What Should the Nurse Do?
Mrs. Lee, a 55-year-old female with newly diagnosed type 2 diabetes, has been admitted for the management of her condition. Her care plan includes medication management, dietary changes, and education on monitoring her blood sugar levels. Mrs. Lee is also overweight and has expressed feelings of anxiety about managing her new diagnosis.
1
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What priorities should the nurse establish for Mrs. Lee’s care?
2
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Discuss how the nurse can use cognitive skills to manage Mrs. Lee’s care, especially when educating her about type 2 diabetes and its management.
3
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How should the nurse ensure continuity of care for Mrs. Lee as she transitions from hospital to home management of her newly diagnosed type 2 diabetes?
Mrs. Thompson, a 68-year-old female with a history of chronic obstructive pulmonary disease (COPD), is admitted to a postsurgical unit following hip-replacement surgery. Her care involves preventing postoperative complications and beginning early rehabilitation for her hip, as well as managing her COPD. The nursing team, led by Nurse Saad, is tasked with her comprehensive care.
4
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Identify one direct and one indirect care intervention that Nurse Saad and his team should provide for Mrs. Thompson.
5
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Differentiate between dependent, independent, and interdependent interventions in Mrs. Thompson's care plan. Give an example of each.
6
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Discuss interventions Nurse Saad might implement for the actual, potential, and collaborative problems in Mrs. Thompson's case. Give an example of each.
7
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How should Nurse Saad prioritize interventions for Mrs. Thompson, considering her COPD and recent surgery?
8
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If Nurse Saad needs to delegate certain tasks in Mrs. Thompson’s care, what factors should be considered, and what tasks might be appropriate to delegate?
Mr. Najarian, a 67-year-old retired teacher, recently broke his leg after a fall at home. He underwent surgery and is now in the recovery phase. He has a history of diabetes and hypertension. The nursing team has been closely monitoring his progress, managing his pain, ensuring proper wound healing, and encouraging gradual mobility. His care plan includes pain management, wound care, physical therapy, and monitoring for potential complications related to his chronic conditions.
9
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During the evaluation phase, what specific indicators should the nursing team assess to determine Mr. Najarian’s progress in his recovery from the broken leg? Consider his medical history in your answer.
10
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How can the nursing team utilize the evaluation phase as a system to define, explain, and measure the effectiveness of Mr. Najarian’s care, especially in relation to his chronic conditions?
11
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How can the evaluation phase promote continuity of care for Mr. Najarian, especially considering his transition back home?
12
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Reflect on the importance of comparing the planned activities (such as physical therapy sessions and wound care) with the identified outcomes (such as improved mobility and wound healing) in Mr. Najarian’s case. How would this comparison impact future care decisions?
13
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Mr. Najarian’s recovery is on track, but he still requires pain management. How should the nursing team analyze the conclusions regarding his care plan? What decisions might they need to make?
You are a nurse in a medium-sized hospital's general medical unit. Recently, the hospital has implemented a new quality assurance program focusing on enhancing patient care and safety. One of the changes includes a new protocol for administering and documenting medications to reduce errors. Despite initial training, you notice that several nurses in your unit are struggling with the new system, leading to delays in medication administration and increased stress among the staff. The unit's patient satisfaction scores have also shown a slight decline, particularly in areas related to timely medication and effective communication.
14
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In this scenario, how might structure and process evaluations be used to identify and address the issues arising from the new medication protocol?
15
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How might a quality improvement initiative be designed to help the nursing staff adapt more effectively to the new medication protocol? Consider what data should be collected and how it should be used.
16
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What changes could be implemented to improve the declining patient satisfaction scores? How would you use patient feedback to guide these changes?
17
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Reflect on the National Database of Nursing Quality Indicators (NDNQI). What indicators might be most relevant in this scenario to monitor over time to ensure the new medication protocol is improving patient care and safety?
In a hospital setting, a patient, Mrs. Kalani, who recently underwent hip replacement surgery, is recovering in a postoperative unit. The nursing team is aware that she is at an increased risk of developing deep vein thrombosis (DVT) due to her surgery and limited mobility. To mitigate this risk, the team has implemented several interventions, including administering anticoagulants, encouraging leg exercises, and using compression stockings. Despite these measures, Mrs. Kalani complains of increasing pain and swelling in her left calf.
18
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Considering the risk of DVT, what specific details should the nurses document in Mrs. Kalani's medical record to effectively manage this risk?
19
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How should the nurses document their evaluation of Mrs. Kalani's condition in response to the interventions for DVT prevention?
20
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In the context of this scenario, why is it crucial for the nursing team to maintain accuracy in their documentation, and what might be the consequences of inaccurate or incomplete documentation?
21
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Choose a problem-oriented documentation method. Describe how a nurse might use this method to document an aspect of Mrs. Kalani's care in the given scenario.