During an episode of patient deterioration urgent treatment may be required and, consequently, there may be limited opportunity for learning by the ward nursing staff caring for the deteriorating patient. What strategies might you use to optimise learning in this scenario?
What will be an ideal response?
(i) Revisit ward/staff in the next day or two to review the scenario and provide relevant education; (ii) use clinical simulation based on real scenarios to develop knowledge and skills in the care of a deteriorating patient; (iii) monitor future episodes of patient deterioration in the same ward to determine whether staff appear to be developing knowledge, skills and confidence.
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The nurse is reviewing a client's vital signs from birth to age 10. Which changes would the nurse expect to find?
1. Reduction in temperature, increase in heart rate, decrease in respiratory rate, and increase in blood pressure 2. Reduction in oxygen saturation, decreased heart and respiratory rate, and decreased blood pressure 3. Reduced heart and respiratory rate and increased blood pressure 4. Decreased temperature, reduced heart and respiratory rate, and increased blood pressure
The classic scientific method has its intellectual roots in:
A) Positivism B) Determinism C) Constructivism D) Empiricism
A patient was admitted to an acute care unit with weakness and complaints of dizziness. Dehydration is suspected as the cause
Which laboratory findings would the nurse evaluate as supporting that diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Hematocrit of 50% 2. Serum sodium of 132 mEq/L 3. Serum potassium of 5.1 mEq/L 4. Serum bicarbonate of 22 mEq/L 5. Serum osmolality of 320 mOsm/kg
The nurse is caring for an 8-year-old hospitalized child who is visually impaired. Which intervention would be the highest priority in helping this child reduce anxiety related to hospitalization?
A) The nurse takes the child to the playroom and lets her touch the toys B) The nurse talks to the child when entering and leaving the room C) The nurse encourages the child to call her friends on the telephone D) The nurse stays with the child during meals and helps her eat