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Olivia Jones's RQ guide

guide answers for reflections question on oliva jones
Academic year: 2021/2022
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Florida Atlantic University

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Olivia Jones's reflections Q

Opening questions

At first, this simulation made me nervous. I wanted to make sure I did everything I could to assist Olivia and help her stop having those nauseas feeling because it was hard to watch. After three attempts, I don't believe it was as bad as I had anticipated.

In all three of my run-throughs, the action that I felt went best was the head-to-toe assessment, which I always scored well on.

Scenario Analysis Questions

EBP Olivia's complaints of epigastric discomfort and nausea, hyperreflexia in her deep tendon reflexes, +3 pitting edema to lower extremities, and elevated blood pressure were all signs that her preeclampsia had worsened.

PCC Olivia should be educated on her prognosis and care plan for the duration of her stay which incudes have less visitors and be in a peaceful environment. She should also be educated on magnesium sulfate, and continuously monitor vital indicators to watch for.

PCC/ In preeclampsia, magnesium sulfate is used to avoid seizures. This medicine reduces or stop preeclampsia from advancing to eclampsia and seizures. Things that should be taught include the drug's potential side effects, such as nausea, vomiting, and diarrhea. Reduced breathing, deep tendon responses, urine output are all symptoms of this condition. also, the several systems that it may impact. Like your liver function and lungs.

T&C

S-Oliva Jones, a 23-year-old African American woman, presented to the emergency room at 36 weeks of gestation with moderate preeclampsia.

B- BP was 146/92, proteinuria, and mild preeclampsia about 30 weeks. When she was admitted to the hospital, she had a protein dipstick +4, negative ketones and glucose, +2 dependent edema, and facial puffiness. The patient suffers from nausea, restlessness, reports visual changes and seeing spots, epigastric pain, and headaches.

A- pitting edema, bilat of lower extremities +3, crackles at base of both lungs, cough, FHR is 150, deep tendon reflexes were brisk, hyperreflexia, with clonus, and graded to a +4. Pt has headache, nausea, epigastric discomfort, and migraines. Overall, it's roughly a 4 on the pain scale.

R- Measure B/P, temperature, HR, and RR every 15 minutes. On an hourly basis, check for headaches and visual abnormalities, continue magnesium sulfate, and consult with the provider regarding possible induction of labor.

Olivia Jones's reflections Q

S - The v-sim executed a phenomenal job on the seizure precautions, which were pad side rails up, have oxygen available if needed, and never leaving the patient unattended during a seizure. Continue to dim the lights, reduce stimuli, and monitor the patients' blood pressure and pain.

S/Q as a result of Olivia’s seizure precautions and headache I would continue bed rest for her, set the bed to the lowest setting with the hand rails up, and perform my assessments on a timely basis, which are required every hour and 15 minutes.

Concluding Questions

Based on this situation, the activities I would do differently are to ensure that I am palpating the uterus, I forgot the first time. I also missed steps in the assessment since I felt the patient was in too much pain, and tried to rush straight to care without reanalyzing the patient pain such as asking questions about her headache and epigastric discomfort. It provided me with a better understanding of how to deal with a person suffering from preeclampsia. The frequent examinations of the patient for edema and questions the patient about headaches, coughing, foot swelling, epigastric pain, and visual changes.

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Olivia Jones's RQ guide

Course: Nur Sit Prc (NUR 4754L)

University: Florida Atlantic University

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Olivia Jones's reflections Q
Opening questions
At first, this simulation made me nervous. I wanted to make sure I did everything I could to
assist Olivia and help her stop having those nauseas feeling because it was hard to watch. After
three attempts, I don't believe it was as bad as I had anticipated.
In all three of my run-throughs, the action that I felt went best was the head-to-toe assessment,
which I always scored well on.
Scenario Analysis Questions
EBP Olivia's complaints of epigastric discomfort and nausea, hyperreflexia in her deep tendon
reflexes, +3 pitting edema to lower extremities, and elevated blood pressure were all signs that
her preeclampsia had worsened.
PCC Olivia should be educated on her prognosis and care plan for the duration of her stay
which incudes have less visitors and be in a peaceful environment. She should also be educated
on magnesium sulfate, and continuously monitor vital indicators to watch for.
PCC/ In preeclampsia, magnesium sulfate is used to avoid seizures. This medicine reduces or
stop preeclampsia from advancing to eclampsia and seizures. Things that should be taught
include the drug's potential side effects, such as nausea, vomiting, and diarrhea. Reduced
breathing, deep tendon responses, urine output are all symptoms of this condition. also, the
several systems that it may impact. Like your liver function and lungs.
T&C
S-Oliva Jones, a 23-year-old African American woman, presented to the emergency room at 36
weeks of gestation with moderate preeclampsia.
B- BP was 146/92, proteinuria, and mild preeclampsia about 30 weeks. When she was admitted
to the hospital, she had a protein dipstick +4, negative ketones and glucose, +2 dependent edema,
and facial puffiness. The patient suffers from nausea, restlessness, reports visual changes and
seeing spots, epigastric pain, and headaches.
A- pitting edema, bilat of lower extremities +3, crackles at base of both lungs, cough, FHR is
150, deep tendon reflexes were brisk, hyperreflexia, with clonus, and graded to a +4. Pt has
headache, nausea, epigastric discomfort, and migraines. Overall, it's roughly a 4 on the pain
scale.
R- Measure B/P, temperature, HR, and RR every 15 minutes. On an hourly basis, check for
headaches and visual abnormalities, continue magnesium sulfate, and consult with the provider
regarding possible induction of labor.

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