Deliverable 7 clinical judgement.docx - 1 Running head:...

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Running head: THE DYNAMIC PROCESS OF CLINICAL JUDGMENT
The Dynamic Process of Clinical Judgment
NUR4153CBE Section 01CBE Clinical Reasoning and Clinical Judgement
Rasmussen College
Professor David Campbell-O’Dell
May 2, 2020

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THE DYNAMIC PROCESS OF CLINICAL JUDGMENT
The Dynamic Process of Clinical Judgment
The first important patient scenario: The most urgent patient in the scenario presented is Mrs.
EH. She was admitted due to acute onset of severe right upper quadrant pain, she has been
vomiting for the last 36 hours and her ECG monitor indicates Premature Ventricular Contractions
(PVCs). This patient is the priority patient to assess based on her symptoms she is probably
dehydrated due to severe vomiting, which can be related to the PVCs she is have because severe
vomiting can cause electrolyte imbalance and her pain level is stated to be at 10/10
The second important patient scenario: The second patient to assess in the scenario present is
Mr. BW, this patient was admitted for fever of 103 and diagnosed with influenza. This finding is
an indication of possible infiltrate in Mr. BW lower left lungs which might be an indication of
pneumonia which is related to the high temperature he is experiencing and it most likely due to
an infection. The patient was reported to have rested well overnight and has been at the hospital
longer than the other patient which means his fever is probably under control and he is more
stable compare to the first patient. He was diagnosed with influenza and his condition still needs
to be manage and he will likely be placed on a scheduled antibiotic to help him get rid of the
infection but he is not the number one priority patient.
The third important patient scenario: The third patient to consider in the scenario presented is
Mr. JR, he was admitted 8 hours prior for 24-hour hold to evaluate for possible myocardial
infarction. Serial troponins were reported to be within normal range, while the ECG levels
indicate evidence of anterior wall myocardial damage. He should be kept for observation but he
isn’t top priority compared to other two cases