Scenario Year Doing Question & Answer Guide (With Explanation)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to scenario year doing and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves scenario year doing. A strong answer should include explanation, application, and examples.
Original Question
Scenario J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6- foot stepladder, striking his head on a large rock. He experienced a momentary loss of consciousness. By the time his neighbor got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. The neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretcher, and take J.R. to a treatment room. You find that J.R. has become unresponsive to verbal stimuli and responds to painful stimuli by abnormally flexing his extremities (decorticate movement). He has no verbal response. The right pupil is larger than the left and does not respond to light. J.R. is transported to radiology for a CT, where he is found to have a large epidural hematoma on the right with a hemispheric shift to the left. He will be taken straight to the operating room (OR) for evacuation of the hematoma. While enroute from the CT scan to the OR, the physician instructs the respiratory therapist to initiate hyperventilation of the patient to “blow off more CO2.”After J.R.’s surgery he is admitted to the neurological intensive care unit (NICU). Question Please use the format for the pathophysiology. DISEASE PROCESS – will indicate mode of entry (if applicable), organs involve or affected; described in diagram and narrative form the pathogenesis of a disease, the biological mechanism (or mechanisms) progress of disease showing its morphological features or that leads to the diseased state. SYMPTOMATOLOGY – can be multiple. Should include the positive and negative pertinent findings.Each sign and symptom should yield to a specific assessment/diagnostics and possibly management. DIAGNOSTICS/ LABORATORY CONFIRMATORY TEST – should be based on the signs and symptoms and the specific stage of disease process, and this will include a. Physical Assessment of the affected system. b. Medical Diagnostics may include IDEAL or potential diagnostic procedures. c. Nursing Diagnosis (NANDA) MANAGEMENT a. Medical – includes procedures ( ex. NGT, intubation, suctioning, BT,etc.) and drugs (including IV, parenteral feeding, ) b. Surgical – if there is c. Nursing – nursing interventions based on the formulated nursing diagnosis PROGNOSIS The predicted outcome of a disease and the chance of recovery if treatment is applied and if no treatment has been initiated to the patient. 18.Formulate 2 NCP for the above case.
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