NUR 4130 Shadow health preeclampsia.

NUR 4130 Shadow health preeclampsia. Category Scored Items Experts selected these topics as essential components of a strong, thorough interview with this patient. Patient Data Not Scored A combination of open and closed questions will yield better patient data. The following details are facts of the patient's case. • Finding: Asked about chief complaint • Finding: Reports headaches (Found) Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in their own words and inform you of the situation. Example Question: Do you have headaches? • Finding: Reports excessive weight gain (Found) Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in their own words and inform you of the situation. Example Question: Have you had changes to your weight? • Finding: Reports swelling (Found) Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in their own words and inform you of the situation. Example Question: Do you have swelling anywhere? • Finding: Reports test results the physician said were problematic (Found) Pro Tip: Use open questions to ask a patient why they're here today so they can tell you in their own words and inform you of the situation. Example Question: What did the physician say about your test results? • Finding: Asked about patient comfort • Finding: Reports feeling comfortable (Found) Pro Tip: Asking patients, especially pregnant ones, about their comfort lets you know if they are ready for a long conversation, and how you can make them readier. Example Question: Are you comfortable? • Finding: Reports concern over symptoms (Found) Pro Tip: Asking patients, especially pregnant ones, about their comfort lets you know if they are ready for a long conversation, and how you can make them readier. Example Question: How do you feel about your symptoms? • Finding: Asked about test results • Finding: Reports high blood pressure reading today (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What were the results of your high blood pressure tests? • Finding: Reports moderately high blood pressure 1 week ago (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What were the results of your high blood pressure tests? • Finding: Reports urinalysis showed proteinuria (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What were the results of your urine tests? • Finding: Asked about duration of symptoms • Finding: Reports excessive swelling started a week ago (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: When did your swelling start? • Finding: Reports weight gain occurred over last month (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: When did your weight gain start? • Finding: Reports headaches starting 4 or 5 days ago (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: When did your headaches start? • Finding: Asked if headache is currently present • Finding: Denies current headache (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Do you have a headache right now? • Finding: Followed up on headache patterns • Finding: Reports headaches are dull and annoying (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What are your headaches like? • Finding: Reports headaches occur daily (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: How often do you get headaches? • Finding: Asked about vision disturbances • Finding: Denies vision disturbances (Available) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Do you have vision disturbances? • Finding: Asked about aggravating factors for headaches • Finding: Denies aggravating factors (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Does anything aggravate your headaches? • Finding: Asked about relieving factors for headaches • Finding: Reports Tylenol temporarily alleviates headaches (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Do you take anything for headaches? • Finding: Asked about pain rating • Finding: Reports headache pain at worst is a 3 out of 10 (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: How would you rate your pain on a scale? • Finding: Reports headache pain after Tylenol is a 1 out of 10 (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: How would you rate your pain after medication? • Finding: Asked about weight change causes • Finding: Reports physician says that weight gain is due to swelling (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Why has your weight changed? • Finding: Followed up on swelling • Finding: Reports feet and ankles look and feel swollen (Available) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Where do you have swelling? • Finding: Reports hands and fingers feel slightly swollen (Available) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Where do you have swelling? • Finding: Reports wearing flip flops and slippers for comfort (Available) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What do you do for the swelling? • Finding: Reports swollen joints feel tight (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: What does the swelling feel like? • Finding: Asked about checking blood pressure at home • Finding: Denies checking blood pressure at home (Found) Pro Tip: Ask patients everything you can about their current illness, from its characteristics to its frequency to its causes, so you can determine its nature and what treatments are recommendable. Example Question: Do you check your blood pressure at home? • Finding: Asked about preexisting medical conditions • Finding: Denies preexisting medical conditions (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Do you have any medical conditions? • Finding: Asked about previous hospitalizations • Finding: Denies any previous hospitalizations (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Have you ever been hospitalized? • Finding: Asked about allergies • Finding: Denies having seasonal allergies (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Do you have any seasonal allergies? • Finding: Denies having food allergies (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Do you have any food allergies? • Finding: Denies having latex allergy (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Do you have a latex allergy? • Finding: Denies having medicine allergies (Found) Pro Tip: Asking patients about their past medical history can help contextualize their current illness and inform you of health considerations that need to be made for this visit. Example Question: Do you have any medication allergies? • Finding: Followed up on home medications • Finding: Denies taking home medications other than Tylenol (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: Do you take medication besides Tylenol? • Finding: Reports taking Tylenol daily (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: How often do you take Tylenol? • Finding: Reports taking 1-2 tablets (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: How many tablets of Tylenol do you take? • Finding: Reports taking 250 mg strength (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: What strength of Tylenol do you use? • Finding: Reports taking Tylenol since 4 days ago (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: How long have you been taking Tylenol? • Finding: Asked about vitamins • Finding: Reports taking iron-based prenatal vitamins (Found) Pro Tip: Asking a patient what medications they take at home can help you understand their health, what requires medication, and how the variations in prescriptions may be affecting symptoms. Example Question: Do you take vitamins? • Finding: Asked about other pregnancy complications • Finding: Denies other pregnancy complications (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: Have you had any other pregnancy complications? • Finding: Asked about prior pregnancies • Finding: Denies prior pregnancies (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: Have you been pregnant before this? • Finding: Asked about prenatal visits • Finding: Reports attending all recommended OB visits (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: Do you ever miss prenatal visits? • Finding: Reports last OB visit was 1 week ago (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: When was your last prenatal visit? • Finding: Asked about pregnancy education • Finding: Reports taking breastfeeding classes (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: Do you attend breastfeeding classes? • Finding: Reports reading twin pregnancy blogs (Found) Pro Tip: Asking a pregnant person about their history in this pregnancy and those prior can inform your current understanding of their health. Example Question: What pregnancy education have you had? • Finding: Asked about alcohol intake • Finding: Reports drinking socially prior to pregnancy (Found) Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient a myriad of these questions to understand how a patient's behaviors are affecting their health. Example Question: Did you drink alcohol before your pregnancy? • Finding: Denies alcohol consumption since discovering pregnancy at 5 weeks (Found) Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient a myriad of these questions to understand how a patient's behaviors are affecting their health. Example Question: Have you drank alcohol while pregnant? • Finding: Asked about tobacco use • Finding: Denies using tobacco products (Found) Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient a myriad of these questions to understand how a patient's behaviors are affecting their health. Example Question: Do you use tobacco products? • Finding: Asked about illicit drug use • Finding: Denies illicit drug use (Found) Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient a myriad of these questions to understand how a patient's behaviors are affecting their health. Example Question: Do you use illicit drugs? • Finding: Asked about occupation • Finding: Reports unemployment pending baby's arrival (Found) Pro Tip: A patient's social history encompasses their whole lifestyle, from diet and exercise, to substance use, to home and work life. Ask a patient a myriad of these questions to understand how a patient's behaviors are affecting their health. Example Question: Are you employed? • Finding: Asked about family history of preeclampsia • Finding: Denies knowledge of preeclampsia in family history (Found) Pro Tip: A patient's family history of certain illness can increase the likelihood of inheriting it, so inquiring into this can help you contextualize the reason for a patient's current illness. Example Question: Do you have a family history of preeclampsia? • Finding: Asked about family history of hypertensive disorders • Finding: Reports maternal grandmother has hypertension (Found) Pro Tip: A patient's family history of certain illness can increase the likelihood of inheriting it, so inquiring into this can help you contextualize the reason for a patient's current illness. Example Question: Do you have a family history of hypertension? • Finding: Reports paternal grandfather had hypertension (Found) Pro Tip: A patient's family history of certain illness can increase the likelihood of inheriting it, so inquiring into this can help you contextualize the reason for a patient's current illness. Example Question: Do you have a family history of hypertension? • Finding: Asked about constitutional health • Finding: Reports expected sleep disturbances for pregnancy (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: How is your sleep? • Finding: Reports expected fatigue for pregnancy (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Do you get fatigued? • Finding: Denies fever (Found) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had a fever? • Finding: Denies chills (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had any chills? • Finding: Denies night sweats (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had any night sweats? • Finding: Denies hemorrhoids (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Do you have hemorrhoids? • Finding: Asked about stomach troubles • Finding: Denies epigastric pain (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had stomach pain? • Finding: Denies diarrhea or constipation (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had diarrhea or constipation? • Finding: Reports morning sickness in first trimester (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had morning sickness? • Finding: Denies vomiting since first-trimester morning sickness (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had morning sickness since your first trimester? • Finding: Asked about neurological problems • Finding: Denies muscle contractions (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Have you had muscle contractions? • Finding: Denies migraines (Available) Pro Tip: Asking a patient about any symptoms occurring, system by bodily system, can help you ask about a patient's illness, which may affect some areas more than others. Example Question: Do you have migraines? • Finding: Denies seizures Objective Data Collection: 16.75 of 18 (93.06%) • Correct • Partially correct • Incorrect • Missed Temperature (1/4 point) • Normothermic • Hyperthermic • Hypothermic Heart Rate (1/4 point) • Normal • Tachycardic • Bradycardic Respiratory Rate (1/4 point) • Normal • Tachypnea • Bradypnea O2 Saturation (1/4 point) • Normal • Hypoxemia Blood Pressure (1/1 point) • Normotensive • Hypertensive • Hypotensive Right: Appearance (1/3 point) • No visible abnormal findings • Redness • Bruising or other discoloration • Edema • Visible mass • Atrophy • Hypertrophy Left: Appearance (1/3 point) • No visible abnormal findings • Redness • Bruising or other discoloration • Edema • Visible mass • Atrophy • Hypertrophy Symmetry (1/3 point) • Symmetric bilaterally • Asymmetric Right: Appearance (1/3 point) • No visible abnormal findings • Redness • Bruising or other discoloration • Edema • Visible mass • Atrophy • Hypertrophy Left: Appearance (1/3 point) • No visible abnormal findings • Redness • Bruising or other discoloration • Edema • Visible mass • Atrophy • Hypertrophy Symmetry (1/3 point) • Symmetric bilaterally • Asymmetric Fundal Height Measurement (No point) • Average for twins at 32 weeks gestation • Greater than average for twins at 32 weeks gestation • Lower than average for twins at 32 weeks gestation Fetus A: Presentation (1/4 point) • Vertex • Breech • Transverse Lie Fetus B: Presentation (1/4 point) • Vertex • Breech • Transverse Lie Fetus A: Position (No point) • Anterior • Posterior Fetus B: Position (1/4 point) • Anterior Posterior Fetus A: Heart Rate Measurement (1/2 point) • Within normal ranges • Tachycardic • Bradycardic Fetus B: Heart Rate Measurement (1/2 point) • Within normal ranges • Tachycardic • Bradycardic Breath Sounds (1/2 point) • Clear in all areas • Diminished in some areas • Absent in some areas Adventitious Sounds (1/2 point) • No adventitious sounds • Wheezing • Fine crackles • Stridor • Rhonchi • Rales Heart Sounds (1/3 point) • S1 and S2 audible • S1, S2, and S3 audible • S1, S2, and S4 audible • S1, S2, S3, and S4 audible Extra Heart Sounds (1/3 point) No extra sounds • Gallops • Murmur • Friction rub • Valve clicks Rate And Rhythm (1/3 point) • Regular rate and rhythm • Irregular rate • Arrhythmia Right (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Right (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Right (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Right (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Right (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left (1/2 point) • 0 - No response • 1 - Diminished • 2 - Expected (active) • 3 - Hyperactive • 4 - Hyperactive, with clonus Left Foot (1/4 point) • 0 - No Pitting • 1+ - Slight Pitting • 2+ - Deeper pit, disappears in 10 to 15 seconds • 3+ - Noticeably deep pit that lasts more than a minute • 4+ - Very deep pit that lasts 2 to 5 minutes Right Foot (1/4 point) • 0 - No Pitting • 1+ - Slight Pitting • 2+ - Deeper pit, disappears in 10 to 15 seconds • 3+ - Noticeably deep pit that lasts more than a minute • 4+ - Very deep pit that lasts 2 to 5 minutes Left Ankle (1/4 point) • 0 - No Pitting • 1+ - Slight Pitting • 2+ - Deeper pit, disappears in 10 to 15 seconds • 3+ - Noticeably deep pit that lasts more than a minute • 4+ - Very deep pit that lasts 2 to 5 minutes Right Ankle (1/4 point) • 0 - No Pitting • 1+ - Slight Pitting • 2+ - Deeper pit, disappears in 10 to 15 seconds • 3+ - Noticeably deep pit that lasts more than a minute • 4+ - Very deep pit that lasts 2 to 5 minutes Capillary Refill Time (1/1 point) • Less than two seconds • Greater than two seconds Capillary Refill Time (1/1 point) • Less than two seconds • Greater than two seconds Proteinuria (1/4 point) • Protein not present in urine • Protein present in urine Bun (1/4 point) • Normal level • Abnormal level Creatinine (1/4 point) • Normal level • Abnormal level Bun/Creatinine Ratio (1/4 point) • Normal ratio • Abnormal ratio Nursing Diagnoses: Definitions & Classifications © NANDA-International, 2017 used by arrangement with Thieme Medical Publishers, Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medican Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NANDA-International. Direct inquires to . Link for more information: Status Student Response Model Answer Explanation Points Earned is at risk for is at risk for The greatest risk to Naomi's health is a potential injury, not a current one, so the correct answer is "is at risk for". 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earned injury injury Naomi's preeclampsia has not yet resulted in an injury for her or her fetuses, but it is a serious risk that can be addressed by a nurse. While Naomi is experiencing daily headaches, a chronic pain diagnosis is less urgent to address compared to the risk for permanent and serious injury; in addition, addressing the risk for injury first through preeclampsia management education will ultimately reduce headaches. 0.5 out of 0.5 Etiologies Student Response Model Answer Explanation Points Earned family hist. of high BP family hist. of high BP Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. 0.5 out of 0.5 high-sodium high-sodium Preeclampsia may be related to many factors of 0.5 out diet diet Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. of 0.5 lack of BP monitoring lack of BP monitoring Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. 0.5 out of 0.5 poor fluid intake poor fluid intake Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. 0.5 out of 0.5 strenuous activity strenuous activity Preeclampsia may be related to many factors of Naomi's case: her family history of high blood pressure, her high sodium intake and insufficient fluid intake, her strenuous activity level, and her lack of monitoring her blood pressure. 0.5 out of 0.5 Signs & Symptoms Student Response Model Answer Explanation Points Earned HELLP syndrome N/A For "at risk for" diagnoses, there are no signs or symptoms as the diagnosis has not yet occurred. "N/A" is the correct answer here as Naomi has not yet sustained an injury. 0 out of 0.5 Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation Explain how preeclampsia places a mother and her fetus/fetuses at risk for injury. Patient and her fetuses are at risk for injury due to preeclampsia. Preeclampsia can cause your blood pressure to rise and put you at risk for brain injury. The patient complained of headaches, swelling, and edema. Therefore, she can develop HELLP syndrome. Preeclampsia can affect the organs of the body in a myriad of ways. When the arteries restrict, increasing blood pressure, the blood supply available to the placenta or vital organs may decrease, affecting their function. The mother may experience strokes or seizures, organ failure, or further cardiac diseases, while the fetus may experience impaired growth or death. Understanding the physiology of the affected systems allows you to make more evidenced- based treatment plans and instructions for patients. Short-Term Goal Student Response Model Answer Explanation Points Earned To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide. To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide. Address a patient's insufficient knowledge as soon as possible (in this current visit), and give the patient the correct information yourself, as opposed to encouraging them to conduct their own research, which can lead to less evidenced-based learning. 0.5 out of 0.5 Interventions Student Response Model Answer Explanation Points Earned Instruct patient to drink 8 glasses of water a day Instruct patient to drink 8 glasses of water a day While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to consume no more than 1500 mg of sodium daily, less if possible Instruct patient to consume no more than 1500 mg of sodium daily, less if possible While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to consume more protein, especially Instruct patient to consume more protein, especially While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient 0.5 out of 0.5 through nuts, beans, and poultry with the skin removed through nuts, beans, and poultry with the skin removed can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Instruct patient to reduce physical activity to one light chore a day Instruct patient to reduce physical activity to one light chore a day While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know 0.5 out of 0.5 when it's time to call her physician. Instruct patient to take blood pressure with arm at heart- level and both feet flat on the floor Instruct patient to take blood pressure with arm at heart- level and both feet flat on the floor While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to make a record of all blood pressure readings Instruct patient to make a record of all blood pressure readings While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to call physician if blood pressure reading is above 160/110 Instruct patient to call physician if blood pressure reading is above 160/110 While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical 0.5 out of 0.5 activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Reducing sodium intake and increasing lean protein intake, increasing fluid intake, and reducing physical activity (in Naomi's case, housework) to one light chore a day, can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Intervention Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. Making changes to diet, activity level, hydration, and blood pressure monitoring are all healthy and effective ways to help deal with preeclampsia. Making changes to diet, hydration, activity level, and blood pressure monitoring are all healthy and effective ways to manage preeclampsia. Patients should receive detailed instructions; vague suggestions like "work on your diet" or "monitor your blood pressure" (without any idea of how or how often) do not lead to optimum patient outcomes. Data Collections Student Response Model Answer Explanation Points Earned Ask patient to state back and agree to her preeclampsia management instructions Ask patient to state back and agree to her preeclampsia management instructions A patient should be able to state back and agree to all of her instructions so that you can ensure there are no errors, omissions, or hesitations. 0.5 out of 0.5 Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation Explain the rationale behind your nursing diagnosis. All of these ways are going to help you manage your preeclampsia Naomi, as you know, preeclampsia can affect the health of you and your babies, placing you and them at risk for injury. Fortunately, we're at a stage where we can make concrete changes that can drastically reduce that risk. Some contributing factors to preeclampsia include your current sodium intake, hydration habits, strenuous exercise, lack of at-home blood pressure monitoring, and the history in your A patient should learn about their diagnosis and contributing factors to it, thereby increasing the chance of patient compliance with instructions. family of high blood pressure. We're going to talk more about how to address these factors and better manage your preeclampsia. Explain your goal for Naomi, and the interventions and data collections through which you will achieve it. my goal is to lower your blood pressure and to save you and your fetuses. The interventions are to drink more water, lower sodium intake, reduce physical activity, buy a blood pressure cuff, record all blood pressure readings, call the doctor if bp is above 160/110, and call the provider if you experience headaches, nausea, vomiting or visual changes. To make sure you can achieve this goal I need you to state back and agree with these management instructions I'm going to give you instructions on how to manage your preeclampsia by focusing on your diet, hydration, activity level, and blood pressure monitoring. My goal for you is that you can state back and agree to these instructions, so that we can ensure you don't have any misunderstandings or hesitations. After I give you the rundown, you'll repeat your instructions back to me and let me know if it works for you. You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare. Explicitly ask for Naomi's consent to the Care Plan. Naoimi can I please have your consent ? Does this plan I just talked about sound good to you? A patient must consent to all interventions in their Care Plan. Disagreements are opportunities to provide further patient education and to consider alternative options. Inform Naomi that you will now begin her education interventions. I am going to now begin your preeclampsia management education If you don't have any other questions or concerns, we can now begin your preeclampsia management instructions. It's time to begin your education interventions, so let your patient know! Intervention & Evaluation 2.5 out of 2.5 Student Response Model Answer Explanation Points Earned Fully Fully Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved! 2.5 out of 2.5 Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation Did you achieve Naomi exhibits a Naomi exhibits Assessing the your goal of complete understanding complete completeness and having the patient, of her preeclampsia understanding of her correctness of within her visit at managment instructions. preeclampsia your patient's the prenatal clinic, When Naomi states the management teach-back gives state back and instructions back she instructions: when you an agree to doesn't make any errors, stating them back, she opportunity to go preeclampsia and verbally agrees to does not make any over any mistakes management tips abide by them. She shows errors or omissions, with your patient. that you provided? that she is trying to make and verbally agrees to an effort to provide a abide by them. Your healthy preganncy for her and her fetuses. goal is fully achieved!