technique on the patient. Patient MS has undergone the abdominal surgery. When the patient came back, she explained about nausea to Nurse D.
Nurse D used a new technique called “unruffling” to calm down the patient and later, nausea disappeared. This technique showed a good result but there was no scientific support to prove it.
The characters in the case are as follows:
- Person MS: The patient
- Nurse D
To discuss:
The response of the given situation in the case by Person X.
Explanation of Solution
The responses to the situation are as follows:
Nurse D should not confirm that “unruffling” technique will work well on every patient unless it is used for few patients. It is better to use this treatment on a few other patients and prove that it is the best way to treat the patients.
Case summary:
Nurse D underwent a course in therapeutic touch. When she was back to work, she was eagerly waiting to use the new technique on the patient. Patient MS has undergone the abdominal surgery. When the patient came back, she explained about nausea to Nurse D.
Nurse D used a new technique called “unruffling” to calm down the patient and later, nausea disappeared. This technique showed a good result but there was no scientific support to prove it.
The characters in the case are as follows:
- Person MS: The patient
- Nurse D
To discuss:
The capabilities of the professional practice of Person X.
Explanation of Solution
The capabilities of the professional practice of Person X under this situation are as follows:
Person X followed the new technique on the patient that worked out well, but it is illegal to use that treatment as it is not scientifically proved. Similarly, it may not work on all the patients.
Case summary:
Nurse D underwent a course in therapeutic touch. When she was back to work, she was eagerly waiting to use the new technique on the patient. Patient MS has undergone the abdominal surgery. When the patient came back, she explained about nausea to Nurse D.
Nurse D used a new technique called “unruffling” to calm down the patient and later, nausea disappeared. This technique showed a good result but there was no scientific support to prove it.
The characters in the case are as follows:
- Person MS: The patient
- Nurse D
To discuss:
Whether Person X agrees with the norms the nursing students use to estimate a successful outcome and the reason.
Explanation of Solution
Yes, Person X agrees with the norms of the nursing students because the person is not harmed by using the new technique. The patient is safe and relieved from the disease.
Case summary:
Nurse D underwent a course in therapeutic touch. When she was back to work, she was eagerly waiting to use the new technique on the patient. Patient MS has undergone the abdominal surgery. When the patient came back, she explained about nausea to Nurse D.
Nurse D used a new technique called “unruffling” to calm down the patient and later, nausea disappeared. This technique showed a good result but there was no scientific support to prove it.
The characters in the case are as follows:
- Person MS: The patient
- Nurse D
To discuss:
The knowledge, skill, and attitudes to be improved to have the quality and safety of the patients.
Explanation of Solution
Knowledge, skill, and attitudes that need to be developed are as follows:
- It is a must to develop the communication skills with other nurses and doctors.
- Critical thinking is an important skill that a nurse should have.
- The nurse should develop the knowledge of system theory.
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Chapter 2 Solutions
NU 231 CUSTOM NURSING BUNDLE
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- You 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_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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