*NURSING > STUDY GUIDE > COVID case study rated 5 star (All)

COVID case study rated 5 star

Document Content and Description Below

• Physiological Adaptation ✓ Part I: Initial Nursing Assessment Present Problem: John Taylor is a 68-year-old African-American male with a history of type II diabetes and hypertension. He came ... to the emergency department (ED) triage window because he felt crummy, complaining of a headache, runny nose, feeling weaker, “achy all over” and hot to the touch and sweaty the past two days. When he woke up this morning, he no longer felt hot but began to develop a persistent “nagging cough” that continued to get worse throughout the day. John is visibly anxious and asks, “Do I have that killer virus that I hear about on the news?” Personal/Social History: John lives in a large inner-city that has had over three thousand confirmed cases of COVID-19. He has been married to Maxine, his wife of 45 years, and is a retired police officer and active in his local church. 1. What data from the histories are RELEVANT and must be NOTICED as clinically significant by the nurse? (NCSBN: Step 1 Recognize cues/NCLEX: Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance: Hx T2DM, HTN Reports feeling weak, headache, hot, diaphoretic, cough, anxious, African American Comorbidities Symptoms of illness Psychological state Places him at higher risk RELEVANT Data from Social History: Clinical Significance: Heavily populated residence, 3000 confirmed cases, attends church, married High risk of transmission Attends public gatherings (church) increasing changes of transmission Risk of spreading infection to his wife 2. What additional clarifying questions does the triage nurse need to ask John to determine if his cluster of physical symptoms is consistent with COVID-19? Have you traveled recently? (Within & out of state) Have you had any contact with anyone who tested positive? Are you and your wife attending church or other community gatherings currently? If so, have you been practicing social distancing? Wife have any symptoms? Smoke or asthma hx? Occupation? Have you treated your fever? Flu shot? Pneumonia vaccine? Do you have additional symptoms such as shortness of breath, sore throat, loss of taste or smell? 3. Based on the clinical data collected, identify what measures need to be immediately implemented using the following clinical pathway. © 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Initiate contact / droplet precautions Keep patient in separate room Provide mask to patient Test for Covid 4. What type of isolation precautions does the nurse need to implement if COVID-19 is suspected? What specific measures must be implemented to prevent transmission? Type of Isolation: Implementation Components: Standard precautions (all patients), contact and droplet precautions Airborn precautions PPE, (N95 mask, face shield, gown, gloves), hand hygiene, no visitors For aerosolizing procedures, negative pressure room Part II: Patient Care Begins in the ED: John is brought back to a room. As the nurse responsible for his care, you collect the following clinical data: Current VS: P-Q-R-S-T Pai [Show More]

Last updated: 2 years ago

Preview 1 out of 10 pages

Buy Now

Instant download

We Accept: