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NUR 2349 Week 01 Assignment Patient Falls Worksheet
Your written assignment for this module is a worksheet that describes the following:
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.
Please click here to download the Patient Falls Worksheet.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Complete all of your lesson materials and assigned readings. Ensure you focus on NUR 2349 Week 01 Assignment Patient Falls Worksheet.
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals.
SkyScape is a great suggestion for assistance in the completion of this assignment. All citations must be in APA format. 1 Point
1. Identify the common causes of patient falls. 2 Points
2. Define and describe actions to prevent falls from occurring. 2 Points
Your written assignment for this module is a worksheet that describes the following:
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals.
All citations must be in APA format. NUR 2349 Week 01 Assignment Patient Falls Worksheet. Please click here to download the Communication Techniques Worksheet.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Complete all of your lesson materials and assigned readings. Make sure that you are focusing on the following:
You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals.
SkyScape is a great suggestion for assistance in the completion of this assignment. All citations must be in APA format. 1 Point
1. Identify and Describe communication techniques that can be used to promote safety within the healthcare facility? 2 Points
2. Describe how communication can assist in providing optimal patient care? 2 Points NUR 2349 Week 01 Assignment Patient Falls Worksheet
Rapid Reasoning: Clostridium difficile Colitis
Mindy Perkins is a 48-year-old woman who presents to the ED with 10-15 loose, liquid stools daily for the past 2 days. She completed a course of oral Amoxicillin seven days ago for a dental infection. In addition to loose stools, she complains of lower abdominal pain that began 2 days ago.
She has not noted any blood in the stool. She denies vomiting or fever/chills. She is on Prednisone for Crohn’s disease and Pantoprazole (Protonix) for severe GERD.
• Crohn’s disease
• GERD
Your Initial VS:
WILDA Pain Scale (5th VS) | ||||
Words: | Crampy | |||
Intensity: | 7/10 | |||
Location: | Generalized throughout RLQ-LLQ | |||
Duration: | Persistent since onset 2 days ago | |||
Aggreviate: | None | |||
Alleviate: | None | |||
T:100.2 (o) | ||||
P:92 | ||||
R:20 | ||||
BP:122/78 | ||||
O2 sats:98% RA | ||||
Ortho BP’s:Lying: 122/78 HR: 92 | ||||
Standing: 120/70 HR: 114 | ||||
GENERAL APPEARANCE: appears weak and uncomfortable. Easily fatigued
RESPIRATORY: breath sounds clear with equal aeration bilat., non-labored
CARDIAC: pink, warm & dry, S1S2, no edema, pulses 3+ in all extremities
NEUROLOGICAL: alert & oriented x4 NUR 2349 Week 01 Assignment Patient Falls Worksheet
GI/GU: active BS in all quads, abdominal soft/tender to palpation in the lower abdomen – no rebound tenderness or guarding
MISC: Lips dry, oral mucosa tacky with no shiny saliva present in the mouth
• Orthostatic BP’s (ED standing order)
• Establish PIV (ED standing order)
• Initiate enteric precautions (ED standing order)
• 0.9% NS 1000 mL IV bolus
• Hydromorphone (Dilaudid) 1 mg IVP
• Stool culture for C. difficile
• BMP, CBC
• Vancomycin 250 mg po
o 1000 mg/20 mL…determine dosage to administer
• Admit to the medical unit
• Stool culture for C. difficile: Positive
BMP | Current | High/Low | |||
Sodium | 132 | CBC | Current | High/Low | |
Potassium | 3.5 | WBC | 12.6 | ||
Creatinine | 1.45 | HGB | 14.5 | ||
BUN | 47 | PLTS | 188 | ||
CO2 | 18 | Neuts. % | 86 | ||
Lymphs % | 10 |
1. What data from the chief complaint, VS & nursing assessment is RELEVANT that must be recognized as clinically significant to the nurse? NUR 2349 Week 01 Assignment Patient Falls Worksheet
RELEVANT data: | Rationale: |
Chief complaint: |
VS/assessment:
2. What lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse?
RELEVANT Diagnostic results: | Rationale: | ||
3. What is the primary problem that your patient is most likely presenting with?
4. What is the underlying cause /pathophysiology of this concern?
5. What nursing priority will guide your plan of care?
6. What interventions will you initiate based on this priority? NUR 2349 Week 01 Assignment Patient Falls Worksheet
Nursing Interventions | Rationale: | Expected Outcome: |
1. | 1. | 1. |
2. | 2. | 2. |
3. | 3. | 3. |
4. | 4. | 4. |
7. What is the relationship between the following nursing interventions/physician orders and your patient’s primary medical problem?
Nsg. Interventions/MD orders: | Rationale: | Expected Outcome: |
Orthostatic BP’s | ||
(ED standing order) | ||
Establish PIV | ||
(ED standing order) | ||
Initiate enteric precautions | ||
(ED standing order) | ||
0.9% NS 1000 mL IV bolus | ||
Hydromorphone (Dilaudid) 1 mg | ||
IVP | ||
Stool culture for C. difficile | ||
BMP | ||
CBC | ||
Vancomycin 250 mg po | ||
Admit to the medical unit. | ||
8. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern?
9. What is the worst possible complication to anticipate? (start with A-B-C priorities)
10. What nursing assessment(s) will you need to initiate to identify and respond quickly if this complication develops?
11. What is the patient likely experiencing/feeling right now? NUR 2349 Week 01 Assignment Patient Falls Worksheet
12. What can you do to engage yourself with this patient’s experience and show that they matter to you as a person? NUR 2349 Week 01 Assignment Patient Falls Worksheet