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: