NURSING RN nur 108-Irene James was admitted to the Emergency Department

June 26, 2020

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Irene James was admitted to the Emergency Department after a fall at home. The patient states she stood up to let the cat outside, felt dizzy and fell. Irene reports pain in her left upper arm at an 8 on a 0 to 10 numeric pain scale. The RN suspects the patient has a fractured humerus. The patient’s daughter states, “Mom is on a new blood pressure medicine and has not been drinking very much. At her last doctor’s visit, the doctor told us that she must increase her fluid intake so she would not faint.” The RN obtains an order for pain medication and administers it. Twenty minutes later, the patient’s daughter calls for help. Irene is unresponsive. The nurse notes Irene’s blood pressure is 75/42, heart rate is 128, and respiratory rate is 6. The RN is unable to start an IV, the rapid response team is called.

Initial Post:

Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).

Determine if the process of critical thinking was used in the case you were assigned. If yes, give at least two (2) examples of its use. If no, explain why not and give at least two (2) examples of how critical thinking should have been used to provide more effective patient care.

Base your initial post on your readings and research of this topic.

Response Posts:

You are required to make two (2) responses to the initial posts of two (2) different peers from another group. In each response to your peers state whether or not you agree with their position and explain why or why not.

In your responses to your peers’ posts provide constructive and insightful comments that go beyond that of agree or disagree.

References:
Robert, R. & Petersen, S. (2013). Critical thinking at the bedside: Providing safe passage to patients. Medsurg Nursing, 22 (2), 85-93.