Exam Preeclampsia Results

9/4/22, 7:32 PM Focused Exam: Preeclampsia Results | Completed Your Results Overview Care Plan : 6.5 of 8 (81.3%) Transcript Subjective Data Collection Nursing Diagnosis 1 out of 2 Objective Data Collection Education & Empathy Documentation International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurses (IC https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-download Diagnosis Care Plan Video Tutorial Student Survey Student Response injury Model Answer risk of complications during pregnancy Explanation Points Earne Naomi's preeclampsia has not yet resulted in an injury for her or her fetuses, but it is a serious risk that can be addressed by a nurse. While Naomi is experiencing daily headaches, an acute headache diagnosis is less urgent to address compared to the risk of complications during pregnancy; in addition, addressing the risk of complications during pregnancy first through preeclampsia management education will ultimately reduce headaches and discomfort. 0 out of 0.5 Signs & Symptoms Student Response Model Answer Explanation Points Earne 1/5 9/4/22, 7:32 PM edema in lower extremities edema in lower extremities unexpected weight gain proteinuria systolic blood pressure greater than or equal to 140 mmHg systolic blood pressure greater than or equal to 140 mmHg To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis. 0.5 out of 0.5 To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis. 0 out of 0.5 To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis. 0.5 out of 0.5 Planning 3 out of 3. Short-Term Goal Student Response To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide. Model Answer To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide. Explanation Points Earne Address a patient's insufficient knowledge as soon as possible (in this current visit), and give the patient the correct information yourself, as opposed to encouraging them to conduct their own research, which can lead to less evidenced-based learning. 0.5 out of 0.5 Interventions Student Response Model Answer Explanation Points Earne 2/5 9/4/22, 7:32 PM Instruct patient to drink 8 glasses of water a day Instruct patient to drink 8 glasses of water a day While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to consume more protein, especially through nuts, beans, and poultry with the skin removed Instruct patient to consume more protein, especially through nuts, beans, and poultry with the skin removed While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Instruct patient to call physician if blood pressure reading is above 140/90 Instruct patient to call physician if blood pressure reading is above 160/110 While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0 out of 0.5 Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure. Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician. 0.5 out of 0.5 Intervention Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation 3/5 9/4/22, 7:32 PM In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. by increasing water intake, monitering BP, and altering the diet, the pt. will have the causes of managing her preeclampsia Making changes to diet, hydration, activity level, and blood pressure monitoring are all healthy and effective ways to manage preeclampsia. Patients should receive detaile instructions; vague suggestions like "work on your diet" or "monitor your blood pressure" (without any idea of how or how often) do not lead to optimum patient outcomes. Data Collections Student Response Model Answer Ask patient to state back and agree to her preeclampsia management instructions Explanation Ask patient to state back and agree to her preeclampsia management instructions Points Earne A patient should be able to state back and agree to all of her instructions so that you can ensure there are no errors, omissions, or hesitations. 0.5 out of 0.5 Discussion Of Care Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Explain the rationale behind your nursing diagnosis, as well as your goal(s) for Ms. Adebayo and the interventions and data collections you will use to help her achieve this goal(s). ege Before beginning her postpartum education, ask for Ms. Adebayo’s consent to the Care Plan. do you consent to this care plan Model Answer Ms. Adebayo, if you don’t have any other questions, we can start our discussion now. Does this plan I just talked about sound good to you? Intervention & Evaluation Student Response Explanation Ms. Adebayo, as you know, preeclampsia can affect the health of you and your babies, placing you and them at risk for injury. Fortunately, we're at a stage where we can make concrete changes that can drastically reduce that risk. Some contributing factors to preeclampsia include your current sodium intake, hydration habits, strenuous exercise, lack of at-home blood pressure monitoring, and the history in your family of high blood pressure. We're going to talk more about how to address these factors and better manage your preeclampsia. Showing a patient that you understand their needs can hel build rapport and ensure that y have your information right. Additionally, explaining the details of your interventions an data collections will help Ms. Adebayo understand the plan, and give her an opportunity to raise concerns. A patient must consent to all interventions in their Care Plan Disagreements are opportunitie to provide further patient education and to consider alternative options. 2.5 out of 2 Model Answer Explanation Points Earne 4/5 9/4/22, 7:32 PM Fully Fully Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved! 2.5 out of 2.5 Intervention & Evaluation Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Did you achieve your goal of having the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you provided? Student Response Pt. understands all instructions given to her. Pt. askes questions about the instructions. she understand the implications of not following the instructions. she wants to whatever it takes to stay healthy so she can have her babies Model Answer Explanation Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved! Assessing the completeness an correctness of your patient's teach-back gives you an opportunity to go over any mistakes with your patient. Comments 5/5 about:blank 5/5