Nurse Using Critical Thinking Skills Essay Paper

Posted May 18, 2023

Approximately 4 Min Read

Question

You are assigned to care for Mrs. L. today. It is her second postoperative day after a left hip replacement. She had severe degeneration and fusion of her hip joint as a result of postponing surgery for more than 5 years. The surgery took longer than usual due to the extent of damage. Mrs. L. has a history of pulmonary embolism, occurring approximately 2 years ago, for which she has been on warfarin. One goal for today is to assist the patient to get up into the chair. She is obese, and you ask a co-worker for help. Approximately 15 minutes after getting Mrs. L. into the chair, she complains of midsternal chest heaviness and becomes extremely anxious. She shows signs of diaphoresis and dyspnea. Her blood pressure is 98/60 mm Hg with a pulse rate of 108 beats per minute and a respiratory rate of 28 breaths per minute. Discuss and identify what a nurse using critical thinking skills might do in this situation.

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In this situation, a medical caretaker utilizing decisive reasoning abilities ought to focus on the patient’s wellbeing and promptly make suitable moves. The attendant ought to follow the ABCDE approach for patient evaluation and the board, which incorporates Aviation route, Breathing, Dissemination, Incapacity, and Openness.

Aviation route: First, the medical attendant ought to survey the patient’s aviation route and ensure it isn’t compromised. The patient might be encountering respiratory misery or chest torment, which might demonstrate aviation route deterrent or compromised relaxing. The medical attendant ought to manage oxygen and screen the patient’s oxygen immersion level.

Relaxing: The medical attendant ought to survey the patient’s respiratory rate and example, as well as the nature of breath sounds. The patient’s dyspnea and chest greatness might show respiratory misery or aspiratory embolism. The attendant ought to call for guaranteed clinical help and alarm the medical services supplier of the patient’s side effects.

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Course: The attendant ought to survey the patient’s circulatory strain, heartbeat, and perfusion. The patient’s low pulse and raised pulse might demonstrate circulatory shock, which is a hazardous condition. The medical caretaker ought to regulate intravenous liquids as recommended and consistently screen the patient’s circulatory strain.

Incapacity: The medical attendant ought to evaluate the patient’s degree of cognizance and neurological status. The patient might be encountering tension or disarray because of the side effects, which might influence her capacity to convey or adhere to directions. The medical attendant ought to console the patient and offer close to home help.

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Final answer

Openness: The medical caretaker ought to survey the patient’s state of being and carry out an intensive actual assessment, searching for indications of draining or coagulating messes. The patient’s set of experiences of aspiratory embolism and being on warfarin expands her gamble of draining or thickening difficulties. The medical caretaker ought to report any strange discoveries to the medical care supplier and follow the recommended therapy plan.

In synopsis, the medical attendant utilizing decisive reasoning abilities ought to focus on the patient’s security and immediately evaluate the patient’s aviation route, breathing, course, handicap, and openness. The medical attendant ought to give proper mediations and caution the medical services supplier of the patient’s side effects to forestall further complexities Nurse Using Critical Thinking Skills Essay Paper

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