This week’s graded discussion topic relates to the following Course Outcomes (COs).

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO3 Utilize effective communication when performing a health assessment. (PO 3)
CO5 Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO 6)

Please choose one of the patient scenarios below. Next, complete a rapid assessment, and provide a SBAR report to a classmate. Remember to include all concepts of patient safety, standard precautions, and professional standards.

You are covering for a coworker who is off the floor for lunch, when you suddenly hear a loud crash coming from a nearby patient room. You quickly run in and discover Mr. Johnson who was admitted yesterday with a diagnosis of cerebral vascular accident (CVA) unconscious on the floor between the bed and the bathroom.
You are called to the room of 2-year-old Jonah by his mother who states the child has suddenly started breathing very loudly and does not look right. Upon entering the room you quickly recognize that the child is in respiratory distress as his lips are cyanotic and the use of accessory muscles is evident.
You are in the process of admitting Ashley, a 27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints of headache, dizziness, and swelling of her lower extremities when she suddenly begins seizing.

Solution:

Nr305 Week 8: Rapid Assessment of a Client

We are at the end of the week 8 a very challenging one but we have come thus far and I (we’re) am super happy. This week I did a rapid assessment and SBAR report to a classmate

You are in the process of admitting Ashley, a 27 year old who is 28 weeks pregnant with her first child, to the obstetric unit for complaints of a headache, dizziness, and swelling of her lower extremities when she suddenly begins seizing.

My rapid assessment would be to introduce myself to Ashley family and call for help. Ensure that oxygen and suction catheter is in the room. I would used the acronym SOAP. Subjective the pt. complaint of a headache, feeling dizzy and swelling of her extremities. Objective: V/S, 3+ pitting edema, 2+ protein in urine, blurry vision and headache on pain scale 9 out of 10. Assessment: Ensuring Ashley safety by initiating seizure precautions by making sure she is on a flat surface preferably on a blanket, if unable to get her in a bed, provide privacy, loosen any constrictive clothing and moved furniture away so she doesn’t hurt herself. Plan: I would also maintain a clear airway. I would document the time the seizure began, identify the type…Please click the Paypal icon below to purchase full solution for only $5