Concept explainers
To discuss:
How and why would the student nurse respond to this situation.
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
The student nurse cannot take direct action on the emergency room nurse; hence the student nurse personally tells the emergency room nurse outside the patient room that she should call in the IV team and to stop attempting her skills on the patient.
To discuss:
The adequacy of the skills for professional practice and what that is tell about the nurse.
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
The nurse might be student nurse or a trainee nurse, and only the adequacy the nurse faces is that she is not still an Advanced Practice Registered Nurse (APRN), so that she can become as nurse advocate. As a nurse advocate, she can demand the rights of the patient and can implement quality care for the patient.
To discuss:
Whether to agree with the criteria of the nursing student to evaluate a successful outcome.
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
The student nurse done corrective actions of advocating for her patient, the student nurse saw the patient was in pain. Moreover, adding more pain to the patient, the nurse showed her skills like attempting IV fluids in the patient though patient insisted on the calling a IV team.
To discuss:
Whether there is any other criteria that is appropriate to use.
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
The only criteria that is available is to advocate for the pain who is in severe pain. Complaining of the emergency department nurse to the clinical instructor will not going to help the patient who is in the current.
To discuss:
Whether the nursing student meet the criteria? Why or why not?
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
The student nurse certainly met her criteria as a nurse advocate who is advocating for her patient who is in pain. The student nurse as a nurse advocated, advocated with the emergency room nurse to call in the IV team to insert the IV.
To discuss:
The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like Ms. G.
Case summary:
Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.
Explanation of Solution
- The nurse should try to reduce the pain in the patient and try to keep them comfortable.
- The nurse should fulfil the demands ad rights of the patient.
- The nurse should advocate on behalf of the patient to demand their rights.
- The nurse should also educated the patient about their rights and demands
Want to see more full solutions like this?
- What are some of the challenges that projects of very long duration face?arrow_forwardHello, Can you please help me with the pathophysiology of preeclampsia. I would appreciate something short and easy of understand for me. Thank you in advance!arrow_forwardHello, Can you please help me to Evaluate Outcomes of the next case?. (Evaluate Outcomes: What signs will point to improving, declining, and unchanged status?/describe/define/discuss how the nurse will evaluate the effectiveness of the interventions implemented. Provide a comprehensive overview of what signs will point to improving, declining, and unchanged status). Case: Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management. Outcomes are: Stabilization will be achieved if Amy's BP…arrow_forward
- Hello, Can you please help me to Take Actions of the next case? (Take Actions: What nursing interventions would you implement for Amy? At a minimum, include the following topics with the rationale for each intervention). I would like to include the next points: Define and describe appropriate interventions the nurse would implement for this client. At minimum, include the following topics with rationale for each intervention: - Expectant management or serial assessments and testing - Pharmacology management (include at minimum labetalol, hydralazine, betamethasone, magnesium sulfate, and calcium gluconate) -Describe each medication use, desired effects, and adverse reactions. If any pre-assessments are required before administering each medication, list those. -Activity level. Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal…arrow_forwardHello, Can you please help me to Generate Solutions of the next case? Generate Solutions: List at least 3 SMART goals for this client. At least one goal should be short-term; at least one goal should be long-term. Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management. Thank you in advance!arrow_forwardHello, Can you please help to generate solutions to the next case please? Generate Solutions: List at least 3 SMART goals for this client. At least one goal should be short-term; at least one goal should be long-term. case:Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management cues that indicate Amy has preeclampsia include: Client Symptoms: Severe headachesBlurry vision Vital Signs: Elevated blood pressure (BP 160/100) Physical Examination: 2+ deep tendon reflexes (DTRs), indicating…arrow_forward
- Hello, Can you please help me to Generate Solutions of the next case? Amy is a healthy 28-year-old female, Gravida 2 Para 1001, who presents to the provider’s office at 33 weeks gestation complaining of a 3-day history of severe headaches and blurry vision. She reports normal fetal movement. Vital signs were assessed with BP measuring 160/100. Examination reveals a soft non-tender abdomen, 2+ DTRs, and absent clonus. Urinalysis shows 2+ proteinuria. Amy’s provider diagnoses her with preeclampsia and admits her to the hospital’s high-risk antepartum unit for further testing, fetal surveillance, and expectant management. Thank you in advance!arrow_forwardCHCECE038 Observe children to inform practice. Workplace Assessment Task:arrow_forwardAn interdisciplinary team is collaborating to care for a client who has had a stroke. What is the nurse's role in the interdisciplinary team?arrow_forward
- When conducting A/B testing, a software vendor may be highly motivated to enhance or modify their product to resolve issues that negatively impact workflow. In cases such as this, A/B testing may be an iterative process. How does this impact your project plan and timeline, and is there a potential limit to how many times you are willing to have your team re-test an application and limit to how much time you are willing to dedicate to this process? Pleas provide a resource.arrow_forwardWhat are the two most common types of user testing? How are they used in the healthcare industry?arrow_forwardIdentify nonverbal cues that can indicate how another person is feeling,i.e. What are nonverbal cues that tell you how another person is feeling?i.e. How do you know when another person values or appreciates you?i.e. How do you know when they are anxious, frustrated or confused?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