To discuss:
How and why would the student nurse respond to this situation.
Case summary:
The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.
![Check Mark](/static/check-mark.png)
Explanation of Solution
The nurse extern should have informed the incident right away to her preceptor. The information about the incident will minimize the risk of potential complications for the patient as well as to the nurse who had acted on benefit of the patient.
To discuss:
The adequacy of the skills for professional practice and what that is tell about the student nurse.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
The nursing student still not a Registered Nurse (RN) to become a staff nurse or a pediatric nurse. The student nurse must know the institutional policies for the patient’s health and to maintain professional integrity.
To discuss:
Whether the nurse extern’s fear justification for the action.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
Whatever the situation the nurse extern should have overcome and fear and report the incident to her preceptor. The reporting of the incident will avoid many complications to the nurse’s carrier as well as to health issue of the patient.
To discuss:
The ethical and legal principles, if any, were violated in this situation.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
According to the institution policies the incident should be reported as soon as it had happen and it should be recorded. The nurse extern did not report the incident till that evening, which means she as violated the policy. Though no risk for the patient, the nurse extern have learnt the importance of the incident report.
To discuss:
The liability would the nurse extern be required to assume.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
The nurse extern should assume the importance of incident that should be reported to the preceptor immediately. Moreover, delaying in reporting the incident or not reporting the incident is against the institutional policies.
To discuss:
Whether there are any other ways to respond this situation.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
- The nurse extern could have called for a staff nurse and reported the incident to them and they would have reported the incident.
- The nurse extend could have gained courage and reported the incident straight away to her preceptor.
- The nurse extern should know that she should not compromised on her professional integrity or personal integrity and hence should have reported the incident.
To discuss:
The knowledge, skills, and attitudes do you need to develop to continuously improve when caring for patients like Ms. J and her child.
Case summary:
The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.
![Check Mark](/static/check-mark.png)
Explanation of Solution
- The nurse extern must know about the institutional polices about patient safety.
- The nurse extern should know how to provide safety for the child by placing side rails in the bed.
- The nurse extern should not compromise of professional integrity or personal integrity of the patient.
- The nurse extern should not violate the institutional polices.
- Incidents must be reported as soon as they to avoid further complication for the patient and also to the nurse.
Want to see more full solutions like this?
- DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…arrow_forwardDaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?arrow_forwardDaVita Dietitian Reference Manual Module 7-Adequacy of Hemodialysis DISCUSSION QUESTIONS Define the following abbreviations: • UKM • URR . . • Kt/V What are the minimum DaVita outcome goals for Kt/V and URR? How is the DaVita Quality Index calculated for Kt/V? Discuss effect of adequacy on: ⚫ Phosphorus . ⚫ Potassium • Hemoglobin • Appetite, intake and weight ⚫ Albumin . How is residual renal function measured? What term is used for residual clearance of urea? What are advantages and disadvantages of each dialysis access? Which dialyzes the least efficiently and why?arrow_forward
- Nutrition monitoring and evaluating ptarrow_forwardIs a blood pressure of 117/71 considered normal in an 11 month old male?arrow_forwardQuestion #1: Have there been any hospital mergers in Kern County,CA? If so, describe the hospital merger (describe only one merger-there are several). Here are some hints for your research: Tehachapi hospital AND Adventist Health; Memorial Hospital AND CHW/Dignity Health; Dignity Health AND Catholic Health Initiatives. Describe only one merger-there are several to choose from. Question #2: What happened to Westside District Hospital in Taft, CA? PLS PROVIDE REFERENCE TO BACK YOUR ANSWERS TO EACH.arrow_forward
- Nutrition Intervention Nutrition Monitoring & Evaluation Needed: Protein sources Amount to eat daily Protein and other foods high in phosphorus (I.e. cheese, legumes) Cooking method of protein sources Urine produced daily Dividing fluids throughout the day Types of fluid Acceptable fluids (Le. ginger ale) Fluids to avoid (I.e. dark colas) Food considered fluid (I.e. jello) Tips to reduce thirst How would you educate the pt?arrow_forwardWhy does a dietitian manager need to know about the importance of herbs in their scope of practice and how it can impact their work performance.arrow_forwardAs a nursing student with a tgrow and smart goal of being able to identify key sources of fear and anxiety in school age patients related to hospitalization. Meaningfully reflects on TGROWs and S.M.A.R.T. goals,offering specific examples of their use in conflict, growth, or discomfort.arrow_forward
- 5:48 PM • REC 440 ASSIGNMENT What are the diagnostic modalities used by the pathologist? Describe the course of disease. What are the purposes of tissue fixation What is pathogenesis? III = AU O narrow_forwardAs a nursing student with a smart goal of being able to identify common sources of fear and anxiety in school age patients, describe how this influence future growth in reflective practice with detailed and/or relevant insights.arrow_forwardAs a nursing student trying to implement strategies on how to alleviate anxiety and fear in school age children, what are some roadblocks and how would you overcome it? (Example not having the opportunity to care for a school age patient with anxiety)arrow_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:SaundersFundamentals 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 ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
![Text book image](https://www.bartleby.com/isbn_cover_images/9781451194524/9781451194524_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414425/9780323414425_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781496362179/9781496362179_smallCoverImage.jpg)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323327404/9780323327404_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9780323414142/9780323414142_smallCoverImage.gif)
![Text book image](https://www.bartleby.com/isbn_cover_images/9781337406291/9781337406291_smallCoverImage.gif)