Time Elapsed Manikin Actions May Use the

Time Elapsed Manikin Actions May Use the Following Cues Nursing Interventions 3 min. Laying comfortably in bed; awake and oriented; answers all questions. Role member providing cue: Patient Cue: What’s your name? 5-7 min. T = 99.8 F (37.7 C) BP = 120/64 P = 86 RR = 18 O2 Sat = 99% (room air) • Heart sounds: Regular • Lung sounds: Clear • Bowel sounds: Active • Pulses: Weak • Speech: Normal • Blood glucose: 280 mg/dL Role member providing cue: Patient Cue: “I’m thirsty and I have to pee, can I have some soda?” 6-10 min. Complaints of nausea Role member providing cue: Patient Cue: “I don’t feel good, I want to throw up.” Patient vomits Phase 1 Post-Simulation Activity: Answer the following questions in a separate Word document and upload to drop box with Phase 2 activity: What is the Erikson stage of psychosocial development for this patient and what behavior would demonstrate accomplish or not accomplish the stage? How would this patient meet the stage, and what statements would substantiate? During the first few days in the hospital, what is Ricky’s primary issue, what is most concerning? We are giving Lispro SQ and food right after, what has to be managed for this to occur? Wound? Family dynamic issues? How should the nurse address these family issues that lead to non-compliance? What are some primary nursing diagnoses that can apply to Ricky and his family? Students will implement actions in phase 2. Phase 2: Phase 2 It is lunch time, and Ricky begins to deteriorate. As the nurse, it is your job to investigate and implement treatment based on findings and available orders. Interprofessional collaboration is always an option. Phase 2 Simulation Nursing Interventions in the Box Time Elapsed Manikin Actions May Use the Following Cues Nursing Interventions 5 min. The patient is lethargic and confused, thirsty and with urinary urgency T = 99.8 F (37.7 C) BP = 105/60 P = 68 RR = 28 (Kussmaul) O2 Sat = 94% (room air) Confused, lethargic, and weak Blood glucose: 315 mg/dL Role member providing cue: Patient Cue: Irritable”I feel horrible and really weak.” 5 min. The patient suddenly becomes unconscious, no response to verbal or tactile stimuli. Role member providing cue: Parent Cue: “What is happening to my son?” 5 min. Patient half opens his eyes and sounds confused but awake Role member providing cue: Patient Cue: “What happened, why are so many people here?” 5 min. Patient quietly resting, less confused Role member providing cue: Patient Cue: “My toe itches.” Only need help with nursing intervention and a plan of care for the patient, there’s no additonal information********************************** Post-Simulation Activity Students Will Phase 2: Evaluate care plan phase 1. To be submitted when complete. SCIENCE HEALTH SCIENCE NURSING NUR 2032C

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