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Original Question
Link: Amy Cannelloni https://web21.ehrgo.com/rd/?courseActivityId=73133 Tab 1: read the Overview Tab 2: follow the link and click ‘new session’ Review the chart to best understand the patient (Problems, VS, Orders, Meds, Notes, Labs). Remember you can double click on most data (VS, labs, orders etc.) for more detail. Pay attention to dates. A few tips: your work should indicate understanding and application of course concepts: Not accepted — cut and paste responses or responses that are not your own Be specific – let your professor know you understand by explaining clearly when required; for example, if checking a temperature indicate you are checking to see if the temp is elevated because it can indicate infection; or I would check the pedal pulse to ensure the circulation is adequate after having knee surgery on that limb NAMES AND STUDENT IDS: Activity: 1. List the reasons that led to Amy coming to hospital and include the assessment findings of concern from the Emergency Department. (2) 2. Complete a short paragraph that discusses why you think Amy is exhibiting these findings. In other words, think what might be going on based on symptoms. 3. Review the shift report. List four areas of nursing focus for your shift and discuss why you chose each as a priority. (4) 4. The health care provider (physician) does rounds. Review the most recent written orders (check the times/dates). (4) a. Explain to Amy what diagnostic test will be done in terms she can understand. b. What are the nursing responsibilities for this test (pre and post) relevant to Amy? 5. After lunch, the patient expresses nausea. List three nursing interventions that would be best to implement at this time? (3) 6. A short time later, Amy vomits approximately 400ml coffee ground emesis with specks of bright red blood. (3) a. What should the nurse do at this time? b. What orders would you anticipate from the physician at this time and why? 7. Look back to #1. Given the progress of the patient, would you change anything of what was written in #1? If so, what is your understanding of Amy’s condition currently, including rationales. (2) 8. You are aware that Amy had an admission several weeks ago. What assessment would be appropriate at this time related to that admission? (2)
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