Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Situation 1
Because of the serious consequences of
severe burns, management requires a
multidisciplinary approach. You have
important responsibilities as a nurse.
Situation 2
You are now working as a staff nurse in a
general hospital. You have to be prepared
to handle situations with ethico-legal and
moral implications.
Situation 3
Colorectal cancer can affect old and
younger people. Surgical procedures and
other modes of treatment are done to
ensure quality of life. You are assigned in
the Cancer Institute to care of patients with
this type of cancer.
Situation 4
Enterostomal therapy is now considered a
specialty in nursing. You are participating
in the ostomy care class.
Colostomy Irrigation
Purpose
- to distend the bowel sufficiently to
stimulate peristalsis, which stimulates
evacuation
Rationale
Irrigation should be performed at the time
the client normally defecated.
Rationale
The irrigation bag should be hung 18-20 inches
above the level of the stoma
A clothes hook is too high which can create
increase pressure and sudden intestinal
distention and cause abdominal discomfort to the
patient
For most clients, a relatively small amount of fluid
(300-500 mL) stimulates evacuation
Rationale
Difficulty of inserting the irrigating tube
indicates stenosis of the stoma and should
be reported to the physician.
Abdominal cramps and passage of flatus
can be expected during colostomy
irrigations.
The procedure may take longer than half
an hour.
Situation 5
A patient just arrived in the Oncology unit
from the Post Anesthesia Care Unit (PACU)
following a Left Modified Radical
Mastectomy because of Inflammatory Breast
Cancer (IBC). She has a pressure dressing
over the surgical site and two drains.
Assessment shows her vital signs are
stable, fully awake and claims that pain is
under control. Felis is the nurse assigned to
the patient.
Situation 6
Infection can cause debilitating
consequences when host resistance is
compromised and virulence of
microorganisms and environmental factors
are favorable. Infection control is one
important responsibility of the nurse to
ensure quality of care.
Situation 7
As a nurse you need to anticipate the
occurrence of complications of stroke so
that life threatening situations can be
prevented.
Situation 8
You admitted Engelbert, male, 70 years old,
because of pulmonary edema. He has a
history of Congestive Heart Failure, type 2
diabetes mellitus and hypertension.
Situation 9
A disaster is a large-scale emergency even a small
emergency left unmanaged may turn into a disaster.
Disaster preparedness is crucial and is everybodys
business. There are agencies that are in charge of
ensuring prompt response. Comprehensive
Emergency Management (CEM) is an integrated
approach to the management of emergency
programs and activities for all four emergency
phases (mitigation, preparedness, response, and
recovery), for all types of emergencies and disasters
(natural, man-made, and attack) and for all levels of
government and the private sector.
MITIGATION
Continuing effort to lessen the impact
disasters have on people and property.
"sustained action that reduces or
eliminates long-term risk to people and
property from natural hazards and their
effects."
PREPAREDNESS
Plans or procedures designed to save
lives and to minimize damage when an
emergency occurs.
Planning, training, and disaster drills
are the essential elements of
preparedness.
RESPONSE
Actions taken to save lives and prevent
further damage in a disaster or
emergency situation
Damage assessment, search and rescue,
fire fighting, and sheltering victims.
RECOVERY
Actions taken to return the community to
normal following a disaster
Repairing, replacing, or rebuilding property
are examples of recovery.
Situation 10
As a member of the health and nursing team
you have a crucial role to play in ensuring
that all the members participate actively is
the various task agreed upon
Situation 12
Brain tumor, whether malignant or benign,
has serious management implications. As
a nurse, you should be able to understand
the consequences of the disease and the
treatment.
Situation 13
As a nurse, you have specific
responsibilities as professional. You have
to demonstrate specific competencies.
65. You are caring for Vincent who has just been
transferred to the private room. He is anxious
because he fears he wont be monitored as
closely as he was in the Coronary Care Unit.
How can you allay his fear?
A. Move his bed to a room far from nurses
station to reduce
B. Assign the same nurse to him when
possible
C. Allow Vincent uninterrupted period of time
D. Limit Vincents visitors to coincide with CCU
policies
65. You are caring for Vincent who has just been
transferred to the private room. He is anxious
because he fears he wont be monitored as
closely as he was in the Coronary Care Unit.
How can you allay his fear?
A. Move his bed to a room far from nurses
station to reduce
B. Assign the same nurse to him when
possible
C. Allow Vincent uninterrupted period of time
D. Limit Vincents visitors to coincide with CCU
policies
Situation 14
As a nurse in the Oncology Unit, you have to
be prepared to provide safe, efficient and
effective care to your patients.
Zinc Oxide
Applied to the skin as a mild astringent, as
a soothing and protective application to
slight excoriation in napkin rash, areas
around stoma, bedsores and postradiation skin sites
Situation 15
In a disaster there must be a chain of
command in place that defines the roles of
each member of the response team.
Within the health care group there are preassigned roles based on education,
experience and training on disaster.
Primary Survey
- Airway/Cervical Spine
- Establish Patent Airway
- Maintain Alignment
193
B Breathing
- Assess Breath Sounds
- Observe for Chest Wall Trauma
- Prepare for chest compression
C Circulation
- Monitor VS
- Maintain Vascular Access
- Direct Pressure
194
D Disability
- Evaluate LOC
- Re-evaluate clients LOC
E Exposure
- Remove clothing
- Maintain Privacy
- Prevent Hypothermia
195
Situation 16
You are going to participate in a Cancer
consciousness week. You are assigned to
take charge of the women to make them
aware of cervical cancer. You reviewed its
manifestations and management.
Cervical Cancer
Signs and Symptoms
Abnormal vaginal bleeding (most common
sign)
- thin, watery, blood-tinged at first which
progresses to spotting & frank bleeding
Prolonged menstrual period
Contact bleeding after intercourse
Anemia
Situation 17
The body has regulatory mechanism to
maintain the needed electrolytes.
However, there are conditions / surgical
interventions that could compromise life.
You have to understand how management
of these conditions are done.
Situation 18
Nurses are involved in maintaining a safe
and healthy environment. This is part of
quality care management.
POLYCYTHEMIA VERA
Management for Generalized Pruritus
athing in tepid or cool water
- aking soda dissolve in bath water
Situation 19
As a nurse you are expected to participate in
initiating or participating in the conduct of
research studies to improve nursing
practice. You have to be updated on the
latest trends and issues affecting
profession and the best practices arrived
at by the profession
Rationale:
Rationale:
Descriptive research, also known as
statistical research, describes data and
characteristics about the population or
phenomenon being studied. Descriptive
research answers the questions who, what,
where, when, "why" and how...
Rationale:
After the questionnaire is completed, each
item may be analyzed separately or in some
cases item responses may be summed to
create a score for a group of items. Hence,
Likert scales are often called summative
scales
Situation 20
Because severe burn can affect the persons
totality, it is important that you apply
interventions focusing on the various
dimensions of man. You also have to
understand the rationale of the treatment.