The Clinical Judgement Measurement Model Patient: Patient

The Clinical Judgement Measurement Model Patient: Patient (17yo female) presented to ER with malaise and brownish-colored urine. Health care provider diagnosed her with strep throat three days prior, she has completed 4 doses of the 10 day course of amoxicillin. Pt. labs showed elevated BUN, creatinine, potassium, and WBC. BP 140/86 trending up, pulse 104bpm, respirations 22bpm unlabored, temp 101.2 F trending up, throat pain 2/10 and headache 4/10 My nursing diagnosis: Patient at risk for electrolyte imbalance related to Increase potassium as evidenced by recent lab result Recognize Cues: **List the data/cues that are relevant and are interpreted as clinically significant Significant Data/ Cue 1: Significant Data/Cue 2: Significant Data/Cue 3: Significant Data/Cue 4: Significant Data/Cue 5: Analyze Cues-Organizing and linking the recognized cues to the clients clinical presentation Potential Problem 1: Potential Problem 2: Potential Problem 3: Prioritize Hypothesis-Evaluating and ranking hypothesis according to priority (urgency, likelihood, risk, difficulty, time, etc.) **Of the potential problems you identified, which problems is most likely present? Which problem is the most concerning and why? Generate Solutions-Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes. Priority Action/Intervention 1: Expected Outcome: Priority Action/Intervention 2: Expected Outcome: Priority Action/Intervention 3: Expected Outcome: Take Action-Implementing the solution that addresses the highest priorities. SCIENCE HEALTH SCIENCE NURSING NR 328

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