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vSim for Nursing Fundamentals Conversion

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Case Name Diagnosis Description Patient Situation Associated Reading: Potter & Perry, Fundamentals of Nursing, 9th ed. Fundamentals Case 1: Christopher Parrish Cystic Fibrosis Weight Loss Fat ... igue Christopher Parrish is an 18-year-old adolescent male who is hospitalized for management of cystic fibrosis with weakness and weight loss. He reports fatigue, and he has had a recent 6 kg (13.2 lb.) weight loss. He was diagnosed with cystic fibrosis as an infant and has had multiple hospitalizations for respiratory and nutritional support. A nasogastric (NG) tube has been placed for feedings. Students are expected to assess his nutritional status, assess vital signs, administer oral medications, begin tube feeding, and educate the patient about his nutritional needs. Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8- Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest. The Individual’s Basic Human Needs: Chapter 6 pp. 67 -69 Using Standard and Transmission-Based Isolation Precautions: Chapter 29 pp. 456 - 466 Preventing and Responding to Medication Errors and Teaching about Medications: Chapter 32 pp. 624 - 626 Assessing the Abdomen: Chapter 31 pp. 586 - 589 The Adolescent and Young Adult: Chapter 12 pp. 153 – 157, Chapter 13 pp. 159 - 166 Nutrition: Chapter 45 pp. 1053 - 1098 Administering a Tube Feeding: Chapter 45 pp. 1084 - 1094 Fundamentals Case 2: Edith Jacobson Left Hip Fracture Edith Jacobson is an 85-year-old white female with a history of osteoporosis. She lives at home by herself where she fell and broke her left hip yesterday evening. She is scheduled to have surgery tomorrow morning. The students are expected to assess her vital signs and pain level, and perform a focused assessment of the musculoskeletal system. The students should call for help in order to turn the patient to her side, paying special attention to body alignment, range of Mrs. Jacobson is an 85-year-old white female who was admitted last evening after falling and fracturing her hip. X-rays have been taken and show left intertrochanteric hip fracture. Mrs. Jacobson is scheduled for surgery tomorrow. The Older Adult: Chapter 14 pp. 173 - 191 Assessing the Musculoskeletal System: Chapter 31 pp. 595 - 597 Components of a Neurovascular Assessment: Chapter 31 pp. 598 - 604 Preventing Falls: Chapter 27 pp. 375, [Show More]

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