Case 1: Scenario Briefing and Pre-Learning

Work through this chapter to prepare for the virtual case-based scenario. The estimated time for completing these activities is varied depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2 hours.

Scenario Briefing

Use the following client information to guide your preparation.

A man in his late 70s.

  • Name: Lee Jung
  • Age: 78 Years Old  
  • Sex: Male
  • PAST Medical History: Cardiac disease, Atrial Fibrillation, HTN
  • Medications at Home: Digoxin
  • Social History: An active senior participating in community and social gatherings.

Lee is a 78-year-old man who lives in his own home. He has a 5-year history of atrial fibrillation and hypertension and was diagnosed with congestive heart failure last year. He also has expressed feeling anxious at times.

He regularly attends a Healthy Heart Adult Day Program for older adults.

You are a student nurse at the program and are helping to lead a session on heart health.

Prerequisite Knowledge

For this case, it is anticipated that you would have basic competence in the following areas:

  • Psychomotor Skills
    • Basic vital signs assessment (adult)
    • Basic head-to-toe assessment (adult)
  • Cognitive Skills
    • Anxiety, congestive heart failure, atrial fibrillation hypertension
    • SBAR communication
    • Medication administration and pharmacology (digoxin)
    • Cultural safety
    • BCCNM Practice Standards
  • Affective Skills
    • Therapeutic communication with a client

Self-Assessment

Complete this Case 1 Self-Assessment [Word] of your competence in the learning objectives for this case. At the end of the scenario, you can return to this rubric to identify any changes.

Pre-Learning Resources and Activities

Complete the following 5 activities (readings, videos, and guiding questions) in order to fully engage in the scenario. You will be prompted to document your activities with an option to export your documentation to save for your own records.

1. Clinical Decision-Making

2. Diagnosis in Focus

Knowledge of the client’s current medical diagnoses and history is a key component of patient care. Use the following resources to prepare to provide care for the client. In the documentation activity, articulate your knowledge based on the client introduction provided.

Hypertension (14:22 mins)[1]

Atrial fibrillation (2:13 mins)[2]

3. Assessments and Interventions

Read Vital Sign Measurement Across the Lifespan to review normal vital signs applicable to this case.[3]

Read about the steps for cardiovascular assessment: Checklist for Cardiovascular Assessment.[4]

4. Medication in Focus

Prepare for the administration of medications included in the virtual case scenario by reviewing the following resources.

Read about safe medication administration: Basic Concepts of Administering Medications[5]

Watch this video about digoxin (6:43 min).[6]

5. Therapeutic Boundaries in Nursing Care

Practice Quiz

NCLEX Moment

Complete the following questions related to your pre-learning for the scenario. The questions are written in NCLEX formatting as an added form of review.

Media Attributions

  1. Linares, M. (2019, August 21). Cardiac/ Hypertension (HTN) [Video]. YouTube. https://www.youtube.com/watch?v=5zg95R8H1oo&feature=emb_logo ↵
  2. British Heart Foundation (2019, May 13). What is Atrial Fibrillation? [Video]. https://www.youtube.com/watch?v=ezTEc6GwLNs ↵
  3. Lapum, J., Verkuyl, M., Garcia, W., Oona St-Amant, Tan A. (n.d.). Vital Sign Measurement Across the Lifespan – 2nd Canadian Edition. https://opentextbc.ca/vitalsignmeasurement/ ↵
  4. Ernstmeyer, K., & Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. ↵
  5. Ernstmeyer, K., & Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. ↵
  6. Morales, Dr. (2018, November 22). What Do I Need to Know About Digoxin? - Doctor AFib [Video]. https://www.youtube.com/watch?v=0j3rMTOj_IA ↵

License

Icon for the Creative Commons Attribution 4.0 International License

Nursing Virtual Case Studies Copyright © 2023 by Adrianna D'Ilio and Amanda Egert is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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