Discuss the need for continuous improvement in clinical practice based on new knowledge gained during the simulation experience.
Learning Goal: I’m working on a nursing multi-part question and need an explanation and answer to help me learn.
Review the Case Study: You are the nurse caring for John Anderson, 68 years old, and was admitted to the medical unit with exacerbation of COPD and bilateral bacterial pneumonia. Vital signs upon admission to the unit are–Blood Pressure 156/88, Pulse 101; Respiratory Rate 28, Temperature 102.4°F. The client reports worsening shortness of breath, fatigue, decreased appetite, and a weight loss of 15 pounds over the past three months. The nurse notices the client is lying flat in bed and currently on 2L O2 via nasal cannula with an oxygen saturation level of 88%. Other symptoms include a dry cough, inspiratory and expiratory wheezes on auscultation of breath sounds. The client arouses easily but often falls back to sleep. The client appears restless and is often confused by the nurse’s questions. The client is oriented to person only. Respiratory treatments (albuterol) are ordered every 4 hr as needed. The client is deaf and has a past medical history of a left leg below the knee amputation from a war wound. The client reports intermittent homelessness and heavy alcohol use.
Using the case study information above, fill out the table below on a separate document. On a separate document, complete the following questions: Present at least TWO reasons Mr. Anderson may be confused by the nurse’s questions. Support your answer with evidence from the case study and your text.
If an ABG was to be performed in Mr. Anderson’s current condition, what do you anticipate the results to be? Support your answer with evidence from the case study and your text.
Your selected interventions are ineffective. You have decided to call a Rapid Response.
On a separate document, complete these Reflection Questions: Discuss nurses’ role in design, implementation, and evaluation of information technologies to support client care.
Discuss the need for continuous improvement in clinical practice based on new knowledge gained during the simulation experience.
Describe an opportunity you experienced during the simulation to incorporate evidence-based practice and how you could use it in the future
Requirements: depends on the question