Assessment Help – – Scenario
\nAs a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
\n\u2022\tRichard Henderson
\n\u2022\t58 years old
\n\u2022\tMale
\n\u2022\tAdmit diagnosis: GI bleed
\n\u2022\tHistory: no surgical history
\n\u2022\tMedical history: Gastritis & GERD
\n\u2022\tMedications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO \u2013 states he takes this at least daily.
\n\u2022
\nReport from physician\u2019s office: Mr. Henderson arrived to the physician\u2019s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn\u2019t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106\/60 mm Hg, HR 98 beats\/min, RR 20 breaths\/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4\/10 at present. No pain medication is ordered at this time.
\n\u2022\tLab assessments ordered: CBC and chemistry panel
\n\u2022\tCT of the abdomen shows no signs of free air (no perforation)<\/p>\n
When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.<\/p>\n
Instructions
\nIn the discussion post, address the following:
\n1.\tWhile receiving report, what concerns do you have regarding the client report?
\n2.\tWhat type of shock is occurring?
\n3.\tWhat stage of shock is the client experiencing?
\n4.\tWhat is your next intervention and why?
\n5.\tWhat additional lab assessments would you anticipate?
\n6.\tProvide additional thoughts and insights.<\/p>\n
Initial post due May 18, 11:59pm. Two replies due May 20, 11:59pm.
\n*See discussion grading rubric. The initial posting should provide one additional resource other than the required reading. Provide at least one reference for both of the two reply posts.
\nReferences
\nJones, D., DeVita, M., & Bellomo , R. (2011). Rapid-Response Teams. English Page Essay – Journal of Medicine, 365, 139-146. Retrieved from Client Safety Network.
\nPlease make your initial post by midweek, and respond to at least two other students\u2019 posts by the end of the week. Please check the Course Calendar for specific due dates.
\nSON Discussion Rubric – grade miners score
\nLevels of Achievement
\nDiscussion Rubric – grade miners score Criteria (Points)
\n\u2022\tInitial Posting Comprehension – Points 12
\n\u2022\tInitial post does not include explanations with examples or supporting evidence. Failure to submit initial posting will result in zero points for this criteria. – Points 9
\n\u2022\tInitial post includes brief explanation with limited or unclear examples and limited supporting evidence. – Points 10
\n\u2022\tInitial post includes clear explanation with examples and supporting evidence. – Points 11
\n\u2022\tInitial post includes comprehensive explanation with detailed examples and supporting evidence. Points 12
\n\u2022\tResponse Posting Reasoning – Points 12
\n\u2022\tResponse to peers attempts to contribute to the discussion but lacks suggestions and\/or supporting evidence. Failure to submit response postings will result in zero points for this criteria. – Points 9
\n\u2022\tResponse to peers provides minimal contributions and suggestions with limited or no supporting evidence. – Points 10
\n\u2022\tResponse to peers contributes to the discussion with suggestions and supporting evidence. – Points 11
\n\u2022\tResponse to peers offers substantial contributions and detailed suggestions with supporting evidence. – Points 12
\n\u2022\tSpelling and Grammar – Points 3
\n\u2022\tSpelling and grammar contain substantial errors that makes sentences and\/or paragraphs incoherent. – Point 0
\n\u2022\tSpelling and grammar errors occur but are inconsistent. Paragraphs and sentences are coherent but may exhibit spelling errors, run-on\u2019s or fragments, and\/or improper verb tense usage. – Point 1
\n\u2022\tDisplays proper grammar application and writing contains minimal to no spelling errors. May contain rare improper uses of words (ex., their vs. there), a misplaced modifier, or a run-on sentence, but does not detract from the overall understanding of the sentence and\/or paragraph. – Points 2
\n\u2022\tDemonstrates an exemplary application of spelling and grammar. – Points 3
\n\u2022\tAPA Citation – Points 3
\n\u2022\tCitations do not follow APA Your Online Study Bay Assessment Task Assignment Help. Quotations, paraphrases, and summaries are not cited, or there is no attempt to cite them using APA style. – Point 0
\n\u2022\tErrors in APA citations are noticeable and may detract from the ability to locate the original source (for example, no title provided, year of publication is missing, no punctuation). – Point 1
\n\u2022\tErrors in APA citations are less noticeable and do not detract from the ability to locate the original source (for example, a missing or misused comma or period, missing parentheses, author name not properly abbreviated, indentation is misaligned). – Points 2
\n\u2022\tAPA citations are free of style and formatting errors. – Points 3
\nTotal Points Possible: 30<\/p>\n
While receiving report, the following concerns regarding the client report arise:
\na. Mr. Henderson has a history of gastritis and GERD, which could have contributed to his current condition.
\nb. He has been taking Alka Seltzer at least daily, which may have worsened his gastric bleeding.
\nc. Mr. Henderson missed his BP medication this morning due to dizziness, which could indicate a problem with his cardiovascular system.
\nd. He is pale, nauseous, and his skin is cool and clammy, indicating a potential circulatory problem.<\/p>\n
The type of shock that is occurring in Mr. Henderson is likely hypovolemic shock. A GI bleed can result in significant blood loss and lead to hypovolemia.<\/p>\n
Based on the client’s symptoms, the stage of shock Mr. Henderson is experiencing is likely decompensated shock. He has already lost consciousness, indicating a severe drop in blood pressure.<\/p>\n
The next intervention would be to assess Mr. Henderson’s airway, breathing, and circulation (ABCs) and initiate appropriate measures to manage his hypovolemic shock. This could include administering intravenous fluids, oxygen, and potentially blood products.<\/p>\n
In addition to the CBC and chemistry panel, additional lab assessments that may be anticipated include coagulation studies (e.g., PT\/INR, aPTT) and a type and screen for potential blood transfusions.<\/p>\n
It is important to consider the potential contributing factors to Mr. Henderson’s GI bleed, such as his history of gastritis and GERD, and the use of Alka Seltzer. It is also important to monitor his hemodynamic status closely and adjust interventions as necessary to prevent further deterioration. Rapid response teams (RRTs) may also be utilized to facilitate timely interventions and improve outcomes (Jones, DeVita, & Bellomo, 2011).<\/p>\n","protected":false},"excerpt":{"rendered":"
Assessment Help – – Scenario As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. \u2022 Richard Henderson \u2022 58 years old \u2022 Male \u2022 Admit diagnosis: GI bleed \u2022 History: no surgical history \u2022 Medical history: Gastritis & GERD \u2022 Medications: Prilosec 40 mg […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5584,5217,5589,5586,5591,5594,5590,5587,5583,5593,5592,5588,5582,5585,5595],"tags":[5597,5601,5602,5605,3665,5603,2339,5607,4868,5598,5604,5606,5600,3325,5599,5596],"class_list":["post-13955","post","type-post","status-publish","format-standard","hentry","category-assessment-homework-help-online","category-australia-essays","category-best-ideas-for-dissertation-topics","category-best-ideas-for-research-paper-topics-in","category-best-thesis-topics-and-ideas-on-different-subjects","category-dissertation-topics-good-thesis-ideas","category-dissertation-topics-for-ph-d-and-thesis-ideas","category-dissertation-topics-for-students-in","category-help-with-australia-assessment-assignment","category-research-topics-for-college-students","category-sample-thesis-titles","category-trending-dissertation-topics-ideas-for","category-uk-assessment-assignment-help","category-uk-essays","category-undergraduate-dissertations-topics-examples-ideas","tag-essay-service-website","tag-essay-writer-from-usa","tag-hire-a-professional-essay-writer","tag-hire-essay-writer-for-your-papers","tag-i-need-help-writing","tag-i-will-pay-someone-to-write-my-essay","tag-looking-for-someone-to-do-my-assignments","tag-online","tag-page-paper","tag-pay-for-essay-get-top-quality","tag-pay-someone-to-write-my-paper","tag-professional-paper-writing-service","tag-professional-to-write-my-essay","tag-write-a-paper","tag-write-my-essay-for-me-by-native-writer","tag-write-my-essay-no-plagiarism"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/13955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/comments?post=13955"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/13955\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/media?parent=13955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/categories?post=13955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/tags?post=13955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}