Answer the reflection questions for the vsim of Olivia Jones: Mild…
Answer the reflection questions for the vsim of Olivia Jones: Mild preeclampsia
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Scenario: Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with mild preeclampsia and is admitted to the OB triage area for assessment and surveillance. Pregnancy has been unremarkable until routine prenatal visit today, where BP was 146/92 mm Hg, and a weight gain of 8 lb was noted since last prenatal visit 2 weeks ago. Ms. Jones states her rings do not fit anymore and she feels ”puffy.” Her deep tendon reflexes are normal, +2. Protein dipstick is +2, negative ketones, negative glucose, and +1 dependent edema. Fetal HR, via Doppler in office today, was 130/min, and the baby was active. Ms. Jones presents with nausea and fatigue but denies headache, epigastric pain, visual changes, chest tightness, or abdominal pain; she also denies rupture of membranes, bleeding, or increased vaginal discharge.
1. Recognize cues. What matters most in the scenario? What patient information is the mostpertinent? What is of immediate concern? Identify top findings.
2. Analyze cues. What could it mean? Organize and connect cues that support orcontraindicate a particular condition. What is a concern? Interpret the information andconsider what could be happening. For each of the findings consider possible disease process.
3. Prioritize Hypotheses. Where do you start? What is most/least likely? What is the highestrisk complication? Prioritize care accordingly.
4. Generate Solutions. What can you do? What are the desirable outcomes? Whatinterventions achieve those outcomes? What should be avoided? List interventions.
5. Take Action. What will you do? Identify the most appropriate action. Implement thesolution that addresses the highest priorities. List the interventions that are most appropriateand specify the most immediate priority.
6. Evaluate Outcomes. Did it help? Evaluate the actions performed based on the updatedstatus of the patient. Evaluate whether the assessment finding improved, no change ordeclined
7. Why is this week’s simulated clinical experience important to nursing practice?
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