1. Nancy Gilbert is a 65-year-old Caucasian

1. Nancy Gilbert is a 65-year-old Caucasian female who has a history of laryngeal cancer requiring a permanent tracheostomy and continuous supplemental oxygen. The patient is non-verbal. Nancy was evaluated in the emergency department for dyspnea, cough, and fever. She was admitted to the hospital with a diagnosis of right middle lobe pneumonia. Questions to promote clinical judgment. Students should answer the questions on a blank sheet of paper or on the back of the Direct Patient Care Documentation: Laboratory: 1. What information is relevant and must be recognized as clinically significant by the nurse? 2. What is the underlying cause/pathophysiology? 3. What body systems will you most thoroughly assess? 4. What are two priority-nursing diagnoses? 5. What is the patient likely feeling right now? Instructions to SLS: Moulage female manikin with: 1. Tracheostomy and trach collar with FiO2 at 50% 2. Program SimPad a. Vital signs: BP 140/72, HR 88, RR 22, Temp. 100.4oF and SpO2 of 90% b. Crackles in RML

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