Reference no: EM133938725
Foundations of Nursing Skills
Scenario:
Tom McBride is a 46 year old male in the Emergence Department complaining of weakness, dizziness, and a headache. He reports working outside in hot weather for 6 hours without adequate water intake. Nausea but no vomiting. He appears flushed and slightly diaphoretic.
Vital signs:
Temp: 99.1°F (37.3°C)
HR: 108 bpm
BP: 98/60 mmHg
RR: 20
O2 Sat: 97% on room air
Skin: Dry lips, poor skin turgor
Neuro: Alert and oriented × 4, slightly slow responses
Order: Start peripheral IV and administer 1 Liter of 0.9% Normal Saline via gravity tubing. Discontinue IV when complete. Get instant assignment help from top tutors.
1. Write a DARP note including:
D: Data
A: Action
R: Response/Results
P: Plan
2. Patient Education (Write as a Script) Keep short and to the point.
3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.
NPSG Chosen:
Why It Matters:
4. Nursing Diagnosis & Care Plan
3-Part Nursing Diagnosis:
Student nursing diagnosis:
5. SMART Goal:
Student SMART goal:
List:
2 Interventions to accomplish this goal
Rationale for each intervention
Evaluation for each intervention
Intervention:
Rationale:
Evaluation:
Intervention:
Rationale:
Evaluation: