Tutor profile: Amanda C.
Describe the 5 steps of the nursing process.
Assessment--Typically, depending on facility protocol and patient status, assessments are performed every 4 hours. Assessments include an in-depth observation of a patient which included but not limited to obtaining vital signs, listening to heart/lung/bowel sounds, checking for capillary refill and edema, assessing wounds, etc. Diagnosis--Based on symptoms found during the assessment, the nurse forms a nursing diagnosis. Symptoms include subjective, objective, and patient behavior. Plan--Goals are set by the nurse for the patients' best outcome and recovery. The overall plan is to achieve the very best patient outcome. Implementation--This step puts the plan into motion. When implementing the care plan, consistency must be maintained and close observation of progress must be noted. Evaluation--This step reviews the effectiveness of the care plan and noting the patients' response to the plan and implementation.
A patient is admitted to the hospital for the very first time. What approach should you as the nurse take when admitting this patient to your floor?
After thorough initial assessment, you should review with the patient how to use the call bell, how to turn the TV on/off, how to work the lights, how to make a call, and where to find items on the unit (if your unit permits patients to obtain their own items.) Now is a good time to address visiting hours as well. You as the nurse are one of the first individuals that the patient will come in contact with so you'll want to make the best first impression.
A nurse manager is reviewing discharge instructions with an elderly patient who does not understand what the nurse is telling him and is asking multiple questions. The nurse manager is being paged that there is an irate patient attempting to leave without medical advise. Based on this scenario, what plan of action should the nurse manager take?
The nurse manager should reach out to the charge nurse to continue discharge teaching to the elderly patient as she does not want to prolong his discharge. The nurse manager will then contact the interdisciplinary team to work with the irate patient to attempt to calm him down and get him the treatment he needs.
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