NR 340 Week 6 Assignment: Clinical Simulation Prep Packet
NR 340 Week 6 Assignment: Clinical Simulation Prep Packet
Susan Weil Simulation Scenario
- What is the nurse’s role in providing family centered care during and after a crisis?
- What pharmacological and non-pharmacological comfort measures can be used for a post-operative patient?
- What vital nursing assessment data should be gathered on a patient post hip replacement surgery?
- Describe the major complications that can arise for patients who are post-operative hip injury/replacement?
- Describe the pathophysiologic process of a pulmonary embolism. Include the typical origin site of a pulmonary embolism.
- What are 3 signs and symptoms associated with a pulmonary embolism?
- What medical treatments can be used to treat a pulmonary embolism?
- What immediate nursing interventions should the nurse perform for a patient who is experiencing a pulmonary embolism?
- Describe the actions, indications, contraindications, adverse effects, dose range and method of administration for the following medications:
Naomi Reed Simulation Scenario
- Differentiate the pathophysiological processes and treatment options used in the 2 major types of stroke.
- What is the National Institutes of Health Stroke Scale (NIHSS)?
- Provide 3 nursing considerations for administration of tissue plasminogen activator (rTPA). What may result if administration of TPA is too fast or too slow?
- List 5 contraindications for the administration of TPA.
- Sample TPA calculation. 9 mg/kg over 60 minutes (not to exceed 90 mg) with 10% of the total dose administered as an initial IV bolus over one minute. Patient weighs 130 lbs. TPA comes in a premixed bag: 75mg in 75 ml. Calculate the infusion dose (in mg) and the bolus dose (in mg).
- How often are vital signs and neuro checks performed once TPA has been started?
- What nursing interventions need to be avoided once TPA administration has started?
- What are potential complications of TPA therapy the nurse will need to assess for?
- What is the desired outcome of TPA?
- Describe the actions, indications, contraindications, adverse effects, dose range and method of administration for the following medications: