Complex Patient Case Results
Doris Turner ShadowHealth
Patient Assessment
Finding:
Checked blood glucose before giving medication
Pro Tip: Since your patient is receiving insulin for her diabetes, it is important to
...
Complex Patient Case Results
Doris Turner ShadowHealth
Patient Assessment
Finding:
Checked blood glucose before giving medication
Pro Tip: Since your patient is receiving insulin for her diabetes, it is important to assess her
blood sugar before and after administration monitor for intended therapeutic effect and
hypoglycemia.
Example Question:
Finding:
Asked sulfa reaction type
Pro Tip: Assessing the reaction type and severity of a stated allergy may help inform your
care plan and determine which medications are appropriate to administer.
Example Question:
How does your body react to sulfa?
Finding:
Asked for patient identification
Pro Tip: Proper identification is critical for the protection of your patient. It is recommended to
check two identifiers before interacting with the patient.
Example Question:
What is your name and birthday?
Finding:
Asked about general experience with side effects
Pro Tip: When administering routine medications, understanding the side effects that the
patient generally experiences can shape your care plan to ensure patient safety and comfort.
complex patient case shadow health doris turner
Example Question:
What medication side effects have you experienced?
Finding:
Asked about medication allergies
Pro Tip: Patients may have allergies that are not included in their documentation, so asking
for verbal confirmation can prevent serious adverse events.
Example Question:
Do you have medication allergies?
Finding:
Checked vitals before giving medication
Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration
of ordered medications.
Example Question:
Finding:
Asked about breathing
Pro Tip: As your patient is suffering from pneumonia, it is important to assess breathing
status to identify worsening symptoms or life-threatening respiratory complications.
Example Question:
Have you had breathing problems lately?
Finding:
RLL with crackles, all other lobes clear to auscultation before medication
Pro Tip: Auscultation of your patient's lungs is important to assess for worsening symptoms
of her pneumonia.
Example Question:
Finding:
Asked about orientation to place and time
Pro Tip: Many of the patient's ordered medications carry the risk of confusion as an adverse
effect; it is also important to assess geriatric patients for the onset of age-related conditions
such as dementia.
Example Question:
Do you know where you are right now?
Finding:
Asked about comfort
Pro Tip: Assessing your patient's comfort level during her hospital stay is an important
administrative best practice; addressing her concerns about comfort may enhance her
general well-being and the efficacy of treatment.
Example Question:
Are you comfortable?
Finding:
Asked about ability to use bathroom
Pro Tip: Since your patient is part of the geriatric population, it is important to assess her
ability to get to the bathroom and walk independently.
Example Question:
Do you need help getting to the bathroom?
Finding:
Asked about mobility
Pro Tip: Since your patient is part of the geriatric population, it is important to assess her
ability to get to the bathroom and walk independently.
Example Question:
Do you have problems walking?
Finding:
Asked about thirst
Pro Tip: Thirst can be an important indicator of the patient's general comfort and recent
intake. Excessive thirst may be an indicator of dehydration.
Example Question:
Are you thirsty?
Finding:
Checked intake and output before giving medicat
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