Assignment task:
Concept: Clinical Judgment/Nursing Process
Assignment: Tyrone Jacobs Case Study (15 points)
Directions:
Individual Assignment
Download this google document and save as a word doc
View the Tyrone Jacobs case study recording
Complete this worksheet and upload to Brightspace by the due date on the course calendar
Client Profile:
Client Data:
Tyrone Jacobs is a 12 year old male patient who arrives in the emergency department with his mother and father gasping for air. A nursing assessment reveals the following vital signs:
Temp: 37C
BP: 98/70
P: 115
R: 32
O2 sats: 95% on room air
Additional data obtained when he arrives in the ED includes:
Height: 4'5"
Weight: 40.5 kg
Medications:
Albuterol inhaler: 2 puffs as needed every 4 hours for shortness of breath
Singular: 5 mg by mouth daily
Another nurse completes the initial assessment, then hand's the client off to you. During the handoff, the nurse tells you:
Tyrone presented to the ED gasping for air with an occasional non-productive cough. His lungs are wheezy and he is using accessory muscles to breathe. Tyrone feels short of breath. He used his albuterol inhaler four times at home with no improvement. He is alert and able to speak in full sentences but noticeably tachypneic when talking. His skin is warm and dry. Tyrone is getting over a recent upper respiratory infection and has clear rhinorrhea. Denies sinus pain or pressure. No hearing loss. Ears free of cerumen. No redness to the throat.
Answer the following questions.
The first question is worth 5 points. Then each question is worth 2 points for a total of 15 on this assignment.
Important note: You should use your readings to guide your answers. The responses below should be your own interpretation of the readings and how you will apply the nursing process to client care. Do NOT simply copy and paste information from your readings. Tell us in your own words how you understand the nursing process.
What are the 5 key areas for thinking like a nurse and clinical judgment? Describe each area in your own words. Use bullet points. (5 points)
Identify all of Tyrone's subjective data (step one of the nursing process)
Identify all of Tyrone's objective data (step one of the nursing process)
Discuss the difference between the medical diagnosis and the nursing diagnosis (step two of the nursing process)
After reviewing your readings regarding the planning and implementation steps of the nursing process, discuss how you will apply those steps to Tyrone's care.
The final step of the nursing process is to evaluate and reflect. Use your readings to discuss how you will evaluate Tyrone's care.