[Solved] NR327 Week 7: Real Life Scenario Assignment: Preeclampsia

NR327 Week 7 Real Life Scenario Assignment Preeclampsia

Preparing the Assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Recommend using Firefox browser and clearing the cookies and cache before starting the assignment.
2) Log in to your ATI account and click on the “MY ATI” tab. Click the “Apply” tab and select the Real Life
Maternal Newborn 2.0. In the box that opens, select the following modules to be completed:
• Teaching Prenatal and Newborn Care
• Preterm Labor
• Gestational Diabetes
• Postpartum Hemorrhage
• Preeclampsia
3) Complete the scenario to obtain your overall reasoning score.
4) You may repeat the scenario one time to improve your reasoning score.
5) You must wait 24 hours between the attempts.
6) The document is to be scanned into Canvas for faculty review.

7) Include the following sections (detailed criteria listed below and in the Grading Rubric):
a. Completed Scenario (15 points/37.5%)
• Strong – 15 points
• Satisfactory – 12 points
• Needs Improvement – 7 points
• Does Not Complete – 0 points
b. I-SBAR (15 points/37.5%)
• Completes an I-SBAR based on the Real Life Scenario
• Handwrites the I-SBAR Report Template
• Completes all of the following areas:
o Introduce
o Situation
o Background
o Assessment
o Request/Recommendation
c. Plan of Care (10 points/25%)
• Completes a Plan of Care based on the information reviewed in the Real Life Scenario.
• Completes all of the following:
o Nursing Analysis/Priority Diagnosis
o Patient Goal
o Outcome Criteria
o Met/Not met/Partially met
o Priority nursing interventions
o Reasoning/Rationale
o Evaluation of interventions
• Support from the textbook

 

 

SOLUTION

Decision Log:

Scenario Nurse Alex performed a focused assessment and is preparing to transfer Ms. Kline to the maternal newborn unit.
Question Nurse Alex is reviewing the EMRs in preparation to transfer Ms. Kline to the maternal newborn unit. Use the SBAR format to prepare a transfer report. (Type your response in the text box below and then click the submit button.)
Selected Option S- Situation- 25y/o F, G1 P0 @ 27 weeks gestation. Came to the ED @ 08:00

B- Background Reports sudden wt gain, new onset of N/V w/ blurred vision &

HA. Says she had breakfast earlier this morning but vomited soon after eating

A-Assessment VS= T37.0 P92 R22 BP 162/88 O2 sats 97% Urine protein +1

DTR’s +3 Reports R upper quadrant px, n/v & blurred vision w/ HA

R=Recommendations xfer to M/N unit Rationale SBAR: S = Situation: 25 yearold female, gravida 1 para 0, at 27 weeks gestation. Came to the ED this morning at 0800. B = Background: Reports sudden weight gain, and a new onset of nausea & vomiting, also blurred vision and headache. Says she had breakfast earlier this morning but that she vomited soon after eating. A = Assessment: Vital Signs: T 37.0, P 92, R 22, BP 162/88, O2 sat 97%, urine protein 1 +, deep tendon reflexes 3+, reports right upper quadrant pain, nausea and vomiting and blurred vision with a headache. R = Recommendation: transfer to maternal newborn unit.
Rationale SBAR:S = Situation: 25 year-old female, gravida 1 para 0, at 27 weeks gestation. Came to the ED this morning at 0800.B = Background: Reports sudden weight gain, and a new onset of nausea & vomiting, also blurred vision and headache. Says she had breakfast earlier this morning but that she vomited soon after eating.A = Assessment: Vital Signs: T 37.0, P 92, R 22, BP 162/88, O2 sat 97%, urine protein 1 +, deep tendon reflexes 3+, reports right upper quadrant pain, nausea and vomiting and blurred vision with a headache.R = Recommendation: transfer to maternal newborn unit.
  Optimal Decision
Scenario Nurse Morgan completes the admission assessment and selects the appropriate nursing interventions.
Question Nurse Morgan completes an admission assessment for Ms. Klein. Based on the assessment, which of the following is the priority nursing intervention at this time?
Selected Option Initiate seizure precautions.
Rationale The greatest risk to the client and fetus is injury from seizures and resulting hypoxemia. The priority intervention is to initiate seizure precautions.
  Optimal Decision
Scenario Nurse Morgan prepares to call Dr. Hunt and give a report………..please follow the link below to purchase the solution at $15