Suicide, A Sentinel Event HESI Case Study Verified Solutions
Documentation and Assessment
1. Correct Query on Activity:
- Client's frequency for checking blood glucose.
- This indicates the nurse’s concern regarding diabetes management.
2. Mental Health Consideration:
- Greatest risk for major depression:
- Becoming widowed within the past year.
- This life event significantly increases the risk of depression.
Prescriptions and Infusion Management
3. Infusion Question:
- Additive to question:
- Dextrose (D5).
- If a patient has diabetes, the addition of dextrose needs careful consideration.
4. Infusion Calculation:
- Total time for 1000 mL Normal Saline 0.45% with 20 mEq/L KCl at 125 mL/hr:
- 8 hours.
Infection Control and Initial Response
5. First Intervention for Febrile Patient:
- Request blood cultures be drawn.
- This is crucial in identifying any infection.
Medication Administration
6. IV Medication Calculations:
, - Regulation for clindamycin infusion:
- 50 drops per minute.
- Calculated using the provided drop factor.
Pre-Procedure Responsibilities
7. Arterial Blood Gas Sampling:
- Important interventions:
- Perform Allen's Test
- Utilize sterile technique
- Check two client identifiers.
Respiratory Status Monitoring
8. Early Indication of Respiratory Difficulty:
- Hypoxia.
- Monitoring oxygen saturation is vital.
Lab Result Prioritization
9. Lab Results to Report First:
- ABGs, O2 saturation, and WBC.
- These indicators provide critical information regarding respiratory status and possible infection.
10. Expected Finding for COPD:
- 87% O2 saturation.
- This is an expected limit for a patient with COPD.
Anticipated Diagnostic Tests
11. Next Diagnostic Test for Mr. Fearon:
- CT Scan.
- Commonly ordered for further evaluation in respiratory issues.
Documentation and Assessment
1. Correct Query on Activity:
- Client's frequency for checking blood glucose.
- This indicates the nurse’s concern regarding diabetes management.
2. Mental Health Consideration:
- Greatest risk for major depression:
- Becoming widowed within the past year.
- This life event significantly increases the risk of depression.
Prescriptions and Infusion Management
3. Infusion Question:
- Additive to question:
- Dextrose (D5).
- If a patient has diabetes, the addition of dextrose needs careful consideration.
4. Infusion Calculation:
- Total time for 1000 mL Normal Saline 0.45% with 20 mEq/L KCl at 125 mL/hr:
- 8 hours.
Infection Control and Initial Response
5. First Intervention for Febrile Patient:
- Request blood cultures be drawn.
- This is crucial in identifying any infection.
Medication Administration
6. IV Medication Calculations:
, - Regulation for clindamycin infusion:
- 50 drops per minute.
- Calculated using the provided drop factor.
Pre-Procedure Responsibilities
7. Arterial Blood Gas Sampling:
- Important interventions:
- Perform Allen's Test
- Utilize sterile technique
- Check two client identifiers.
Respiratory Status Monitoring
8. Early Indication of Respiratory Difficulty:
- Hypoxia.
- Monitoring oxygen saturation is vital.
Lab Result Prioritization
9. Lab Results to Report First:
- ABGs, O2 saturation, and WBC.
- These indicators provide critical information regarding respiratory status and possible infection.
10. Expected Finding for COPD:
- 87% O2 saturation.
- This is an expected limit for a patient with COPD.
Anticipated Diagnostic Tests
11. Next Diagnostic Test for Mr. Fearon:
- CT Scan.
- Commonly ordered for further evaluation in respiratory issues.
