- Information
- AI Chat
2Complex Patient Case Results
Health and Illness Across the Lifespan (NUR2214)
Florida State College at Jacksonville
Recommended for you
Preview text
Complex Patient Case Results
Doris Turner ShadowHealth
Patient Assessment
Finding: Checked blood glucose before giving medication
Pro Tip: Since your patient is receiving insulin for her diabetes, it is important to assess her blood sugar before and after administration monitor for intended therapeutic effect and hypoglycemia. Example Question:
Finding: Asked sulfa reaction type
Pro Tip: Assessing the reaction type and severity of a stated allergy may help inform your care plan and determine which medications are appropriate to administer. Example Question: How does your body react to sulfa?
Finding: Asked for patient identification
Pro Tip: Proper identification is critical for the protection of your patient. It is recommended to check two identifiers before interacting with the patient. Example Question: What is your name and birthday?
Finding: Asked about general experience with side effects
Pro Tip: When administering routine medications, understanding the side effects that the patient generally experiences can shape your care plan to ensure patient safety and comfort.
Example Question: What medication side effects have you experienced?
Finding: Asked about medication allergies
Pro Tip: Patients may have allergies that are not included in their documentation, so asking for verbal confirmation can prevent serious adverse events. Example Question: Do you have medication allergies?
Finding: Checked vitals before giving medication
Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration of ordered medications. Example Question:
Finding: Asked about breathing
Pro Tip: As your patient is suffering from pneumonia, it is important to assess breathing status to identify worsening symptoms or life-threatening respiratory complications. Example Question: Have you had breathing problems lately?
Finding: RLL with crackles, all other lobes clear to auscultation before medication
Pro Tip: Auscultation of your patient's lungs is important to assess for worsening symptoms of her pneumonia. Example Question:
Finding: Asked about orientation to place and time
Finding: Checked intake and output before giving medication
Pro Tip: Assessing the patient's intake and output may impact your care plan and the safe administration of ordered medications. Example Question:
Patient Monitoring
Finding: Asked about swelling
Pro Tip: Swelling can be an indicator of an allergic reaction to medication. Example Question: Have you noticed swelling anywhere?
Finding: RLL with crackles, all other lobes clear to auscultation after medication
Pro Tip: Auscultation of your patient's lungs is important to assess for worsening symptoms of her pneumonia. Example Question:
Finding: Asked about IV site
Pro Tip: Assessing the patient's IV site is an important patient comfort consideration and may reduce the risk for IV site complications such as infection. Example Question: How does your IV site feel?
Finding: Asked about confusion
Pro Tip: Many of the patient's ordered medications carry the risk of confusion as an adverse effect; it is also important to assess geriatric patients for the onset of age-related conditions such as dementia.
Example Question: Do you feel confused?
Finding: Checked vitals after giving medication
Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration of ordered medications. Example Question:
Finding: Checked blood glucose after giving medication
Pro Tip: Since your patient is receiving insulin for her diabetes, it is important to assess her blood sugar before and after administration monitor for intended therapeutic effect and hypoglycemia. Example Question:
Finding: Asked about breathing (Available) Pro Tip: As your patient is suffering from pneumonia, it is important to assess breathing status to identify worsening symptoms or life-threatening respiratory complications. Example Question: Have you had breathing problems lately?
Finding: Asked about shakiness
Pro Tip: Shakiness may be an indicator of low blood sugar, which is a life-threatening adverse effect associated with insulin. Example Question: Do you feel shaky?
Finding: Asked about headaches
2Complex Patient Case Results
Course: Health and Illness Across the Lifespan (NUR2214)
University: Florida State College at Jacksonville
