Med Surg POST CONFERENCE QUESTIONS: - Answer the following questions about Vincent Brody in the corresponding post conference discussion post: • • • • • • • • • 1. How did the scenario make you feel? 2. When a patient develops a rapid onset of shortness of breath, what are the nurse’s immediate priorities? 3. What assessment findings would indicate that the patient’s condition is worsening? 4. Review Vincent Brody’s laboratory results. Which results are abnormal? Discuss how these results relate to his clinical presentation and chronic disease process. 5. What are safety considerations when caring for a patient with a chest tube? 6. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format. 7. What patient teaching priorities would be important in the patient experiencing an acute exacerbation of COPD? 8. For a patient with COPD who is stable, what resources would you recommend? 9. What would you do differently if you were to repeat this scenario? How would your patient care change? Answer the following questions in the corresponding discussion posts: Medical Case 4: Carl Shapiro 1. 2. 3. 4. 5. How did the scenario make you feel? What could have been the causes of Carl Shapiro’s ventricular fibrillation? When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitation correctly? Discuss safety aspects during defibrillation. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Surgical Case 5: Lloyd Bennett 1. How did the scenario make you feel? 2. Prior to blood administration, what assessments of the blood product and the patient are required to promote safe delivery and lessen potential complications? 3. What signs and symptoms first indicated the patient was having a transfusion reaction? 4. Review the immediate priorities when a transfusion reaction occurs and the rationale for each. 5. What follow-up blood work may be required? 6. What follow-up disclosure is required with Lloyd Bennett and his family? Scenario 5: Skyler Hansen 1. 2. 3. 4. 5. 6. How did the scenario make you feel? What management options would have been appropriate if Skyler Hansen had been alert and could swallow? If Skyler Hansen’s acute hypoglycemic episode had not been treated immediately, what could have happened? How would you respond if a parent asked you about Skyler’s condition or care? What would you do differently if you were to repeat this scenario? How would your patient care change? Respond to one other students post with meaningful content. 7. Answer the following questions about vSim patient Marilyn Hughes in the corresponding discussion posts: 8. 1. How did the scenario make you feel? 9. 2. How would you recognize that Marilyn Hughes’ condition was deteriorating? 10. 3. What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity? 11. 4. Why is it important to maintain the limb at heart level versus elevating it above heart level? 12. 5. What would you do differently if you were to repeat this scenario? How would your patient care change? • • • • • Answer the following questions about vSim patient Marilyn Hughes in the corresponding discussion posts: 1. How did the scenario make you feel? 2. How would you recognize that Marilyn Hughes’ condition was deteriorating? 3. What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity? 4.