Priority Patient Activity Part 1,2 And 3 Herbie Saunders, 62 Years Old David Mueller.71 Years Old,& Gladys Parker 92 Years Old

PRIORITY PATIENT ACTIVITY PART 1,2 AND 3 HERBIE SAUNDERS, 62 YEARS OLD DAVID MUELLER.71 YEARS OLD,& GLADYS PARKER 92 YEARS OLD PRIORITY Patient Activity Part I: Who does the nurse see first? Herbie Saunders, 62 years old David Mueller, 71 years old Gladys Parker, 92 years old CHF Exacerbation Below-the-Knee Amputation Weakness and Falls NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment  Management of Care 17-23%   Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12%  Psychosocial Integrity 6-12% Physiological Integrity  Basic Care and Comfort 6-12%  Pharmacological and Parenteral Therapies 12-18%  Reduction of Risk Potential 9 -15%   Physiological Adaptation 11 -17%  You are the RN on a busy medical-surgical/telemetry floor at Anytown General Hospital. Each nurse on your unit typically cares for 3-5 patients. You have just arrived for your day shift and are receiving nurse-to-nurse reports from three different night shift nurses. After you receive reports, you will have an opportunity to review the current orders for each of your patients. Part I-Patient Care Scenarios NOC Nurse Report Patient #1: Herbie Saunders Patient Report: What Do You Notice? Clinical Significance: “Herbie Saunders is a 62-year-old male who came in last night for a CHF exacerbation. His doctor is Dr. Davis and he’s a full code. He’s alert and oriented and can make his needs known. He’s on tele, normal sinus rhythm with occasional PVCs. His pressures are fine, heart rate is in the 70s. Lungs are clear in the uppers with crackles in the bases. He’s coughing up a small amount of white frothy secretions. He’s been on room air since he arrived, oxygen sats are in the low-mid 90s. He got 40 mg IV Lasix last night in the ED; I think you might have something scheduled during your shift but I haven’t given anything overnight. He has a 20 gauge in his right forearm. I’m not sure how he gets around since he’s been in bed since he got here.” Most Recent Vital Signs @ 0357 What Do You Notice? Clinical Significance: T: 98.6 F (oral) P: 76 R: 20 BP: 128/87 (MAP 101 mmHg) O2 sat: 92% on room air Pain: denies Admission Weight: 196 lb (89.1 kg)