PowerPoint presentation to analyze a specific ethical dilemma faced by
PNC220 Assessment: Case Study #1 Mrs. Smithers arrives at the walk in clinic with complaints of nausea, vomiting and a 3 day history of anorexia. She is 24 years old and is very active and loves the outdoors. She returned home yesterday from a 7 day camping trip and said that she started having abdominal cramps and vomiting on the 5th day of her camping trip. She only ate a few pieces of cold meat from the cooler and potato salad during the last 2 days of her trip. She did not drink much because she was afraid that it would make her vomit more. Her skin is very dry and has poor skin turgor. What objective and subjective questions would you ask this client? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________ What would be your priority assessment for this client? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What might you want to consider given her recent trip? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ What health teaching might you need to provide for this client? ______________________________________________________________________________ ______________________________________________________________________________ Case Study #2 Mr. Hasani arrives at the Emergency department with his wife and daughter. He does not speak English and is 85 years old. His daughter said he is refusing to eat and has been “holding onto his stomach for several hours”. He has not had a bowel movement for 5 days and has not been drinking much for the past 3 days. What would be your priority assessment/action for this client? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What objective and subjective questions would you ask the client/family member? ______________________________________________________________________________ _____________________________________________________________________ What action would you take if you noticed that the client was oozing stool? ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________ Before discharge, what health teaching is necessary for this client and his family? Case study #3 Ms. Bocelli arrived at the emergency department with right lower quadrant pain that started 5 hours ago and has been getting worse. She states it is an 8/10 on a pain scale and it feels like a warm, stabbing pain. She thought she might be constipated but has had a bowel movement and the pain is still present. She says she thinks she may have a fever because she feels “sweaty and hot”. What would be your priority assessment for this client? ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ What subjective and objective questions would you ask this client? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Where do you begin your abdominal auscultation for this client? _____________________________________________________________________________ What would you do if the client suddenly lost consciousness? ______________________________________________________________________________ ______________________________________________________________________________ What do you think would be the consequences of this client ignoring her pain?
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