[Answered]: Clostridium difficile Colitis Preparation for Care…

Clostridium difficile Colitis Preparation for Care Activity Recognizing Clinical Relationships Review the medical history and home medications of this patient. For each home medication, identify the pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a line to determine which medication treats what condition. Medical History Medications Pharm. Classification Expected Outcome Common SE Diabetes mellitus type II Hypertension Peripheral arterial disease Gastroesophageal reflux disease • Pantoprazole 40 mg PO daily • Lisinopril 20 mg PO BID • Metoprolol 50 mg PO BID • Metformin 1000 mg PO BID Part I: Developing Noticing and Interpreting Skills 1. Which findings from the present problem are most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance 2. Which data from the social history is most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance UNFOLDING Reasoning Simulation © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN 3. To provide compassionate, holistic care for this patient, answer the following questions. What is the patient likely experiencing/feeling right now in this situation? What can you do to engage yourself with this patient’s experience and show that they matter to you as a person? 4. Which findings from the contextual factors are most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance Patient Care Begins 5. Which current vital sign findings are most important and noticed by the nurse as clinically significant? Most Important Data Clinical Significance TREND: Improve/Worsening/Stable Current Assessment: GENERAL SURVEY Pleasant, in no acute distress, calm, body relaxed, no grimacing, appears to be resting comfortably. PAIN Lower abdominal pain that she rates 3/10, cramping, generalized NEUROLOGICAL Lethargic, does not stay awake once aroused, oriented to person only, (was oriented x4 last recorded assessment 4 hours ago), has no focal neurologic deficits HEAD Head normocephalic with symmetry of all facial features. Pupils brisk, reactive to light, sclera white bilaterally, conjunctival sac pink bilaterally. Lips dry, tongue, and oral mucosa pink and tacky dry. RESPIRATORY Nonlabored respiratory effort on room air. CARDIAC Pale, warm & dry, no edema, heart sounds regular, pulses strong, equal with palpation at radial/pedal/post-tibial landmarks, brisk cap refill. Heart tones audible and regular, no JVD noted at 30-45 degrees. ABDOMEN Abdomen round, slightly distended, and tender to gentle palpation, BS + in all 4 quadrants GENITOURINARY 100 mL clear, dark amber urine four hours ago INTEGUMENTARY Skin normal. No clubbing of nails, cap refill <3 seconds, Hair soft-distribution normal for age and gender. Skin integrity intact, skin turgor elastic, no tenting present. UNFOLDING Reasoning Simulation © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN 6.What assessment data needs to be noticed as most important? Interpret its clinical significance. Most Important Data Clinical Significance Auscultate Anterior Breath Sounds Place a circle on the chest where the nurse would place the stethoscope to auscultate the left lower lobe. Click this link to listen. Identify what type of breath sounds are heard, and interpret their clinical significance. Auscultate Heart Sounds Place a circle on the chest where the nurse would place the stethoscope to auscultate the apical pulse. Click this link to hear heart tones. Identify what type of heart sounds are heard, and interpret their clinical significance. Breath Sounds Clinical Significance Heart Sounds Clinical Significance UNFOLDING Reasoning Simulation © 2023 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN Auscultate Bowel Sounds Place a circle on the abdomen where the nurse would place the stethoscope to auscultate the left lower quadrant. Click this link to hear bo