Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).

(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)

• What additional information should the nurse obtain from the client?
• What nursing intervention is most appropriate in this situation?
• What screening tests should be obtained to determine the risk for preterm labor?
• If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects, and expected outcomes of the medication).

NURSING CARE PLAN RUBRIC

Case Study, Chapter 41, Musculoskeletal Care Modalities 

1. June Frankel, a 23-year-old patient, presents to the emergency department with a sports-related fracture injury to her right arm and receives a long-arm fiberglass cast. (Learning Objective 2)

What nursing assessment should the nurse provide after the cast has been applied?

What nursing interventions should the nurse provide?

1. Sue Newhart, a 55-year-old patient, is admitted to the medical-surgical unit after a total hip arthroplasty due to osteoarthritis. (Learning Objective 7)

What considerations should the nurse follow when positioning the patient in bed after hip surgery?

What nursing interventions should the nurse provide the patient?

1) Definition of the medical diagnosis

etiology/pathophysiology

2) Common signs and symptoms

3) Potential complications

4) Head to toe physical assessment  you are to write one….                  

5) Diagnostic and lab studies

normal values

expected abnormalities

6) ALL NANADA Nursing diagnoses

https://nurseslabs.com/nursing-diagnosis/

https://ar.israa.edu.ps/uploads/documents/2020/02/4gcM0.pdf

7) Develop 3 NANDA priority nursing diagnoses

8) State a patient plan AND goal for each of the

3 priority nursing diagnosis

9) Write interventions for each of

3  priority nursing diagnosis

10) Write  scientific rationales for you you

interventions

11) Write evaluation of your interventions

your plan or make changes

12) List of typical medications

category

usual dosage

side effects

patient teaching

 In 2004, the Healthy People Curriculum Task Force emphasized that ” an essential element of any effort to change a health care system must be the education of future clinicians who will practice new approaches in new contexts”. Based on this statement, is there a need for healthcare professional education reform? To what end? 

  

The Assignment: 5 pages

Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly explain and summarize the      case for this Assignment. Be sure to include the specific patient factors      that may impact your decision-making when prescribing medication for this      patient.

Decision #1 (1 page)

• Which decision did you select?
• Why did you select this decision? Be      specific and support your response with clinically relevant and      patient-specific resources, including the primary literature.
• Why did you not select the other two      options provided in the exercise? Be specific and support your response      with clinically relevant and patient-specific resources, including the      primary literature.
• What were you hoping to achieve by      making this decision? Support your response with evidence and references      to the Learning Resources (including the primary literature).
• Explain how ethical considerations      may impact your treatment plan and communication with patients. Be      specific and provide examples.

Decision #2 (1 page)

• Why did you select this decision? Be      specific and support your response with clinically relevant and      patient-specific resources, including the primary literature.
• Why did you not select the other two      options provided in the exercise? Be specific and support your response      with clinically relevant and patient-specific resources, including the      primary literature.
• What were you hoping to achieve by      making this decision? Support your response with evidence and references      to the Learning Resources (including the primary literature).
• Explain how ethical considerations      may impact your treatment plan and communication with patients. Be      specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be      specific and support your response with clinically relevant and      patient-specific resources, including the primary literature.
• Why did you not select the other two      options provided in the exercise? Be specific and support your response      with clinically relevant and patient-specific resources, including the      primary literature.
• What were you hoping to achieve by      making this decision? Support your response with evidence and references      to the Learning Resources (including the primary literature).
• Explain how ethical considerations      may impact your treatment plan and communication with patients. Be      specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the      treatment options you selected for this patient. Be sure to justify your      recommendations and support your response with clinically relevant and      patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources.