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Instructions:
NUR 100C Clinical Nursing Fundamentals
Week 2: Homework (Thursday, May 13, 2021)
The First Case Study
Mrs. Perez’s nurse welcomes her to her surgery unit from the post-anesthesia care recovery unit (PACU). When a patient leaves a floor and travels to the surgical suite for operation, she notices that all orders are stopped. She wants to admit her patient to her unit, but she requires a full order set from her surgeon for Mrs. Perez’s postoperative care on the surgical unit. When Mrs. Perez arrives, the nurse goes through all of the new orders that the physician has issued for her. The nurse will need to introduce herself and have the patient use two markers to identify themselves. After that, she will implement the nurse admission to the surgical unit by doing the following:
1. Conduct an interview with the patient and/or husband and obtain a medical history.
2. Perform a physical examination and take vital signs.
3. Make a postoperative care plan for the patient who is experiencing acute pain.
4. Write a letter of acceptance.
1. Match each of the four acts the nurse performs to admit Mrs. Perez to the nursing process. (The first four are listed above.)
A. Evaluation
B. Identifying the ailment
C. Preparation
D. Actualization:
E. Assessment
2. Mrs. Perez is given 4 mg morphine sulfate IV push (IVP) every 2 hours for severe pain that she exhibits with a stiff, grimacing facial expression. What other actions might the nurse use to resolve Mrs. Perez’s acute pain due to tissue trauma, as demonstrated by reports of pain levels of 8 out of 10?
A. Place the patient in a comfortable position.
B. Request that the husband leave the room, as pain is best managed when there are no visitors present.
C. Before leaving the room, teach the patient in extreme pain how to operate her incentive spirometer and request a return demonstration.
D. Require the patient to drink at least 1 quart of water every evening to stay hydrated.
3. The sixth vital indicator is pain. What will the nurse need to perform 15 minutes after the nurse measures the patient’s pain and administers the morphine sulfate 4 mg IVP to Mrs. Perez?
A. Evaluate Mrs. Perez’s discomfort.
B. Make arrangements for Mrs. Perez’s severe pain.
C. Carry out the actions outlined in Mrs. Perez’s care plan to alleviate her pain.
D. Evaluate Mrs. Perez’s response to pain medication and pain-relieving interventions.
4. Mrs. Perez’s suffering is a case of dynamic patient care. It is expected to be the most acute immediately following surgery and to improve over time as the incision line heals. Mrs. Perez’s pain and nursing treatment will vary three days after surgery to reflect changing patient care demands and subsequent healing. Which of the statements below would the nurse expect on the third day after surgery?
A. Pulse rate of 104 beats/minute with patient reporting pain at 7 of 10
B. Nursing diagnosis of Acute Pain due to postoperative tissue inflammation as shown by increasing pain with movement.
C. Grimacing facial expression and gripping abdomen when expressing pain to the nurse
D. Patient will express a pain level of 5 of 10 within 15 minutes after obtaining recommended pain medication.
5. List five more pieces of data that the nurse who admits Mrs. Perez to the nursing unit would want to know before commencing care. Next to each item, identify whether it is subjective or objective. Write examples of the five data that would be appropriate for a postoperative mastectomy patient.
6 Identify two sorts of health care team members with whom the nurse would anticipate to collaborate while caring for Mrs. Perez.
7. Write four questions that the nurse could ask to acquire primary data on Mrs. Perez. From what sources could the nurse gather secondary data?
8. Write a patient focused, quantifiable, and achievable short-term goal for Mrs. Perez, whose primary nursing diagnosis is Acute Pain.
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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NUR 100C Clinical Nursing Fundamentals