Competency-Based Assessments

A patient who has been a smoker for twenty-eight years is admitted to the medical unit for shortness of breath. The nurse observes the patient in the bed is very short of breath and showing signs of respiratory distress despite being on five liters nasal canula. Develop a plan of care that outlines what steps the nurse should take for each following intervention.

1. Obtain a pulse oximetry reading.
2. Position the head of the bed to high Fowler’s position.
3. Measure the patient’s blood pressure.
4. Call the lab for (ABG) arterial blood gas results.

Conduct a brief internet search on the risk factors and populations at risk for bronchiectasis. Develop a five-minute presentation identifying what age groups and comorbid conditions elevate the risk.

Develop a presentation to present at a community health fair that discusses how lifestyle practices of smoking lead to COPD.

Create a teaching plan for a patient who is starting rifampin for treatment of TB.

Conduct an internet search in how high-risk patient populations are screened antenatally for CF. Develop a poster presentation describing what resources are there in your community.