ADNG 1050 Foundations of Nursing Skills

Scenario:

· Tom McBride is a 46 year old male in the Emergence Department complaining of weakness, dizziness, and a headache. He reports working outside in hot weather

for 6 hours without adequate water intake. Nausea but no vomiting. He appears flushed and slightly diaphoretic.

Vital signs:

Temp: 99.1°F (37.3°C)

· HR: 108 bpm

· BP: 98/60 mmHg

· RR: 20

· O₂ Sat: 97% on room air

Skin: Dry lips, poor skin turgor

Neuro: Alert and oriented × 4, slightly slow responses

· Order: Start peripheral IV and administer 1 Liter of 0.9% Normal Saline via gravity tubing. Discontinue IV when complete.

Documentation

To complete: Upload this document to your computer & fill it out electronically (directly into the assignment)

To turn it in: Re-upload it to the correct file/drop box in D2L.

____________________________________________________________________________________

1. Write a DARP note including:

D: Data

A: Action

R: Response/Results

P: Plan

2. Patient Education (Write as a Script) Keep short and to the point.

3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.

NPSG Chosen: Why It Matters:

4. Nursing Diagnosis & Care Plan

3-Part Nursing Diagnosis:

Student nursing diagnosis:

5. SMART Goal:

Student SMART goal:

List:

· 2 Interventions to accomplish this goal

· Rationale for each intervention

· Evaluation for each intervention

1. Intervention:

· Rationale:

· Evaluation:

2. Intervention:

· Rationale:

· Evaluation:

Video Review: