Prioritization Case Study Explained for Students (Easy Guide)
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Original Question
Prioritization Case Study Prioritization: You are the registered nurse (RN) and you will have a group of six clients on a medical-surgical unit in an acute care setting. Based on the following clients, answer the questions below. The clients are as follows: Room 101: A 19-year-old female with asthmatic bronchitis and general anxiety disorder has been crying all night and is asking that no visitors are allowed. She is concerned about missing her college classes due to the hospitalization and fears she may fail the semester. Each time her anxiety increases her breathing worsens and she suffers an asthma attack with bronchospasms. Room 102: A 92-year-old male with dementia and pneumonia. He has a bed alarm and has a history of falls. He will not use the call bell when getting up to the bathroom. Room 103: An obese 57-year-old male was admitted after a motor vehicle accident last night while driving impaired. He has a chest tube for atelectasis. He has cardiac contusions and is on a telemetry monitor in normal sinus rhythm. He has been sleeping soundly since the chest tube was put in on admission 10 hours ago. Room 104: A 54-year-old female with uterine cancer. She is three days status post abdominal hysterectomy with subsequent dehiscence of the wound 12 hours post-op. The wound is packed with normal saline-soaked three times a day. She is receiving chemotherapy and is neutropenic on reverse isolation. Room 105: A 67-year-old male with Clostridium difficile and Vancomycin Resistant Enterococcus (VRE). He has been complaining of abdominal cramps and diarrhea all night. The stools have subsided, and he has just gone to sleep. Room 106: A newly admitted 55-year-old female with anemia and possible gastrointestinal (GI) bleeding has not been assessed. She does not have IV access. She will be receiving 2 units packed red blood cells (PRBC) ASAP. Which patient should be seen first? Second? Provide rationale. Which patient should be seen last? Provide rationale. 3. You have assessed everyone and are preparing to give AM meds and treatments. Place in order the treatments and meds in the order that benefits the patients. Provide rationale. A) Xanax for Room 101who has increased respirations and is coughing after receiving a call from her classmate. B) A BID dressing changes to the abdomen in Room 104 C) Daily meds for Room 102 who has increased blood pressure that he has not had prior. D) Hang the second unit of blood in Room 106 E) A call from Room 103 that he stepped on his chest tube on the way to the bathroom and pulled it out and is having problems breathing.
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