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Objectives
The purpose of this activity is to provide the student with the oppor
Objectives
The purpose of this activity is to provide the student with the opportunity to review and reflect on the simulation experience, which will lead to increased knowledge and an enhancement in practice.
Method of Evaluation
This assignment is Pass/Fail. To complete the assignment, the student must respond to the reflection questions focused on the vSim experience and Submit the Guided Reflection Questions.
Instructions
Complete the vSim
Click here to download and complete the Guided Reflection QuestionsDownload Click here to download and complete the Guided Reflection Questions
Save the Guided Reflection Questions document to your desktop.
When you Submit your assignment, rename it by adding your last name (i.e.: lastname.guidedreflection)
Patient Introduction
Location: Medical Unit
Time: 1600
Report from the emergency department (ED) nurse:
Situation: Mr. Rashid Ahmed is a 50-year-old male who was admitted to the ED at 0400 this morning with a diagnosis of dehydration and hypokalemia. We are monitoring his fluid and electrolyte status closely. I have just completed the admission assessment and received admission orders.
Background: Three days ago, he developed abdominal cramping, nausea, vomiting, and severe diarrhea 12 hours after returning home from international travel. The symptoms have continued for 2 days, and food and fluid intake has been minimal to none since the symptoms began. Last night before admission, he nearly passed out while going to the bathroom around 0300. Mr. Ahmed was brought to the ED by his wife, and reported dizziness, weakness, fever, and continued nausea. He received 4 mg ondansetron IV for nausea in the ED, which was effective. Lab work was drawn and is available in the patient chart, and urine and stool samples have been sent to the lab.
Assessment: Mr. Ahmed is drowsy but oriented x 3, appears ill, and is irritable. He reports having a headache, which he rates a 4 on a scale of 0–10, but he hasn’t wanted anything for it. Admission weight was 73.5 kg (162 lb), which the patient reports to be about 4.5 kg (10 lb) less than usual. Vital signs were obtained every 4 hours since admission. Heart rate is tachycardic and irregular. He is now tolerating clear liquids and states that his nausea has resolved. The patient had one small liquid stool in the morning and voided around noon. He has not experienced emesis since admission. A Morse Fall Scale has been completed, with a total result of 30. An infusion of 0.9% sodium chloride with 20 mEq KCl is running at 150 mL/hr.
Recommendation: Vitals signs check is up, and Mr. Ahmed has new lab results that should be reviewed. Call the provider if the potassium is still low. There are new orders for the fluid rate. Mr. Ahmed also requires patient education on safety, his new medications, and intake and output measurement.
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