Chapter 29, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution

The student should have told the patient that she still does not have knowledge regarding the NPO status. The student nurse should also ensure that she will consult the information with other senior nurses or physician and get back to him soon. The student nurse knows that the patient safety should be compromised and it is better to get consultation from other health care providers.  

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the student nurse.

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution

The nursing student still not a Registered Nurse (RN) to become nursing staff. The nursing student needs more knowledge in the area she gives care and the safety of the patient should not be compromised by giving wrong information.

Summary Introduction

To discuss:

The alternative ways to approach the situation?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution

• The nursing student could have asked the surgeon that the patient is demanding for food and it would be better if he comes and explains.
• The nursing student should have asked the senior nurses to explain the situation on behalf of her.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes needed by the nurse to develop in order to continuously improve quality and safety when caring for patient like Mr. R?

Case summary:

The nursing student on the level II ICU is assigned to care for a middle-aged male patient Mr. R. The patient has a history of long-term resident in the hospital due to his extensive medical history like, paraplegia, several surgeries, gunshot wounds, and bilateral amputations. During his stay in the hospital the staffs know him for his manipulative difficult behavior. The student nurse cared for him after a post-operative surgery for urinary diversion. The patient is assigned at NPO for the next two to three days and the patient is hungry and demand food and fluids from the student nurse. The student really do not know much why the patient is kept under NPO after surgery. The student explains that his bowel is affected by anesthesia and cannot intake food. The patient is not happy with the explanation and sits with a lunch tray by demanding to other nurses when the student nurse returned from the lunch break.

Explanation of Solution

• The student nurse should be fully competent in knowledge while giving care or explaining to the patient.
• The nursing student needs good communication skills to interact with the patient.
• The nursing student should have professional integrity to main truthfulness to the patient.
• The nursing student should not compromise the patient’s safety.