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In this virtual clinical simulation day, you will play the role of the emergency nurse who is coming to shift

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In this virtual clinical simulation day, you will play the role of the emergency nurse who is coming to shift. You will receive report from the emergency nurse on the three acutely ill clients you have been assigned to work with. Below I will attach the worksheet.

NUR 259: Ticket to ClinSim Day 2 In preparation for your ClinSim Day 2, be sure to complete the following PRIOR to the scheduled day: REQUIRED PREP WORK: • Your medical surgical textbook, drug and lab eBooks, Saunders’ NCLEX prep book and links attached below are helpful when completing this assignment. • Required reading to complete your ticket to vSIM. o Medical-Surgical Nursing Textbook (Lewis), 10th ed. ? Asthma (including peak flow meter), Chapter 28 (pgs. 539 – 557). ? Hypovolemic Shock, Chapter 66 (pgs. 1589, 1591, 1596 – 1597, 1600, 1602 – 1603). ? Rheumatoid Arthritis, Chapter 64 (pgs. 1525 – 1532). ? Fractures, Chapter 62 (pgs. 1468 – 1480). ? Chron’s disease, Chapter 42 (pgs. 944 – 950). o Saunders Comprehensive Review for the NCLEX-RN Examination (Silvestri), 7th ed. ? Prioritizing Client Care, Chapter 7 (pgs. 65 – 68). • To review asthma, watch the following video (3 min 35 secs) to get a better understanding of the condition. Click on this link: https://www.youtube.com/watch?v=4aK76DoxKGk • To review hip fractures, watch the following video (3 min 53 secs) to get a better understanding of the condition. Click on this link: https://www.youtube.com/watch?v=xzitWWAzOWk • To gain a better understanding about Rheumatoid Arthritis, watch the following video (5 min 27 secs). Click on the link: https://www.youtube.com/watch?v=Yc-9dfem3lM • To gain a better understanding about Chron’s disease from a patient’s perspective, watch the following video (4 min 6 secs). Click on this link: https://www.youtube.com/watch?v=q4TnvhsjtIE • To review hypovolemic shock, watch the following video (12 min 28 secs). Click on this link: https://www.youtube.com/watch?v=PvC5nV1bdxY • To review how to use a metered-dose inhaler (MDI) with a spacer, watch the following video (3 min 35 secs). Click on this link: https://hlp.nucleushealth.com/how-to-use-a-metered-doseinhaler-with-a-spacer/view-item?ItemID=17471 • To review how to prioritize patient care, watch the following video (9 min 2 sec). Click on this link: https://www.youtube.com/watch?v=hWTKT4Z1ae0&t=25s • Download the “Ticket to ClinSim Day 2” document and complete the assignment. • Upload your completed “Ticket to ClinSim Day 2” to canvas PRIOR to Tuesday, 5/11, no later than 5:00 PM. Submit as DOC, DOCX or PDF document only. Any other files including (JPEGs) will not be accepted and a zero will be submitted in the grade book. • Print a hard copy of your completed “Ticket to ClinSim Day 2” to have it with you during our virtual meeting. • Plan to attend the virtual simulation day on Wednesday, 5/12/21 from 9:30 AM – 12:30 PM via TEAMS. An invite to the TEAMS meeting will be sent on 5/11 after 5 PM (when your ticket has been verified to be completed thoroughly and submitted on time) via email by your assigned clinical faculty—be sure to accept the invite to be able to join your assigned group meeting. If you don’t receive an invite it is because your ticket to ClinSim is missing, incomplete or submitted late. • Expect to be called upon (at random) to participate in discussions and activities during our virtual meeting. Should you have any questions, do not hesitate to contact Prof Quiroz at bquiroz@carrington.edu or via TEAMS or phone, 208-724-3401. 1 Emergency Room Triage Student Name: _________________________________________________ Instructions: In this virtual clinical simulation day, you will play the role of the emergency nurse who is coming to shift. You will receive report from the emergency nurse on the three acutely ill clients you have been assigned to work with. Client Information: Client: Abel Petrovitch Client: Charlotte LaCour Admitting Dx: Asthma Admitting Dx: Left hip & left exacerbation & arm pain after shortness of fall. breath. Patient data: Female Age: 69 Patient data: Male Age: 12 Prior medical history: Prior medical history: Rheumatoid Arthritis Asthma Client: Roman Chen Admitting Dx: Chron’s Disease Exacerbation, diffused abdominal pain, abdominal distention, nausea & vomiting. Patient data: Male Age: 30 Prior medical history: Chron’s disease 1. Complete the tables below by filling in concise & pertinent information for each drug listed. Be sure to base your answers given Abel Petrovitch’s information provided above. Prednisone 50 mg PO x 1 dose. Classification: Action: Safe Dose or Dose Range: Side effects: Purpose for taking this medication: Nursing Considerations: Client education while taking this medication: Ventolin 8 puffs (via inhaler with spacer) now. Classification: Action: Side effects: Purpose for taking this medication: Nursing Considerations: Client education while taking this medication: 2 2. Complete the table below by filling in concise & pertinent information for each drug listed. Be sure to base your answers given Charlotte LaCour’s information provided. Atorvastatin 40 mg PO daily. Classification: Action: Safe Dose or Dose Range: Side effects: Purpose for taking this medication: Nursing Considerations: Client education while taking this medication: Be sure to answer the following questions based on Abel Petrovitch’s information provided under client information above. 3. Identify clinical manifestations a pediatric client would present when in an acute asthma exacerbation. How can you tell if the asthma exacerbation is mild, moderate or severe? 4. Discuss specific interventions a nurse would implement in the care of a pediatric client in an acute asthma exacerbation. 5. What specific medications would you expect the health care provider would order to treat the pediatric client suffering from asthma exacerbation? 6. Indicate how you, as the nurse, would evaluate if the respiratory distress/asthma exacerbation is being treated effectively. 7. Clients diagnosed with asthma undergo evaluation of their lung function. One of these evaluations include a peak flow. Discuss patient education you would provide when peak flow numbers change? Be sure to answer the following questions based on Charlotte LaCour’s information provided under client information above. 8. Discuss clinical manifestations an older adult would present when she has suffered from a hip fracture after a fall. 9. Discuss how you would assess for a suspected elder abuse. Any manifestations you would look for in an elderly client? 3 Be sure to answer the following questions based on Roman Chen’s information provided under client information above. 10. Identify signs and symptoms consistent with Chron’s disease. 11. Discuss appropriate interventions a nurse would take when a client presents with a history of Chron’s disease and severe abdomen pain, tenderness and increased respiratory effort. Priority of Care Questions: 12. How do you prioritize care when caring for multiple clients in the emergency room? Any specific guidelines to consider when determining priorities? 13. As a nurse you will care for multiple clients at once, what guidelines should you use to manage your time appropriately and provide safe nursing care. Math for Meds: 14. An emergency room nurse has received an order for Morphine Sulfate 10 mg IM STAT for a client experiencing severe pain. Read the morphine label below for the available medication. a. How many milliliters (mL) should the nurse administer? Show your work! b. Indicate the nearest measurable dose on the syringe below.