Appendix NCLEX Questions The following two alternate format NCLEX questions were created related to the case study information and focus on the nursing responsibilities prior to blood administration and the signs/symptoms of acute hemolytic transfusion reactions. NCLEX Question #1 The RN on day shift is looking after Anita, a 93-year-old female patient in with an upper GI bleed. Anita’s latest lab results show an Hgb of 62
Her intro is great because she uses a personal story. Her uses of pathos to make an emotion connection and convincing her audience of the argument by creating an emotional response. One of Theresa weaknesses is “ Or consider “fall assessments “,which nurses uses to determine a patient’s risk of falling while in the hospital-a problem that accounts for 11,000 deaths annually.” This statement is a weakness because it’s no supporting evidence to support the text. Another weakness of Theresa article is “Hospice care is covered benefit under Medicare, and the centers for Medicare and Medicaid Services maintain rigid standards for documentation.”
The patient is reported to have shortness of breath from initial handover between emergency department nurse to ward nurse. With the patient’s history of a chronic obstructive pulmonary disease, their level of consciousness should have been observed frequently to classify the patient had not undergone hypoxia and hypercapnia. Furthermore, evidence between two nurses from the time of 0300 hours to 0500 hours, did not comply. As the attending nurse had said she left at 0300 hours and returned at 0500 hours, the nurse left on standby said the attending nurse had, indeed, made an appearance within that time (HCCC v Jarrett, 2013, 116, 118-121).
I will also discuss on how this clinical situation could be done differently. Clinical scenario I was posted to a medical ward in National University Hospital for my clinical posting. There is a particular cubicle allocated for patients with very high risk of fall called the “Green eye cubicle “. Patients in that cubicle are usually confused or not compliant to fall precaution.
2.2 RESEARCH REVIEW Journal Articles And Speeches/Meeting Papers: 1.Differential Effectiveness of Coping in Managing Stress and Burnout in Oncology Nurses. Authors:Rounds, James B., Jr.; Zevon, Michael A. High levels of stress experienced by primary care oncology nursing staff, and the competency impairment which results from such stress, has become a matter of much concern in health care settings. This study was conducted to identify the coping strategies employed by oncology nurses, and to relate these strategies to differential indices of stress and burnout. Oncology nurses (N=133) at a comprehensive cancer center completed the Ways of Coping (WC) Checklist, the Job-Related Tension Index, the Emotional Exhaustion Scale, the Role Conflict
just about being alive but also about how we may deny the right to life or indeed death. Frost (2011) maintains nurses must arbitrate their role and confront their own moral status in conjunction with their own personal values and beliefs. Habitually patients die due to a terminal illness or old age and medication is prescribed for pain management and to alleviate symptoms (Panzer 2000). Chamberlain-Webber (2005) states it is within situations of terminally ill patients that a nurse can truly be an advocate for the patient.
To face on the multiple-task problem of nurse, there must enhance the awareness and reduce workload for nurse so that the quality of care can improved. Stage 5. Conclusion In this practicum, I observed a lot of nursing practice from nurse staff. Although they are careless to handle the preparation of medication, there should be alert to patient safety and to improve the quality of nursing care which is professional.
Points of care solutions are medical diagnostic testing or documentation done at the patient 's bedside. At my work we us point of care documentation, meaning that the nurses do their documentation in the patient 's room. Research shows that point of care solutions “reduces inefficiencies, decreases the probability of errors, promotes information transfer, and encourages the nurse to be at the bedside” (Duffy&Kharasch, 2010). However, point of care services has been reported by patients to make them feel alienated for their care providers because the nurse 's attention is on their charting and not the patient (Duffy&Kharasch, 2010). This has the potential to “compromise the nurse-patient interaction” (Duffy&Kharasch, 2010).
“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient.
Technology is a massive part of our society today and it is continuously changing. It can help solve issues and increase sufficiency. One safety issue that technology can help improve is medication administration errors that occur in hospitals and other health care settings. A medication administration error is defined as any preventable event that could possibly result in unsuitable medication use or harm to the patient while the health care professional is in control of the medication. The most common type of medical error is medication errors.
According to estimates, at least 1.5 million preventable medication errors and adverse drug events occur each year in the United States. One-third of all medication errors occur during the administration phase of medication delivery (Durham, 2015). Medication safety is freedom from preventable harm with medication use; therefore, nurses must promote patient safety by understanding their contributions to the prevention of medication error (Choo, Hutchinson, & Bucknall, 2010). Additionally, a medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional. Thus, to promote medication safety, nurses must understand their roles in proper medication management and identify challenges that associated with medication safety.