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CASE STUDY

Clinical Scenarios, Assessing

Use your own words only.

You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions.
What data in the scenario are pertinent?
What type of nursing assessment would you expect to complete and why?
Why would you need to establish assessment priorities?
What patient factors would assist in identifying and prioritizing data?
What challenges might the nurse encounter during data collection?

You receive a patient as a direct admission from a physician’s office. During the patient’s transfer from the wheelchair to the bed you note a limp. The patient’s daughter is present and comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother, but also sets boundaries regarding her mother’s anxiety.
What categories of data (provide definitions as well) would you expect to collect in this admission interview?
Describe the characteristics of collected data and their impact on collected data.
Where could you find helpful data sources?
Describe the role of observation in competent nursing care.
SCIENCE
HEALTH SCIENCE
NURSING
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