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Olivia Jones -VSIM
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Nursing - CTE
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Anh Thu Le
Nurs 201: Mental Health and Lifespan
Octocber 15th, 2022
Maternity Case 2 : Olivia Jones (Complex) -Guided Reflection Questions
Opening Questions
How did the simulated experience of Olivia Jones’s case make you feel?
The simulated experience of Olivia Jone’s case made me feel better prepare monitor for
patient who have preeclampsia in the real actual patient.
Describe the actions you felt went well in this scenario.
I felt the assessment part that I went well in this scenario. I did well on head-to-toes
assessment and make sure that patient have or have not edema. After I done with all assessment
and intervention, or administer medication then I went back for re-check on vital sign part just
want make sure patient BP, temperature, and respiratory was normal. I Also, monitor patient pain
and fetal heart rate.
Scenario Analysis Questions 1
EBP What are the indications that Olivia Jones’s preeclampsia has progressed?
The indications that Olivia Jone’s preeclampsia has progessed are her liver
function labs, her vital sign, and her electrolytes. Also she has +3 pitting edema, crackles at the
both bas of the lungs, low platelets, and on scale 0-10 she has 4 epigastric pain and headache.
She also has clonus +4 deep tendon reflexes.
PCC What should the priority teaching for Olivia Jones include?
The priority teaching for Olivia Jones include her plan of care and diagnosis of
her diseases. She also explain of magnesium sulfate administration and informed of the option
for induced lab or C. Section.
PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What
are the indications for this drug, and what should be taught to the patient regarding side
effects?
Magnesium sulfate for indicated in the treatment of preeclampsia as to prevent
eclamptic seizures. The drug work by directly relaxing skeletal muscle and is a CNS depressant
which helps to decrease the risk of seizures. In addition, magnesium sulfate leves the body vis
the kidney because if patient do not function well, and blood magnesium levels risk that may can
lead to toxicity of the kidney, the nurse should pay close monitor to unrinary output. For side
effects include GI upset, nausea, vomiting, diarrhea, and dysrhythmias.
1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: qsen/
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
T&C What key elements would you include in the handoff report for this patient? Consider the
situation-background-assessment-recommendation (SBAR) format.
Situation: Olivia have 36 weeks gestation, and administer to labor and delivery, she diagnosis
sever preeclampsia, she complain headache, nausea, fatigue and epigastric pain, visual
change, and chest tightness. Also, fetal active but the patient quite than normal.
Background: Gain 3 pound in 1 week, negative of keton and glucose, +2 pitting of edema and
facial puffiness.
Assessment: Head-to-toes, vital sign, and assessment of organ system, fetal assessment.
Recommendation: Monitor any sign and symptom of preeclampsia and common side effect of
magnesium. Bed rest in the darkness, quite room, and visitors should be restricted.
Television, computer and phone screen activity should be avoided to decrease stimuli.
S What safety measures should be initiated while Olivia Jones is in the hospital?
The safety measure should be initiated while Olivia Jones is in the hospital such
as seizures precaution, fall precaution and should decreases stimulation.
S/QI Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for
enhanced safety and quality improvement.
As I answers on the question above that I mentions the recommendation for
patient who have preeclampsia such as limit visitor, place bed in lowest position, put patient with
fall risk bracelet, and prepare room with suction equipment if patient have nausea and vomiting.
Concluding Questions
Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain.
On Olivia Jone’s case, I would do the lab and vital sign before performing the procedure
on the patient, because it really important to review those labs values just in case of an
emergency.
Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s
case to an actual patient care situation.
I would apply the knowledge and skills that I obtained in Olivia Jone’s case to an actual
patient care situation with the same as I had been experience with Olivia Jones. Also, I would
focus on assessment and feel more confident in calling the provider when necessary.
Reference
Roberta.F, Linda L. (2018). Maternal-Newborn Nursing. F.A. Philadelphia
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
Was this document helpful?
Olivia Jones -VSIM
Subject: Nursing - CTE
999+ Documents
Students shared 1121 documents in this course
Level:
Standard
Was this document helpful?
Anh Thu Le
Nurs 201: Mental Health and Lifespan
Octocber 15th, 2022
Maternity Case 2: Olivia Jones (Complex) -Guided Reflection Questions
Opening Questions
How did the simulated experience of Olivia Jones’s case make you feel?
The simulated experience of Olivia Jone’s case made me feel better prepare monitor for
patient who have preeclampsia in the real actual patient.
Describe the actions you felt went well in this scenario.
I felt the assessment part that I went well in this scenario. I did well on head-to-toes
assessment and make sure that patient have or have not edema. After I done with all assessment
and intervention, or administer medication then I went back for re-check on vital sign part just
want make sure patient BP, temperature, and respiratory was normal. I Also, monitor patient pain
and fetal heart rate.
Scenario Analysis Questions1
EBP What are the indications that Olivia Jones’s preeclampsia has progressed?
The indications that Olivia Jone’s preeclampsia has progessed are her liver
function labs, her vital sign, and her electrolytes. Also she has +3 pitting edema, crackles at the
both bas of the lungs, low platelets, and on scale 0-10 she has 4 epigastric pain and headache.
She also has clonus +4 deep tendon reflexes.
PCC What should the priority teaching for Olivia Jones include?
The priority teaching for Olivia Jones include her plan of care and diagnosis of
her diseases. She also explain of magnesium sulfate administration and informed of the option
for induced lab or C. Section.
PCC/I Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What
are the indications for this drug, and what should be taught to the patient regarding side
effects?
Magnesium sulfate for indicated in the treatment of preeclampsia as to prevent
eclamptic seizures. The drug work by directly relaxing skeletal muscle and is a CNS depressant
which helps to decrease the risk of seizures. In addition, magnesium sulfate leves the body vis
the kidney because if patient do not function well, and blood magnesium levels risk that may can
lead to toxicity of the kidney, the nurse should pay close monitor to unrinary output. For side
effects include GI upset, nausea, vomiting, diarrhea, and dysrhythmias.
1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN)
competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP),
Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/
From vSim for Nursing | Maternity and Pediatric. © Wolters Kluwer Health.
