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Exam (elaborations)

AssessmentCase02_ChristopherParrish_GRQ_Final,WITH VERIFIED ANSWERS GRADED A.

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Guided Reflection Questions Opening Questions How did you feel throughout the simulation experience? I felt good throughout this simulation. What do you think went well? I think almost everything went well. Scenario Analysis Questions* PCC What priority problem(s) did you identify for Christopher Parrish? The priority problem with this patient was his shortness of breath and inability to clear his airway. PCC What additional diagnostic study might the nurse request? It might be beneficial to request a pulmonary function test for this patient. PCC/T&C What are the priority interventions to prevent further compromise of the respiratory system and infection for Christopher Parrish? Priority interventions would include use of an IS, deep breathing exercises, encouraging coughing, flutter valve, chest physiotherapy, and medication to continue to help clear the airway and mucus buildup. PCC/ T&C What are the priority interventions to promote adequate nutrition for Christopher Parrish? Priority interventions for nutrition include resuming his regular high calorie, high fat diet. If he continues to have issues with appetite, an appetite stimulant might be required. I/EBP Identify an evidence-based web resource that can assist you in patient teaching related to chest percussion and physiotherapy for Christopher Parrish. I/EBP Identify an evidence-based web resource that can assist you in patient teaching related to BMI requirements for Christopher Parrish. Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Christopher Parrish’s case to an actual patient care situation. What opportunities for improvement should you address? I think I did well. I continue to have issues with when to wear gloves. I would have put on gloves before checking the sputum. I will be more knowledgeable about cystic fibrosis in real life now. * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at:

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