Fundamentals of Nursing
Fundamentals of Nursing
8th Edition
ISBN: 9781451185614
Author: Carol Taylor PhD MSN RN, Carol Lillis MSN RN, Pamela Lynn MSN RN
Publisher: LIPPINCOTT WILLIAMS+WILKINS
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Chapter 24, Problem 4RP
Summary Introduction

To discuss:

What the nursing student might have done to determine whether the stethoscope was functioning properly?

Case summary:

The patient Mr. E required transmission-based infection control precautions. Upon entering the patient’s room, the nursing student found out that the stethoscope which is to be usually found in the isolation room is not there. Another nurse had bought a new isolation stethoscope set and put it together for this nursing student. By this time, the patient got irritated and wanted the nursing student to finish the assessment quickly. The nursing student could not able to hear any sound while attempting to listen to his blood pressure. The nursing student is self-sufficient in doing the basic assessments, but couldn’t found to hear anything now. The nursing student was faced with a critical decision.

Summary Introduction

To discuss:

How do you think your time management and organizational skills affect the situation?

Case summary:

The patient Mr. E required transmission-based infection control precautions. Upon entering the patient’s room, the nursing student found out that the stethoscope which is to be usually found in the isolation room is not there. Another nurse had bought a new isolation stethoscope set and put it together for this nursing student. By this time, the patient got irritated and wanted the nursing student to finish the assessment quickly. The nursing student could not able to hear any sound while attempting to listen to his blood pressure. The nursing student is self-sufficient in doing the basic assessments, but couldn’t found to hear anything now. The nursing student was faced with a critical decision.

Summary Introduction

To discuss:

What evidence in nursing literature provides guidance for decision making regarding infection control?

Case summary:

The patient Mr. E required transmission-based infection control precautions. Upon entering the patient’s room, the nursing student found out that the stethoscope which is to be usually found in the isolation room is not there. Another nurse had bought a new isolation stethoscope set and put it together for this nursing student. By this time, the patient got irritated and wanted the nursing student to finish the assessment quickly. The nursing student could not able to hear any sound while attempting to listen to his blood pressure. The nursing student is self-sufficient in doing the basic assessments, but couldn’t found to hear anything now. The nursing student was faced with a critical decision.

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tabase a. Patient Profile Patient’s Name: P.B.S. Birthdate: 08/05/1990 Race: Asian Age: 34 y/o Gender: Female Weight (Kg): 59.6kg Height (cm): 148 cm BMI:27.21 kg/m^2 Religion: Roman Catholic Nationality: Filipino Occupation: NA Address: Physician: Dr. Elmer T. Bondoc, MD Admitting Diagnosis: Anal Fistula Name of informant: Admission Date: b. Chief Complaint Fistula in anus c. Admitting Diagnosis Anal Fistula d. History of Present Illness The patient experiences anal pain, discharge, itching, and bleeding. Due to the persistence of these symptoms, a consultation was sought after an unclear antibiotic treatment. Since the symptoms continued intermittently, a second opinion was obtained, and surgery was recommended. Make a prioritization and 2 nursing care plan based on the prioritization based on the data
tabase a. Patient Profile Patient’s Name: P.B.S. Birthdate: 08/05/1990 Race: Asian Age: 34 y/o Gender: Female Weight (Kg): 59.6kg Height (cm): 148 cm BMI:27.21 kg/m^2 Religion: Roman Catholic Nationality: Filipino Occupation: NA Address: Physician: Dr. Elmer T. Bondoc, MD Admitting Diagnosis: Anal Fistula Name of informant: Admission Date: b. Chief Complaint Fistula in anus c. Admitting Diagnosis Anal Fistula d. History of Present Illness The patient experiences anal pain, discharge, itching, and bleeding. Due to the persistence of these symptoms, a consultation was sought after an unclear antibiotic treatment. Since the symptoms continued intermittently, a second opinion was obtained, and surgery was recommended. Make an anatomy and pathophysiogy about the case with references
tabase a. Patient Profile Patient’s Name: P.B.S. Birthdate: 08/05/1990 Race: Asian Age: 34 y/o Gender: Female Weight (Kg): 59.6kg Height (cm): 148 cm BMI:27.21 kg/m^2 Religion: Roman Catholic Nationality: Filipino Occupation: NA Address: Physician: Dr. Elmer T. Bondoc, MD Admitting Diagnosis: Anal Fistula Name of informant: Admission Date: b. Chief Complaint Fistula in anus c. Admitting Diagnosis Anal Fistula d. History of Present Illness The patient experiences anal pain, discharge, itching, and bleeding. Due to the persistence of these symptoms, a consultation was sought after an unclear antibiotic treatment. Since the symptoms continued intermittently, a second opinion was obtained, and surgery was recommended. Make a concept map based on the patients case
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