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Objectives: At the completion of this simulation, the student will be able to:

Use sound clinical judgment when administering medication.
Note changes in condition and respond appropriately.
Perform an appropriate focused assessment with cues.
Demonstrates appropriate communication with HCP.

Charlene Miles is a 68-year-old female who was admitted to Century College Hospital for respiratory distress symptoms. Charlene has a history of hypertension (HTN) and mild coronary artery disease (CAD). Charlene continues an antibiotic for pneumonia and has a new diagnosis of Diabetes Type 2 (DM2). Charlene is getting ready to be discharged to home today. Communicate assessment changes with HCP to discuss further intervention.

Charlene’s most recent vitals were as follows:
T-99.9 Oral
P- 96 Apical
R- 18
BP- 152/74
Oxygen saturation- 92% on RA
Weight- 180lbs; Height- 5ft, 2in
BMI- 32.9
You are Charlene’s day shift nurse. The time is 07:00.Bring your stethoscope, watch with a second hand, and electronic resources.

User Ayodeji
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1 Answer

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Final answer:

The subject of this question is Health. It discusses the importance of sound clinical judgement, noting changes in condition, performing focused assessments, and communicating with healthcare providers. Examples and case studies are provided to illustrate these objectives.

Step-by-step explanation:

The subject of this question is Health. It is important to have sound clinical judgement when administering medication, to note changes in a patient's condition and respond appropriately, to perform an appropriate focused assessment with cues, and to demonstrate appropriate communication with healthcare providers. This question provides scenarios and case studies to illustrate these objectives.



Examples of scenarios mentioned in the question include a patient with respiratory distress symptoms and a history of hypertension, coronary artery disease, and diabetes type 2. The vital signs of this patient are also provided, such as temperature, heart rate, respiratory rate, blood pressure, and oxygen saturation levels. These scenarios and vital signs serve as examples to help students understand the importance of clinical judgement and assessment in patient care.



Other case studies mentioned in the question include a patient with asthma and type 2 diabetes experiencing symptoms such as headache, chest pain, coughing, and shortness of breath, and a patient receiving chemotherapy for chronic myelogenous leukemia with symptoms of coughing, dyspnea, fatigue, and crackling in the lungs. These case studies highlight the importance of recognizing symptoms and making appropriate interventions.

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User Aravinthan K
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8.5k points