LittleTicket.docx - Fall 2020 SIM LAB ADMISSION TICKET...

LAB ADMISSION TICKET Course Objectives: By the end of the course, the student should be able to: 1. Identify competent nursing care for clients with chronic conditions utilizing evidence-based practice guidelines (SLO 1, 2, 5). 2. Differentiate care needs of the elderly adult experiencing alterations in health (SLO 2, 3, 5). 3. Acknowledge legal and ethical issues in healthcare (SLO 3). 4. Prioritize nursing care for patients with chronic alterations in health (SLO 1, 2, 4, 5). 5. Develop an individualized teaching plan for the client with the goal of improving and maintaining personal health (SLO 1, 2, 3, 4). 6. Correctly calculate medication doses appropriate for the population (SLO 1, 5). THOROUGHLY ANSWER THE FOLLOWING COMPREHENSIVELY and submit 24 hours BEFORE SIMULATION TIME (48 hours preferable). Incomplete tickets will be returned for redo, and must be in before the simulation. **ANSWERS MUST BE paraphrased AND CITE PROFESSIONAL source (Author, year, page). 1. Paraphrase (with reference) the mechanism that occurs when LCHF causes pulmonary edema. A) How does it move from the vessels? When the heart is not able to pump efficiently, blood can back up into the veins that take blood through the lungs. 2. You receive STAT orders for Furosemide and a Foley for a patient in fulminant pulmonary edema. A) Based on research, how does each relieve pulmonary edema? 3. Your patient asks how Furosemide will take the water out of his lungs and feet. In your own words, explain this to the patient in lay terms. It’s a diuretic, which can cause more urine that will cause elimination water build up in the lungs and feet. 4. List six labs used to diagnose/assess CHF with the normal values for each. BNP <900pg/Ml over age 50 ANP <100 pg/mL BMP 5. Based on research, paraphrase the relationship between potassium and digoxin. Both impact the other. Digoxin toxicity causes hyperkalemia, or high potassium. The sodium/potassium ATPase pump normally causes sodium to leave cells and potassium to enter cells. Blocking this mechanism results in higher serum potassium levels. 6. Opinion: Which IV fluid would be contraindicated in CHF. Why? 7. Your patient has ascites secondary to R CHF. Using paraphrase, explain how and why the fluid moved into the abdomen. 8. Opinion: Why are troponins ordered for this patient? To measure protein levels. What do troponin levels tell about his CHF?? It can detect damage to the heart d/t high levels Troponin indicated the release of proteins. 9. Create 3 priority nursing diagnoses using template from Simulation Materials/General Information. Insert template into Ticket. .......................................................continued.................................................