Reference no: EM133365498

Assignment:

Scenario A

a. Mr. Nash is 68 years old and describes himself as a tough guy. He is currently on bed rest with his right leg in traction. He fell from his roof while adjusting the satellite dish. His main theme is, "What do I have to do to get out of here?" Although grumpy, Mr. Nash's positive attribute is that he will do whatever will get him released from the hospital. "I've got to smell my own air and I want my nightly martini!" A nursing diagnosis in his chart is impaired physical mobility related to right leg in traction. 

b. Write an example of a patient-centered expected outcome for Mr. Nash that is realistic, time referenced, and measurable.

c. Plan nursing interventions to meet the expected outcome you have written.

Scenario B

a. Since no jobs are currently available in the medical-surgical unit at the local hospital, you have applied at the mental health facility. You know that your medical-surgical observation skills will be useful in data collection (assessment). The mental health facility uses interdisciplinary care plans.

b. Explain the major differences in a nursing process-focused plan and an interdisciplinary plan.

c. What is the responsibility of each medical specialist for developing and carrying out the interdisciplinary plan?

Scenario C

a. You are assigned to a mixed medical-surgical nursing unit for your student assignment. You have arrived ½ hour early (at 6:30 A.M.) to begin preparation for patient care on the medical-surgical unit at the local hospital. Your assignment involves the following four patients:

Patient 1: Scheduled for abdominal surgery at 8 A.M.; arrives during report and says she was held up in traffic.

Patient 2: Newly diagnosed patient with diabetes, requiring blood glucose readings before each meal with a sliding scale diabetic teaching.

Patient 3: Total knee replacement 2 days ago who is scheduled for physical therapy (PT) at 10 A.M.

Patient 4: Has pneumonia, admitted during the night, oxygen at 4 L/min via nasal cannula, has an oxygen saturation monitor.

b. Which tasks are priorities?

c. How soon before surgery should the preoperative preparation start?

d. What time is glucose monitoring performed, and does the patient receive insulin based on the glucose reading?

e. When are IVs assessed?

f. What is required for preparation for PT?

g. Which patients need a full assessment?

h. Does Patient 3 have a dressing change and if so, when?