nursing clinical assigment

 

Objectives 

1. Describe routine labs and relevance of abnormal findings.
2. Identify the MOA, indications and nursing considerations of selected medications.
3. Create a nursing care plan for a patient in acute pain.

Instructions

1. Create a table for the following 11 labs: Na, K, CL, HCO3, BUN, Cr; Hgb, Hct, WBCs, RBCs, platelets.

• List normal ranges (11 pts/1 pt for ea lab)
• Identify conditions and list signs and symptoms associated with abnormally high values for each lab (11 pts/1 pt for ea lab)
• Identify conditions and list signs and symptoms associated with abnormally low values for each lab (11 pts/1 pt for ea lab)

2. Create a table for the following 3 labs: PT, PTT, and INR.

• List normal ranges (3 pts/1 pt for each lab)
• Identify drugs that affect the results of each adversely. (3 pts; 1 pt for each lab)
• Identify the drug and therapeutic ranges when a patient is on anticoagulant therapy (3 pts; 1 pt for each lab)

3. List nursing interventions for a patient on anticoagulation therapy.

4. Create a table for the following 11 medications: propranolol, captopril, diltiazem, furosemide, digoxin, amiodarone, heparin, enoxaparin, warfarin, famotidine, pantoprazole.

• Identify the classification and MOA of each (6.5 pts/0.5 pt for each med)
• Identify the indication for each (6.5 pts/0.5 pt for each med)
• Identify the side effects of each (6.5 pts/0.5 pt for each med)
• Identify the nursing considerations of medication (6.5 pts/0.5 pt for each med)

5. Create a plan of care for a patient experiencing acute pain. Include the following points:

• Subjective assessment of pain (4 pts)
• Objective assessment of pain (4 pts)
• Nursing and collaborative interventions for acute pain (4 pts)
• Evaluation of pain interventions, including standards of timing (2 pts)