Case Scenario 1: Mrs. Diaz is a

Case Scenario 1: Mrs. Diaz is a 91 year old female of Spanish-Chinese background. She is brought to the hospital in her son’s car after seeing the local doctor in the next town. You are called to assist her to get out of the car. Her son tells you she is “very sick”. You note that she is able to transfer to a wheelchair with minimal assistance. According to her son, Mrs. Diaz fell three days earlier and has bruised her right hip. She is able to walk, though her hip is very painful. She is not distressed when seated. Her blood pressure is 150/90, heart rate 88 and respiratory rate 20. She is also Diabetic for the past 30 years and is monitored by her dietician, Diabetologist and Ophthalmologist. You are unable to ascertain her exact level of pain, though she tells you she is alright. Airway, breathing and circulation intact. Hip causing pain on movement but able to weight-bear. Should wait no longer than 60 minutes. Triage score______ Reason/Justify: ________________________________________________ Tag Color:_________________________ Nursing Diagnosis: Rule Out Medical Diagnosis: (Based on the assessment) Possible Diagnostic Examination: 1. 2. 3. Possible Laboratory Examination 1. 2. 3. If you are the ER Nurse on duty what is your priority nursing intervention 1. 2. 3. 4. 5. Case Scenario 2 • A father presents to the hospital at 2000hrs with his three and a half year old daughter, Savannah, stating that she has had a sore throat for “a day or two”. It started with a runny nose and a fever, then yesterday she began complaining of a sore throat. She has no cough or stridor, she demonstrates no shortness of breath and her skin is pink and warm. Airway, breathing and circulation are intact. Using your penlight and tongue depressor, you notice a grade 3 tonsils, bright red and edematous. She is experiencing some discomfort from her condition and should commence treatment within 60 minutes. Triage score______ Reason/Justify: ________________________________________________ Tag Color:_________________________ Nursing Diagnosis: Rule Out Medical Diagnosis: (Based on the assessment) Possible Diagnostic Examination: 1. 2. 3. Possible Laboratory Examination 1. 2. 3. If you are the ER Nurse on duty what is your priority nursing intervention 1. 2. 3. 4. 5.

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