Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Think like a nurse keith rn

21/10/2021 Client: muhammad11 Deadline: 2 Day

2 Nursing Case Study

Primary Concept

Pain

Interrelated Concepts (In order of emphasis) • Reproduction

• Stress

• Clinical Judgment

NCLEX Client Need Categories Percentage of Items from Each

Category/Subcategory

Covered in

Case Study Safe and Effective Care Environment

• Management of Care 17-23% ✓

• Safety and Infection Control 9-15%

Health Promotion and Maintenance 6-12% ✓ Psychosocial Integrity 6-12% ✓ Physiological Integrity

• Basic Care and Comfort 6-12% ✓

• Pharmacological and Parenteral Therapies 12-18% ✓

• Reduction of Risk Potential 9-15% ✓

• Physiological Adaptation 11-17% ✓

Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved.

Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Anne is a 17-year-old, gravida 1 para 0 who is 39 weeks gestation and admitted to the labor room for

observation at 1200. She began having contractions three hours ago at 8 to 10-minute intervals with each

contraction lasting 30 seconds. She states her pain is 3/10. Her membranes are intact. On admission, a vaginal

exam indicates cervical dilation is 1 cm, 80% effacement, and 0 station.

After two hours of observation, her cervix is 2-3 cm/ 80% effacement/0 station and contractions are now 4-

5 minutes apart, lasting 60-70 seconds and pain remains 3/10. Fetal lie is longitudinal with a cephalic

presentation. You have her prenatal records from her visits to the office. She is Group Beta Strep (GBS)

positive and received antibiotics at 36 weeks. Her blood type is B-.

Personal/Social History: Anne’s mother is with her. Anne is not married and the father of the baby is not involved. She appears to be

relaxed although she states she is a bit nervous. She wants a natural non-medicated birth and her mother will

help coach her. She plans on breastfeeding for “awhile”. She attended childbirth preparation classes with her

mother.

What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential)

RELEVANT Data from Present Problem: Clinical Significance:

RELEVANT Data from Social History: Clinical Significance:

Anne is placed on a fetal monitor and

the nurse collects the following strip:

Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved.

Fetal Heart Rate Strip Assessment: Fetal Monitoring Strip:

Interpretation:

Clinical Significance:

Patient Care Begins:

What VS data are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential/Health Promotion and Maintenance)

RELEVANT VS Data: Clinical Significance:

Current VS: P-Q-R-S-T Pain Assessment: T: 98.6 F/37.0 C (oral) Provoking/Palliative: Began 3 hours ago

P: 76 (regular) Quality: Cramping that comes and goes, lasting 40 sec after 1 hour 60- 70 sec.

R: 18 (regular) Region/Radiation: Uterus

BP: 125/80 Severity: 3/10

O2 sat: 98 Timing: 8-10 min then 4-5 mins

Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved.

What assessment data are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential/Health Promotion and Maintenance)

RELEVANT Assessment Data: Clinical Significance:

Current Assessment:

General

Appearance:

Calm, body relaxed, no grimacing, appears to be slightly anxious.

Respiratory: Breath sounds clear with equal aeration bilaterally ant/post, non-labored respiratory effort

Cardiac: Pink, warm & dry, slight ankle edema, heart sounds regular with no abnormal beats, pulses

strong, equal with palpation at radial, brisk cap refill

Neuro: Alert and oriented to person, place, time, and situation (x4)

HEENT: Normal cephalic

Chest: Breasts tender on palpation, areola darkened and occasional veins present

Abdomen: Soft; no masses, uterus palpable above umbilicus, mild indenting with palpation, fetus is in

LOA position by palpation

Extremities: Mild spider varicose veins on medial aspect of left leg, deep tendon reflexes 2+

Vaginal Exam: Small amount clear mucous, 1cm/80%/0, membranes intact

Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved.

Part II: Put it All Together to THINK Like a Nurse!

1. Interpreting relevant clinical data, what is the primary concern? What primary health-related concepts does this

primary problem represent? (Management of Care/Physiologic Adaptation)

Problem: Pathophysiology of Problem in OWN Words: Primary Concept:

Collaborative Care: Medical Management (Pharmacologic and Parenteral Therapies) Care Provider Orders: Rationale: Expected Outcome:

Admit to Labor and Delivery

Intermittent fetal heart

monitoring ambulating as

tolerated

Ampicillin 2 g IVPB when

in active labor and 1 g every

4 hours while in labor

Vital Signs every hour

Limit vaginal exams.

May ambulate as tolerated

2. What nursing priority (ies) will guide your plan of care? (Management of Care)

Nursing PRIORITY:

PRIORITY Nursing Interventions: Rationale: Expected Outcome:

Copyright © 2019 Keith Rischer, d/b/a KeithRN.com. All Rights reserved.

3. What psychosocial/holistic care PRIORITIES need to be addressed for this patient? (Psychosocial Integrity/Basic Care and Comfort)

Psychosocial PRIORITIES:

PRIORITY Nursing Interventions: Rationale: Expected Outcome:

CARE/COMFORT:

Caring/compassion as a nurse

Physical comfort measures

EMOTIONAL (How to develop a

therapeutic relationship):

Discuss the following principles needed

as conditions essential for a therapeutic

relationship:

• Rapport

• Trust

• Respect

• Genuineness

• Empathy

Use Reflection to THINK Like a Nurse What did you learn that you can apply to future patients you care for? Reflect on your current strengths and

weaknesses this case study identified. What is your plan to make any weakness a future strength?

What Did You Learn? What did you do well in this case study?

What could have been done better? What is your plan to make any weakness a future strength?

NCLEX Client Need Categories:
Safe and Effective Care Environment:
Management of Care:
915:
Health Promotion and Maintenance:
Psychosocial Integrity:
Physiological Integrity:
Basic Care and Comfort:
Reduction of Risk Potential:
Physiological Adaptation:
RELEVANT Data from Present ProblemRow1:
Clinical SignificanceRow1:
RELEVANT Data from Social HistoryRow1:
Clinical SignificanceRow1_2:
Fetal Monitoring StripRow1:
InterpretationRow1:
Clinical SignificanceRow1_3:
Current VS:
PQRST Pain Assessment:
Began 3 hours ago:
P 76 regular:
Quality:
R 18 regular:
Uterus:
BP 12580:
Severity:
310:
O2 sat 98:
Timing:
810 min then 45 mins:
RELEVANT VS DataRow1:
Clinical SignificanceRow1_4:
Current Assessment:
General Appearance:
Calm body relaxed no grimacing appears to be slightly anxious:
Respiratory:
Cardiac:
Neuro:
Alert and oriented to person place time and situation x4:
HEENT:
Normal cephalic:
Chest:
Abdomen:
Extremities:
Small amount clear mucous 1cm800 membranes intact:
RELEVANT Assessment DataRow1:
Clinical SignificanceRow1_5:
ProblemRow1:
Pathophysiology of Problem in OWN WordsRow1:
Primary ConceptRow1:
RationaleAdmit to Labor and Delivery Intermittent fetal heart monitoring ambulating as tolerated Ampicillin 2 g IVPB when in active labor and 1 g every 4 hours while in labor Vital Signs every hour Limit vaginal exams May ambulate as tolerated:
Expected OutcomeAdmit to Labor and Delivery Intermittent fetal heart monitoring ambulating as tolerated Ampicillin 2 g IVPB when in active labor and 1 g every 4 hours while in labor Vital Signs every hour Limit vaginal exams May ambulate as tolerated:
Nursing PRIORITY:
PRIORITY Nursing InterventionsRow1:
RationaleRow1:
Expected OutcomeRow1:
Psychosocial PRIORITIES:
RationaleCARECOMFORT Caringcompassion as a nurse Physical comfort measures:
Expected OutcomeCARECOMFORT Caringcompassion as a nurse Physical comfort measures:
RationaleEMOTIONAL How to develop a therapeutic relationship Discuss the following principles needed as conditions essential for a therapeutic relationship Rapport Trust Respect Genuineness Empathy:
Expected OutcomeEMOTIONAL How to develop a therapeutic relationship Discuss the following principles needed as conditions essential for a therapeutic relationship Rapport Trust Respect Genuineness Empathy:
What Did You LearnRow1:
What did you do well in this case studyRow1:
What could have been done betterRow1:
What is your plan to make any weakness a future strengthRow1:

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Assignment Guru
High Quality Assignments
24/7 Assignment Help
Smart Tutor
Isabella K.
Engineering Exam Guru
Writer Writer Name Offer Chat
Assignment Guru

ONLINE

Assignment Guru

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$41 Chat With Writer
High Quality Assignments

ONLINE

High Quality Assignments

I find your project quite stimulating and related to my profession. I can surely contribute you with your project.

$36 Chat With Writer
24/7 Assignment Help

ONLINE

24/7 Assignment Help

I am an elite class writer with more than 6 years of experience as an academic writer. I will provide you the 100 percent original and plagiarism-free content.

$43 Chat With Writer
Smart Tutor

ONLINE

Smart Tutor

I can assist you in plagiarism free writing as I have already done several related projects of writing. I have a master qualification with 5 years’ experience in; Essay Writing, Case Study Writing, Report Writing.

$35 Chat With Writer
Isabella K.

ONLINE

Isabella K.

As per my knowledge I can assist you in writing a perfect Planning, Marketing Research, Business Pitches, Business Proposals, Business Feasibility Reports and Content within your given deadline and budget.

$43 Chat With Writer
Engineering Exam Guru

ONLINE

Engineering Exam Guru

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$48 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Building vocabulary: angiosperm reproduction - Audio engineering society australia - Community and Public Health: The Future of Health Care - Qbo intuit com redir testdrive - Measurement of Metabolism - Looking for Online Writing Services - Any Recommendations? - Draft - Do a Marketing Plan including Customer and Product in my Clothing line - Environmental science reading assignment climate refugees answers - Berwick obedience dog club narre warren north vic - According to prothero what is the problem for judaism - Hercules strangles two serpents latin translation - Comb and cutter hotel blacktown - Why are coke and pepsi considered an oligopoly - The healthcare effectiveness data and information set contains standard - Kwik wire harness review - Developing an evaluation plan gcu - St modans high school - Welcome Idea - What does open disclosure mean - Illawarra mutual building society internet banking - Gloucester hospital orthopaedic outpatients - Two years are better than four short summary - Purpose of cell group ministry - An answer to the question what is enlightenment - A barge floating in fresh water is shaped like a hollow rectangular prism - What percentage is a credit - St george direct saver account - 2.92 lbs to kg - Poetry analysis example pdf - Cryptography infosec pro guide pdf - How many octaves in human audible range - Lab Assist Engr 45 properties - Viking sagas ks2 planning - Capsim capstone cheats - Dr faustus study guide - Ethos pathos logos kairos - Temperate grassland cold desert - AC/FI D.5 - The true confessions of charlotte doyle characters - W5 WORK - What is the diameter of a cd in cm - Which statement is an example of cultural convergence - Bordertown to adelaide bus - Hy tech meet manager - Musco lighting control link - 125340 Stock Report Instructions - 2 chloro 3 3 dimethylbutane - How mr rabbit was too sharp for mr fox - Heart i want to make love to you - Scholarly activity summary example - Sap mm end user resume pdf - Abnormal psychology case study examples - Initial discussion - Snhu university core values - Topic 4 review cwv - Preface to leaves of grass sparknotes - Amazon sales and operations planning in supply chain integration - Tik Tok - John james anderson artist - Century national bank case study answers - Factors affecting retention in complete denture - Tennis steps to success - Reflection paper - Describe juliet's rapidly changing attitudes toward romeo in this scene - The boarded window by ambrose bierce - How to apply total cell style in excel - List factors of production - Psychology Discussion SUPER EASY AND FAST PLZ HELP - Nus alumni card privileges - What is the square root of 512 - WEEK 5 PROJECT BIO2071 MICROBIOLOGY LAB - Summer biz prize powersearch - Environmental ethics assignment - Accommodation wanted advertisement example - Naplan bands year 9 - A class divided video questions answers - Monash university health services - Sad mnemonic aortic stenosis - Purnell's cultural domain communication includes - Which of the following italicized words is correctly capitalized - Chap 10discussion - How to get mortgage license in ontario - Lithium nitric acid balanced equation - No title need it 5 to 6 paragraph, it is a Reflection Paper!!!!! It is important to add my working style is Examine extreme, explore deliberate, excite deliberate and execute deliberate, My report is attach, - Thermal stability of group 2 carbonates - Peter skrzynecki st patrick's college - The interior angle of a hexagon - Qnt 351 week 2 individual assignment - Scm globe simulation - Ds11 - Digital Archive - What does the fitt formula stand for - Www languagesonline org uk français encore tricolore 1 unité 8 - Violence on college campuses essay - Reference letter - Ray bradbury the pedestrian analysis - Of what value is a simple stain - Forensic files season 8 episode 28 - Lds self reliance facilitator