Critical Thinking in Nursing Practice Week 3
Medical therapy stabilized Mr. Lawson’s situation. He had a pulmonary embolus, however he’s now on anticoagulants, drugs that may scale back probability of extra clot formation. Understanding that Mr. Lawson is on anticoagulants and has had latest surgical procedure and the processes of regular wound therapeutic (see Chapter 48 (Hyperlinks to an exterior web site.)Hyperlinks to an exterior web site. ), Tonya believes that the affected person is in danger for bleeding from his surgical wound. She acts by growing assessments of the wound and educating Mr. Lawson the best way to keep away from putting stress on the wound
1. Describe the essential pondering talent that Tonya is demonstrating.After Tonya assesses the wound, she enters a word in the medical file. She describes the looks of the incision in element, studies on the size of the incision, and notes that one suture is free however there isn’t a drainage.
2. Determine the three mental requirements that Tonya makes use of in making a word in the file.
3. Mr. Lawson complains of extra discomfort after mendacity on his proper aspect for 30 minutes. Tonya asks him to explain the ache; it’s centered extra on his proper shoulder and ribs. Tonya sees that the drainage tubing exiting the surgical wound is caught beneath the affected person. She strikes it, questions the affected person additional to search out out that he has a historical past of arthritis in the shoulder, after which repositions and aligns him. That is an instance of which essential pondering competencies?
Nursing Assessment
Tonya is planning to return to Mr. Lawson’s room and spend extra time discussing his considerations about going dwelling and what to anticipate. She is aware of that Mrs. Lawson often comes to go to round 11 AM, simply earlier than lunchtime. Tonya believes that Mrs. Lawson might be an essential supply of help in offering Mr. Lawson’s ongoing dwelling care. The surgeon has ordered instructions for wound care and commonplace exercise restrictions.
1. Tonya goes to Mr. Lawson’s room and asks the affected person, “What considerations do you and your spouse have about cleansing the wound?” Which sort of Assessment Question Assignment is that this and why has Tonya requested it?
2. Tonya and Mr. Lawson have the next interplay:
Tonya: Mr. Lawson, What do you perceive concerning the purpose for the exercise restrictions your physician ordered?
Mr. Lawson: I feel it would stop me from not hurting myself.Tonya: Uh huh … go on
Mr. Lawson: I feel the physician mentioned I might pull my stitches.
Tonya’s phrase “uh huh … go on” is an instance of which interviewing approach? Clarify why it’s helpful.
3. Tonya returns to Mr. Lawson’s room to debate his discharge directions, however she notes as she enters the room that the affected person is grimacing. She asks him, “Inform me the place the ache is.” Mr. Lawson is requested to charge the ache on a scale of zero to 10 and charges it a 6. Tonya seems on the affected person’s surgical wound and notes that the realm of separation continues to be infected. Match the Assessment approach on the left with the kind of measurement on the suitable. Critical Thinking in Nursing Practice Week 3
1. Affected person charges ache 6 on a zero to 10 scale.
___ A. Figuring out location of a symptom
2. Inform me the place the ache is.
___ B. Commentary
3. Affected person is seen grimacing.
___ C. Inspection
four. Nurse seems at situation of wound.
___ D. Figuring out severity of a symptom
Managing Affected person Care
You’re a employees nurse on a 32-bed cardiac step-down unit. You might be assigned because the preceptor for Tony, RN, a brand new graduate nurse, who simply began his nursing profession in your flooring.
1. You and Tony simply acquired morning shift report in your sufferers. You might be assigned the next sufferers. Which affected person do you and Tony have to see first? Clarify your reply.
1. Mr. Dodson, a 52-year-old affected person who was admitted yesterday with a prognosis of angina pectoris. He’s scheduled for a cardiac stress check at 0900.
2. Mrs. Wallace, a 60-year-old affected person who was transferred out of intensive care at 0630 right this moment. She had uncomplicated coronary artery bypass surgical procedure yesterday.
3. Mr. Workman, a 45-year-old affected person who skilled a myocardial infarction 2 days in the past. He’s complaining of chest ache rated as 6 on a scale of zero to 10.
four. Mrs. Harris, a 76-year-old affected person who had a everlasting pacemaker inserted yesterday. She is complaining of incision ache rated as a 5 on a scale of zero to 10.
2. As you’re employed with Tony in your unit, you discover that he has hassle with time-management expertise when offering affected person care. Which methods will you recommend to Tony to Help him enhance group of his supply of affected person care?
3. Sonya, a nursing Helpive personnel (NAP), is paired to work with you and Tony. You overhear Tony giving Sonya instructions for what she must do. Tony says, “Sonya, help Mrs. Harris in room 418 together with her afternoon stroll. Take her pulse earlier than and after she walks and file it in her chart. I’ll test with you whenever you’re completed to see how she did.” On the idea of what about delegation, did Tony give applicable or inappropriate instructions to Sonya? Present rationale on your reply.
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Week 3: Critical Thinking in Nursing Practice
Week 3: Critical Thinking in Nursing Practice
Mr. Lawson’s situation was stabilized due to medical therapy. He suffered a pulmonary embolus, however he is now taking anticoagulants, which decrease the probabilities of one other clot forming. Tonya believes that Mr. Lawson is in danger for bleeding from his surgical incision as a result of he’s on anticoagulants and has lately undergone surgical procedure, in addition to the standard wound therapeutic processes (see Chapter 48 (Hyperlinks to an exterior web site.)Hyperlinks to an exterior web site.). She takes motion by boosting wound assessments and teaches Mr. Lawson the best way to keep away from stressing the wound.
1. Describe the essential pondering talent that Tonya is demonstrating.
After Tonya assesses the wound, she enters a word in the
