NUR 185 Week 5 India Ball.docx - NUR185 Hondros College of...

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NUR185 Hondros College of Nursing; the answers to the questions must be complete to receive credit. (Boxes and blanks filled in.) The answers do not have to be 100% correct, but show evidence of attempting to correctly answer the questions. Week 5 NUR185 Pre-Class Assignment Concept: Safety This week we continue the focus on the concept of safety applying it to changing patient conditions. A major thinking skill of the LPN is to be able to determine changes in a patient's condition then determine if that change is meaningful and, if so, what action should be taken. This is a critical skill needed to improve patient outcomes. Use all your textbooks as you work through your homework assignment. Note the source of information you used to help guide your thinking. Task Clustering related information Search the NCLEX-PN test plan for the word "change". List all the expectations related to changes in the patient's condition that the PN needs to monitor and report. Detailed Objective on the NCLEX-PN Test Plan that Addresses a Change in the Patient's Condition Page Number LOC 230 Urinary Pattern 724-725 Blood pressure 102 Behavior patterns 929 VS 99-113 Respirations 101 Hormones 584 Skeletal muscles 840 Skin 491 Add more rows as needed. Tanner's Clinical Reasoning Model Used to Ensure Safe Patient Care Again you will apply the clinical reasoning model to this week's homework. For each situation presented to you apply the steps of the thinking model. The first three steps will be applied to each situation. As you work through each situation, consider the questions for the first three steps presented: NUR 185 Spring 2020 1
NUR185 Hondros College of Nursing; the answers to the questions must be complete to receive credit. (Boxes and blanks filled in.) The answers do not have to be 100% correct, but show evidence of attempting to correctly answer the questions. Notice Describe the situation. What does this situation mean within the context of this patient? Do you have any concerns about this situation? Interpret What data would you collect to help you interpret what you "noticed"? How do the data you collected compare with the normal expectations? How do the data you collected compare with what you would expect for this patient? What conclusions can you draw? Respond What will you do at this time about the situation? Reflect We won't use this step in the homework because you will not be implementing the nursing interventions. As you work through the two patient situations, apply the above model. Then, state: 1. What concept (issue, problem, concern) is occurring. 2. What you know about the concept. 3. Interventions based on your knowledge of the concept. 4. Any interrelated concepts you need to consider. Patient Situation -- Millie Larsen You have taken care of her in past courses. Millie is now 88 years old. She had a stroke three days ago which left her right side paralyzed. She is in the hospital and currently has an IV for hydration. She complained of nausea and vomiting. She has a temporary NG tube in place as her

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