Real Life 3.0 Scenario PN
Medical Surgical: Kidney Disease
Objectives
After completion of the lesson, the student will be able to:
Recognize alterations in fluid balance, regulation of electrolytes, and blood pressure in a client
who has renal impairment.
Prioritize care of the client who has postoperative complications.
Implement client teaching for clients with renal biopsy.
Accurately identify and calculate oral and parenteral medication doses.
Respond with empathy to clients with life-changing conditions.
Describe the purpose of various diagnostic tests for kidney function
Individual Student Assignments
INDIVIDUAL STUDENT ASSIGNMENT
Complete Active Learning Templates:
Diagnostic Procedure: Renal biopsy, PT INR, PTT, Type and screen
Medication: Lisinopril, captopril, lorazepam
System Disorder: Renal Failure
INDIVIDUAL STUDENT ASSIGNMENT
Prior to the clinical day, spend at least 60 minutes in the Real Life Scenario.
Complete the SBAR as the nurse receives report on Ms. Vale in the scenario.
Patient Name: Patient Age: Height:
Diagnosis: Allergies: Weight:
Situation
Briefly describe the current situation.
Give a clear, succinct overview of pertinent
issues. Describe the concern.
Background
Briefly describe the pertinent history.
What has got us to this point? Can include
medications, diagnostics, and treatment.
Assessment
Summarize the facts and give your best
assessment. Can include vital signs.
What is going on? Use your best judgment.
Recommendation
What actions are you asking for?
What do you want to happen next?
, INDIVIDUAL STUDENT ASSIGNMENT
While completing the SBAR, identify three (3) top priorities and an action plan for these priorities
(what can you do, as a nurse, to address these priorities).
• Priorities:
Action Plan:
INDIVIDUAL/POST CONFERENCE ASSIGNMENT
After completing the Real Life Scenario, answer these discussion points. Be prepared to discuss
in post-conference:
What were some of the challenging decisions you made as a nurse? Describe the rationale
behind these decisions.
If you made a wrong decision during the scenario, what were you thinking that lead you down
the incorrect path?
What are some aspects of client care that you did not feel prepared to make clinical decisions
for in the scenario?