Rasmussen NUR2115 Module 4 Assignment Latest 2021 April

NUR2115 Fundamentals of Professional Nursing

Module 4 Assignment  

Nursing Process – Case Study

Please read the following case study and complete the attached template.

Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.

You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping.

Module 04- Nursing Process Case Study.docx

Additional Resource

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Module 4 Written Assignment- Nursing Process Case Study

1.            Assessment

a.            What is the objective data?

b.            What is the subjective data?

c.             What further evidence would you need to gather in your patient interview?

2.            Analysis & Identification of the Problem

a.            What do you believe Daniel’s problems are?

b.            Use the chart below to develop a care plan from your known data

Nursing Diagnoses Use your Assessment data to ID clinical problems	Expected Outcomes (S.M.A.R.T.) Specific, measurable, attainable, realistic,  & time-oriented (ID a future time or date for reassessment/evaluation)	Nursing Interventions What can you, the nurse, do to reach the goal and improve the problem? (Include citation to support your interventions)
#1   R.T.   A.M.B.	The patient will… Short-term Goal #1   Long-term Goal #2	The nurse will… 1. 2. 3. 4.
#2   R.T.   A.M.B.	Short-term Goal #1 Long-term Goal #2	1. 2. 3. 4.

 

3.            While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Daniel’s care?

References