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Hello
I need help to answer the following questions based on the scenario below also please see the interaction with the patient.
Please provide 2 peer reviewed references.
Opening Questions
How did the scenario make you feel?
Scenario Analysis Questions*
PCC When a patient develops a rapid onset of shortness of breath, what are the nurse’s immediate priorities?
PCC What assessment findings would indicate that the patient’s condition is worsening?
PCC/I Review Vincent Brody’s laboratory results. Which results are abnormal? Discuss how these results relate to his clinical presentation and chronic disease process.
PCC/S What are safety considerations when caring for a patient with a chest tube?
PCC/S What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.
Concluding Questions
What patient teaching priorities would be important in the patient experiencing an acute exacerbation of COPD?
For a patient with COPD who is stable, what resources would you recommend?
What would you do differently if you were to repeat this scenario? How would your patient care change?
VSIM Vincent Brody
Patient Introduction Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours ago for exacerbation of his chronic obstructive pulmonary disease (COPD). He is maintaining O2 saturations at 94% on 2 L/min of oxygen per nasal cannula. IV of potassium chloride in 5% dextrose and normal saline is infusing at 100 mL/hr in his right hand. He has responded well to medications and treatments and appears to be resting. He continues to have a productive cough. Patient has a 50-year history of smoking 2 packs a day. During the last year he has had two exacerbations. Physical findings include a barrel chest and clubbed finger
Simulation
1. Introduction 2. Wash hands 3. Identify patient 4. Ask about allergies 5. Attach continuous ECG 6. Attach SpO2 leave on 7. Attach NIBP 8. Assess respirations 9. Check radial pulse 10. Check temperature 11. Sit the patient up 12. Auscultate the lungs 13. Assess IV 14. Flush IV 15. Give Albuterol 2.5mg nebulizer 16. Patient education 17. Take ABG 18. Capillary refill 19. Review ABG results 20. Phone provider 21. Reassess lung sounds 22. Call provider 23. Obtain consent 24. Flush IV 25. Give 2mg morphine push SLOW 26. Flush IV 27. Request chest x ray 28. Review results 29. Give 100% oxygen with non rebreather mask 30. 10L oxygen rate 31. Call provider 32. Request chest tube insertion 33. Patient education 34. Request chest x ray 35. Listen to the lungs 36. Check radial pulse 37. Patient education 38. handoff

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