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Charlie Raymond Scenario 1
Inform Mr. Raymond's family members that they will not be allowed to visit him
while he is here, that they must self-isolate and _____________.
You correctly selected 3 out of 5 actions:
Your Answer Correct Answer Status Label Explanation Yes Yes Suggest that the
family Facetime/video chat Family is unable to visit the patient, visual/auditory
facetime will decrease anxiety for both family and patientYesYesInform family
members that they need to be tested for COVID-19Per CDC guidelines, exposure
to COVID-19 patientsYesNoTell the family not to worry that if they don't have any
symptoms within 72 hoursFamily members could be asymptomatic or not yet
experienced symptomsNoYesExplain to the patient and family the need for a
negative pressure roomMinimizes the risk of spread to other
patients/staffNoNoAllow family to visit the patient once they have a (-) COVID
resultA negative test by both the patient a - ANSWER
Charlie Raymond Scenario 2
Mr. Raymond is found walking down the hallway without a mask. He is confused
to person, place, and time.
,You correctly selected 5 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesGive Mr. Raymond a
maskPer CDC guidelines, reduces risk of transmission to other
patients/staffNoNoDo not wear a mask when in the hallway so the patient can
recognize youMitigation of transmission of infection takes
precedence.YesYesDirect Mr. Raymond back to his room and place his O2
cannulaPatient must be isolated to his negative pressure room; reconnecting the
O2 cannula will improve oxygenation.YesYesAssess Mr. Raymond's A&O x4 and
pulse oximetryAssess his confusion as it may be a sign of hypoxemiaNoNoLock the
patient's door so he cannot leaveThis is a form of restraint and seclusion to the
patient. Hospital room doors do not lock as a patient safety precaution - ANSWER
Charlie Raymond Scenario 3
Mr. Raymond's pulse ox is 88% after returning him to his room and connecting him
to nasal cannula.
You correctly selected 3 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesWait 2-5 minutes and
re-take patient's pulse oxIt may take the patient's pulse ox a few minutes to
improveYesYesEnsure patient is in a semi-recumbent position and at restFacilitates
thoracic expansionYesYesEnsure O2 tubing is in place and unobstructedMust be
ruled out before further action is takenYesNoTurn his Nasal cannula to 6LCOPD
patients are in hypoxic drive and this could cause decreased respiratory rates,
respiratory arrestYesNoLeave patients door open when leaving the room to
improve room air oxygenationNo effect on oxygen, and could cause transmission
of virus - ANSWER
Charlie Raymond Scenario 4
, The patient has been taking furosemide (Lasix) and is making frequent trips to the
bathroom to urinate. He is found in the bathroom and does not have his O2 on.
You correctly selected 4 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationYesYesContact respiratory
therapy to see about longer O2 tubing or portable tankRespiratory therapy can
better assess equipment necessary for continuous O2 therapyYesYesRemind the
patient he must keep his O2 on at all timesTo improve his hypoxemia.YesNoTell the
patient he is not to get out of bedConfining the patient to his bed will not improve
and could worsen his pulmonary statusYesYesProvide the patient a urinal as an
alternativeLasix is a loop diuretic that increases urinary outputNoNoInform
patient that you will get an order for a foley catheter if he continues to get
upThreatening statement and non-professional. An indwelling catheter is -
ANSWER
Charlie Raymond Scenario 5
The patient's wife shares with you her concerns that, should he survive COVID,
when she leaves her husband alone, he is going to sneak a cigarette while using
oxygen.
You correctly selected 4 out of 5 actions:
Your AnswerCorrect AnswerStatusLabelExplanationNoNoProvide long enough
tubing so patient can go outside and smokeHigh risk for fire when patient is on O2
and smokingNoNoTell the wife he may not survive, so do not worry at this
pointInappropriate response from the nurse, no indication at this
timeYesYesSmoking while using oxygen will be part of discharged teaching, and
followed up by the home health nurseSmoking is an addictive behavior; patient
has a diagnosis of COPD. Smoking will accelerate the disease process and recovery
from COVID-19.NoYesReassure wife that the Mr. Raymond is doing well, and we
expect him to recoverSurvivability of COVID-19 is high, and the patient is
improvingYe - ANSWER