Tutorial: Real Life RN Medical Surgical 4.0
Module: Total Hip Arthroplasty
Individual Name: Gabriella Phillips
Institution: San Antonio College ADN
Program Type: ADN
Standard Use Time and Score
Date/Time Time Use Score
Total Hip Arthroplasty 10/16/2024 7:48:36 PM 1 hr 29 min Satisfactory
Reasoning Scenario Details
Total Hip Arthroplasty - Use on 10/16/2024 6:36:48 PM
Reasoning Scenario Performance Related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Needs
Body Function Strong Satisfactory Improvement
Cardiac Output and Tissue Perfusion 100%
Cognition and Sensation 100%
Immunity 100%
Ingestion, Digestion, Absorption & Elimination 100%
Mobility 100%
Oxygenation 25% 25% 50%
Regulation and Metabolism 60% 20% 20%
Needs
NCLEX RN Strong Satisfactory Improvement
RN Management of Care 100%
RN Safety and Infection Control 100%
RN Health Promotion and Maintenance 100%
RN Basic Care and Comfort 100%
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Report Created on: 10/16/2024 07:49 PM EDT REP_RSIndv_ModuleReport_1_0
, RN Pharmacological and Parenteral Therapies 100%
RN Reduction of Risk Potential 66.7% 16.7% 16.7%
RN Physiological Adaptation 100%
Needs
QSEN Strong Satisfactory Improvement
Safety 83.3% 16.7%
Patient-Centered Care 75% 25%
Evidence Based Practice 70% 10% 20%
Teamwork and Collaboration 100%
Needs
Thinking Skills Strong Satisfactory Improvement
Clinical Application 83.3% 16.7%
Clinical Judgment 73.3% 6.7% 20%
Decision Log:
Optimal Decision
Scenario The preoperative consult nurse is identifying the risk factors associated with
postoperative complications.
Question Nurse Amani is reviewing Dale’s medical record. Which of the following findings
should Amani identify as a risk factor for postoperative complications?
Selected Ordering BMIAgeBlood pressure history
Rationale Nurse Amani should identify that Dale’s blood pressure and history of
hypertension pose a risk factor postoperatively. Clients who have hypertension
are more likely to experience and respiratory and cardiac complications
following surgery.
Optimal Decision
Scenario Dale is returning demonstration of each of the postoperative exercises.
Question Nurse Amani is observing Dale return demonstration of the postoperative
exercises. Which of the following demonstrations by Dale indicate the teaching
has been effective?
Selected Option Client correctly performed the ankle pumps exercise
Rationale Dale correctly performed the ankle pumps exercise which involves moving the
ankle so that the foot alternately dorsiflexes and plantar flexes. This exercise
should be performed at least 10 times every hour while awake. It promotes
blood flow to the lower leg by contracting and relaxing the muscles in the calf.
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Report Created on: 10/16/2024 07:49 PM EDT REP_RSIndv_ModuleReport_1_0