{"id":56,"date":"2021-10-26T01:18:12","date_gmt":"2021-10-26T05:18:12","guid":{"rendered":"https:\/\/opentextbc.ca\/nursingcasestudies\/chapter\/case-4-pre-learning-and-pre-brief\/"},"modified":"2023-01-13T18:35:14","modified_gmt":"2023-01-13T23:35:14","slug":"case-4-pre-learning-and-pre-brief","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/nursingcasestudies\/chapter\/case-4-pre-learning-and-pre-brief\/","title":{"raw":"Case 4: Scenario Briefing and Pre-Learning","rendered":"Case 4: Scenario Briefing and Pre-Learning"},"content":{"raw":"Work through this chapter to prepare for the virtual case-based scenario. The estimated time for completing these activities is varied\u00a0depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2 hours 45 minutes.\r\n<h2>Scenario Briefing<\/h2>\r\nUse the following client information to guide your preparation.\r\n<div class=\"textbox shaded\" style=\"text-align: left;\">\r\n\r\n<img class=\"aligncenter wp-image-360\" src=\"https:\/\/opentextbc.ca\/accessibilitytoolkit\/wp-content\/uploads\/sites\/395\/2021\/10\/cc367ce5-9eae-44f7-8bc7-c99a292b4cf7.jpeg\" alt=\"A woman in her fifties.\" width=\"430\" height=\"286\" \/>\r\n<p style=\"text-align: right;\"><\/p>\r\n\r\n<ul>\r\n \t<li><b>Name: <\/b>Anna Lopez<\/li>\r\n \t<li><b>Age: <\/b>52 Years Old<\/li>\r\n \t<li><b>Sex: <\/b>Female<\/li>\r\n \t<li><b>Past Medical History: <\/b>Pulmonary Embolism<\/li>\r\n \t<li><b>Medications at Home: <\/b>Warfarin<\/li>\r\n \t<li><b>Social History: <\/b>Mother of 3; twin boys aged 15, and a girl aged 20. She manages her own photography business out of her home.<\/li>\r\n<\/ul>\r\nAnna was involved in a motor vehicle collision two days ago and sustained a closed fracture to her right femur shaft. She is now post-op day 0 from an open reduction internal fixation. On admission, she tested positive for MRSA.\r\n\r\nAnna was on warfarin pre-operatively for a history of pulmonary embolism. Pre-operatively her INR was 2.0. They gave her Vitamin K and her INR decreased to 1.1.\r\n\r\nYou have been assigned to care for Anna during a clinical night shift.\r\n<div class=\"textbox\">\r\n<h3>Post-Operative Orders:<\/h3>\r\n<ul>\r\n \t<li>Repeat blood work at 21h00 (INR, complete blood count)<\/li>\r\n \t<li>IV normal saline @100ml\/hr<\/li>\r\n \t<li>Foley catheter in situ<\/li>\r\n \t<li>Physio to assess, non-weight-bearing to the right leg.<\/li>\r\n \t<li>Monitor peripheral vascular assessment, pain, and vital signs every 2 hours<\/li>\r\n \t<li>Hydromorphone 1-2 mg SC q2h for pain<\/li>\r\n \t<li>Hydromorphone 1-2 mg PO q2h for pain<\/li>\r\n \t<li>Acetaminophen 500-1000mg PO q4-6h for pain to a max of 4gm in 24 hours<\/li>\r\n \t<li>Start on Heparin 5,000 units SC at 22h00 then BID<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<h2 style=\"text-align: left;\">Prerequisite Knowledge<\/h2>\r\nFor this case, it is anticipated that you would have basic competence in the following areas:\r\n<div class=\"textbox shaded\">\r\n<ul>\r\n \t<li>Psychomotor Skills\r\n<ul>\r\n \t<li>Basic vital signs assessment (adult)<\/li>\r\n \t<li>Basic head-to-toe assessment (adult)<\/li>\r\n \t<li>Dressing change<\/li>\r\n \t<li>Personal Protective Equipment<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Cognitive Skills\r\n<ul>\r\n \t<li>Fractures and orthopedic surgery<\/li>\r\n \t<li>Post-operative complications<\/li>\r\n \t<li>Medication administration and pharmacology (warfarin, heparin)<\/li>\r\n \t<li>SBAR communication<\/li>\r\n \t<li>Cultural safety<\/li>\r\n \t<li>BCCNM Practice Standards<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Affective Skills\r\n<ul>\r\n \t<li>Therapeutic communication<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<\/div>\r\n<h3>Self-Assessment<\/h3>\r\nComplete this <a href=\"https:\/\/opentextbc.ca\/accessibilitytoolkit\/wp-content\/uploads\/sites\/395\/2022\/03\/Case-Study-4-Learning-Rubric.docx\">Case 4 Self-Assessment [Word]<\/a>\u00a0of 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.\r\n<h2>Pre-Learning Resources and Activities<\/h2>\r\n<p class=\"p1\">Complete the following 5 activities (including associated 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.<\/p>\r\n\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h3 style=\"text-align: center;\">1. Clinical Decision-Making<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n[h5p id=\"1\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h3 style=\"text-align: center;\">2. Diagnosis in Focus<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<p class=\"p1\">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.<\/p>\r\nOrthopedic fractures (10:30mins).[footnote]NURSINGcom (2020, April 6). Fractures Nursing Care [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8[\/footnote]\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8\r\n\r\nPulmonary embolism and DVT (5:45 mins)[footnote]DVT - Prevention and Treatment | NCLEX RN Review. (2017, March 27). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro[\/footnote]\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro\r\n\r\nPost-operative complications.[footnote]NCLEX Study Guide (2018, February 5). Postoperative Nursing Care\/NCLEX RN Review [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=iNTDoz70RKI[\/footnote]\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=iNTDoz70RKI\r\n\r\n[h5p id=\"2\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h3 style=\"text-align: center;\">3. Assessments and Interventions<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nRead <em><a href=\"https:\/\/opentextbc.ca\/vitalsignmeasurement\/\">Vital Sign Measurement Across the Lifespan<\/a> <\/em>to review normal vital signs applicable to this case.[footnote]Lapum, J., Verkuyl, M., Garcia, W., Oona St-Amant, Tan A. (n.d.). Vital Sign Measurement Across the Lifespan \u2013 2nd Canadian Edition. https:\/\/opentextbc.ca\/vitalsignmeasurement\/[\/footnote]\r\n\r\nRead about <a href=\"https:\/\/mcc.ca\/objectives\/normal-values\/\">normal lab values for hemoglobin, INR, and PTT<\/a>.[footnote]Medical Council of Canada: Clinical Laboratory Tests - Adult normal values https:\/\/mcc.ca\/objectives\/normal-values\/[\/footnote]\r\n\r\nRead the following resources to review assessments related to this case.[footnote]Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.[\/footnote]\r\n<ul>\r\n \t<li><a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/13-1-musculoskeletal-assessment-introduction\/\">Musculoskeletal Assessment Introduction<\/a><\/li>\r\n \t<li><a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/9-3-cardiovascular-assessment\/\">Cardiovascular Assessment<\/a><\/li>\r\n<\/ul>\r\nWatch this video about how to set up a sterile dressing tray (6:10 mins).[footnote]Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills). (2018, April 17). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=OIPjtclwP6k[\/footnote]\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=OIPjtclwP6k\r\n\r\nReview this <a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/20-8-checklist-for-simple-dressing-change\/\">checklist for a simple dressing change<\/a>.[footnote]Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.[\/footnote]\r\n\r\nWatch this video about nursing care for hypovolemia (27:42 mins).[footnote]Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX. (2019, January 8). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg[\/footnote]\r\n\r\nhttps:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h3 style=\"text-align: center;\">3. Medication in Focus<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<p class=\"p1\">Prepare for the administration of medications included in the virtual case scenario by reviewing the following resources.<\/p>\r\n<p class=\"p1\">Read about safe medication administration: B<a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/15-2-basic-concepts-of-administering-medications\/\">asic Concepts of Administering Medications<\/a>.[footnote]Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.[\/footnote]<\/p>\r\nPrepare for the administration of the following medications[footnote]OpenMD.com (2021). Nitrofurantoin. https:\/\/reference.medscape.com[\/footnote]:\r\n<ul>\r\n \t<li><a href=\"https:\/\/openmd.com\/search?q=warfarin\">Warfarin<\/a><\/li>\r\n \t<li><a href=\"https:\/\/openmd.com\/search?q=heparin\">Heparin<\/a><\/li>\r\n \t<li><a href=\"https:\/\/openmd.com\/search?q=hydromorphone\">Hydromorphone<\/a><\/li>\r\n \t<li><a href=\"https:\/\/openmd.com\/search?q=acetaminophen\">Acetaminophen<\/a><\/li>\r\n<\/ul>\r\n[h5p id=\"4\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h3 style=\"text-align: center;\">5. Therapeutic Boundaries in Nursing Care<\/h3>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n[h5p id=\"5\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<h2>Practice Quiz<\/h2>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">NCLEX Moment<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nComplete the following questions related to your pre-learning for the scenario. The questions are written in NCLEX formatting as an added form of review.\r\n\r\n[h5p id=\"10\"]\r\n\r\n<\/div>\r\n<\/div>\r\n<h3>Media Attributions<\/h3>\r\n<ul>\r\n \t<li>Client photo by <a href=\"https:\/\/unsplash.com\/@antsphotography14?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Anthony Metcalfe<\/a>\u00a0on\u00a0<a href=\"https:\/\/unsplash.com\/@antsphotography14?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Unsplash<\/a>.<\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8\">Fractures Nursing Care<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCaAfGX-JgRZ0QUKR1RRw28w\">NURSINGcom<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro\">NCLEX Study guide: DVT - Prevention and Treatment | NCLEX RN Review<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCmlcz-7yNge2JfKAYJ_mqxA\">NCLEX Study Guide<\/a> is licensed under a <a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=iNTDoz70RKI\">Postoperative Nursing Care | NCLEX RN Review<\/a> by<a href=\"https:\/\/www.youtube.com\/channel\/UCmlcz-7yNge2JfKAYJ_mqxA\"> NCLEX Study Guide <\/a>is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=OIPjtclwP6k\">NurseMinder: Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills)<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCzBc_8L3IleXuo3bqD9wndQ\">NurseMinder<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg\">RegisteredNurseRN: Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCPyMN8DzkFl2__xnTEiGZ1w\">RegisteredNurseRN<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\r\n<\/ul>","rendered":"<p>Work through this chapter to prepare for the virtual case-based scenario. The estimated time for completing these activities is varied\u00a0depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2 hours 45 minutes.<\/p>\n<h2>Scenario Briefing<\/h2>\n<p>Use the following client information to guide your preparation.<\/p>\n<div class=\"textbox shaded\" style=\"text-align: left;\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-360\" src=\"https:\/\/opentextbc.ca\/accessibilitytoolkit\/wp-content\/uploads\/sites\/395\/2021\/10\/cc367ce5-9eae-44f7-8bc7-c99a292b4cf7.jpeg\" alt=\"A woman in her fifties.\" width=\"430\" height=\"286\" \/><\/p>\n<p style=\"text-align: right;\">\n<ul>\n<li><b>Name: <\/b>Anna Lopez<\/li>\n<li><b>Age: <\/b>52 Years Old<\/li>\n<li><b>Sex: <\/b>Female<\/li>\n<li><b>Past Medical History: <\/b>Pulmonary Embolism<\/li>\n<li><b>Medications at Home: <\/b>Warfarin<\/li>\n<li><b>Social History: <\/b>Mother of 3; twin boys aged 15, and a girl aged 20. She manages her own photography business out of her home.<\/li>\n<\/ul>\n<p>Anna was involved in a motor vehicle collision two days ago and sustained a closed fracture to her right femur shaft. She is now post-op day 0 from an open reduction internal fixation. On admission, she tested positive for MRSA.<\/p>\n<p>Anna was on warfarin pre-operatively for a history of pulmonary embolism. Pre-operatively her INR was 2.0. They gave her Vitamin K and her INR decreased to 1.1.<\/p>\n<p>You have been assigned to care for Anna during a clinical night shift.<\/p>\n<div class=\"textbox\">\n<h3>Post-Operative Orders:<\/h3>\n<ul>\n<li>Repeat blood work at 21h00 (INR, complete blood count)<\/li>\n<li>IV normal saline @100ml\/hr<\/li>\n<li>Foley catheter in situ<\/li>\n<li>Physio to assess, non-weight-bearing to the right leg.<\/li>\n<li>Monitor peripheral vascular assessment, pain, and vital signs every 2 hours<\/li>\n<li>Hydromorphone 1-2 mg SC q2h for pain<\/li>\n<li>Hydromorphone 1-2 mg PO q2h for pain<\/li>\n<li>Acetaminophen 500-1000mg PO q4-6h for pain to a max of 4gm in 24 hours<\/li>\n<li>Start on Heparin 5,000 units SC at 22h00 then BID<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<h2 style=\"text-align: left;\">Prerequisite Knowledge<\/h2>\n<p>For this case, it is anticipated that you would have basic competence in the following areas:<\/p>\n<div class=\"textbox shaded\">\n<ul>\n<li>Psychomotor Skills\n<ul>\n<li>Basic vital signs assessment (adult)<\/li>\n<li>Basic head-to-toe assessment (adult)<\/li>\n<li>Dressing change<\/li>\n<li>Personal Protective Equipment<\/li>\n<\/ul>\n<\/li>\n<li>Cognitive Skills\n<ul>\n<li>Fractures and orthopedic surgery<\/li>\n<li>Post-operative complications<\/li>\n<li>Medication administration and pharmacology (warfarin, heparin)<\/li>\n<li>SBAR communication<\/li>\n<li>Cultural safety<\/li>\n<li>BCCNM Practice Standards<\/li>\n<\/ul>\n<\/li>\n<li>Affective Skills\n<ul>\n<li>Therapeutic communication<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<h3>Self-Assessment<\/h3>\n<p>Complete this <a href=\"https:\/\/opentextbc.ca\/accessibilitytoolkit\/wp-content\/uploads\/sites\/395\/2022\/03\/Case-Study-4-Learning-Rubric.docx\">Case 4 Self-Assessment [Word]<\/a>\u00a0of 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.<\/p>\n<h2>Pre-Learning Resources and Activities<\/h2>\n<p class=\"p1\">Complete the following 5 activities (including associated 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.<\/p>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h3 style=\"text-align: center;\">1. Clinical Decision-Making<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<div id=\"h5p-1\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-1\" class=\"h5p-iframe\" data-content-id=\"1\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Clinical Decision-Making\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h3 style=\"text-align: center;\">2. Diagnosis in Focus<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<p class=\"p1\">Knowledge of the client&#8217;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.<\/p>\n<p>Orthopedic fractures (10:30mins).<a class=\"footnote\" title=\"NURSINGcom (2020, April 6). Fractures Nursing Care [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8\" id=\"return-footnote-56-1\" href=\"#footnote-56-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"Fractures Nursing Care\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/IsW2MR5d7p8?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Pulmonary embolism and DVT (5:45 mins)<a class=\"footnote\" title=\"DVT - Prevention and Treatment | NCLEX RN Review. (2017, March 27). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro\" id=\"return-footnote-56-2\" href=\"#footnote-56-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-2\" title=\"DVT - Prevention and Treatment | NCLEX RN Review\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/v5MgUuNw0Ro?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Post-operative complications.<a class=\"footnote\" title=\"NCLEX Study Guide (2018, February 5). Postoperative Nursing Care\/NCLEX RN Review [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=iNTDoz70RKI\" id=\"return-footnote-56-3\" href=\"#footnote-56-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-3\" title=\"Postoperative Nursing Care | NCLEX RN Review\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iNTDoz70RKI?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<div id=\"h5p-2\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-2\" class=\"h5p-iframe\" data-content-id=\"2\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Medical Diagnoses and History\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h3 style=\"text-align: center;\">3. Assessments and Interventions<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<p>Read <em><a href=\"https:\/\/opentextbc.ca\/vitalsignmeasurement\/\">Vital Sign Measurement Across the Lifespan<\/a> <\/em>to review normal vital signs applicable to this case.<a class=\"footnote\" title=\"Lapum, J., Verkuyl, M., Garcia, W., Oona St-Amant, Tan A. (n.d.). Vital Sign Measurement Across the Lifespan \u2013 2nd Canadian Edition. https:\/\/opentextbc.ca\/vitalsignmeasurement\/\" id=\"return-footnote-56-4\" href=\"#footnote-56-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/p>\n<p>Read about <a href=\"https:\/\/mcc.ca\/objectives\/normal-values\/\">normal lab values for hemoglobin, INR, and PTT<\/a>.<a class=\"footnote\" title=\"Medical Council of Canada: Clinical Laboratory Tests - Adult normal values https:\/\/mcc.ca\/objectives\/normal-values\/\" id=\"return-footnote-56-5\" href=\"#footnote-56-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><\/p>\n<p>Read the following resources to review assessments related to this case.<a class=\"footnote\" title=\"Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.\" id=\"return-footnote-56-6\" href=\"#footnote-56-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/13-1-musculoskeletal-assessment-introduction\/\">Musculoskeletal Assessment Introduction<\/a><\/li>\n<li><a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/9-3-cardiovascular-assessment\/\">Cardiovascular Assessment<\/a><\/li>\n<\/ul>\n<p>Watch this video about how to set up a sterile dressing tray (6:10 mins).<a class=\"footnote\" title=\"Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills). (2018, April 17). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=OIPjtclwP6k\" id=\"return-footnote-56-7\" href=\"#footnote-56-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-4\" title=\"Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills)\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/OIPjtclwP6k?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Review this <a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/20-8-checklist-for-simple-dressing-change\/\">checklist for a simple dressing change<\/a>.<a class=\"footnote\" title=\"Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.\" id=\"return-footnote-56-8\" href=\"#footnote-56-8\" aria-label=\"Footnote 8\"><sup class=\"footnote\">[8]<\/sup><\/a><\/p>\n<p>Watch this video about nursing care for hypovolemia (27:42 mins).<a class=\"footnote\" title=\"Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX. (2019, January 8). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg\" id=\"return-footnote-56-9\" href=\"#footnote-56-9\" aria-label=\"Footnote 9\"><sup class=\"footnote\">[9]<\/sup><\/a><\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-5\" title=\"Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/yZ7AXi_pkOg?feature=oembed&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h3 style=\"text-align: center;\">3. Medication in Focus<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<p class=\"p1\">Prepare for the administration of medications included in the virtual case scenario by reviewing the following resources.<\/p>\n<p class=\"p1\">Read about safe medication administration: B<a href=\"https:\/\/wtcs.pressbooks.pub\/nursingskills\/chapter\/15-2-basic-concepts-of-administering-medications\/\">asic Concepts of Administering Medications<\/a>.<a class=\"footnote\" title=\"Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0.\" id=\"return-footnote-56-10\" href=\"#footnote-56-10\" aria-label=\"Footnote 10\"><sup class=\"footnote\">[10]<\/sup><\/a><\/p>\n<p>Prepare for the administration of the following medications<a class=\"footnote\" title=\"OpenMD.com (2021). Nitrofurantoin. https:\/\/reference.medscape.com\" id=\"return-footnote-56-11\" href=\"#footnote-56-11\" aria-label=\"Footnote 11\"><sup class=\"footnote\">[11]<\/sup><\/a>:<\/p>\n<ul>\n<li><a href=\"https:\/\/openmd.com\/search?q=warfarin\">Warfarin<\/a><\/li>\n<li><a href=\"https:\/\/openmd.com\/search?q=heparin\">Heparin<\/a><\/li>\n<li><a href=\"https:\/\/openmd.com\/search?q=hydromorphone\">Hydromorphone<\/a><\/li>\n<li><a href=\"https:\/\/openmd.com\/search?q=acetaminophen\">Acetaminophen<\/a><\/li>\n<\/ul>\n<div id=\"h5p-4\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-4\" class=\"h5p-iframe\" data-content-id=\"4\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Medication\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h3 style=\"text-align: center;\">5. Therapeutic Boundaries in Nursing Care<\/h3>\n<\/header>\n<div class=\"textbox__content\">\n<div id=\"h5p-5\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-5\" class=\"h5p-iframe\" data-content-id=\"5\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Therapeutic Boundaries in Nursing Care\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2>Practice Quiz<\/h2>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">NCLEX Moment<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p>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.<\/p>\n<div id=\"h5p-10\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-10\" class=\"h5p-iframe\" data-content-id=\"10\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Case 4: Quiz\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3>Media Attributions<\/h3>\n<ul>\n<li>Client photo by <a href=\"https:\/\/unsplash.com\/@antsphotography14?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Anthony Metcalfe<\/a>\u00a0on\u00a0<a href=\"https:\/\/unsplash.com\/@antsphotography14?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText\" target=\"_blank\" rel=\"noopener\">Unsplash<\/a>.<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8\">Fractures Nursing Care<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCaAfGX-JgRZ0QUKR1RRw28w\">NURSINGcom<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro\">NCLEX Study guide: DVT &#8211; Prevention and Treatment | NCLEX RN Review<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCmlcz-7yNge2JfKAYJ_mqxA\">NCLEX Study Guide<\/a> is licensed under a <a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=iNTDoz70RKI\">Postoperative Nursing Care | NCLEX RN Review<\/a> by<a href=\"https:\/\/www.youtube.com\/channel\/UCmlcz-7yNge2JfKAYJ_mqxA\"> NCLEX Study Guide <\/a>is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=OIPjtclwP6k\">NurseMinder: Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills)<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCzBc_8L3IleXuo3bqD9wndQ\">NurseMinder<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg\">RegisteredNurseRN: Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX<\/a> by <a href=\"https:\/\/www.youtube.com\/channel\/UCPyMN8DzkFl2__xnTEiGZ1w\">RegisteredNurseRN<\/a> is licensed under a\u00a0<a href=\"https:\/\/www.youtube.com\/t\/terms\" target=\"_blank\" rel=\"noopener\">Standard YouTube license<\/a>.<\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-56-1\">NURSINGcom (2020, April 6). Fractures Nursing Care [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=IsW2MR5d7p8 <a href=\"#return-footnote-56-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-56-2\">DVT - Prevention and Treatment | NCLEX RN Review. (2017, March 27). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=v5MgUuNw0Ro <a href=\"#return-footnote-56-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-56-3\">NCLEX Study Guide (2018, February 5). Postoperative Nursing Care\/NCLEX RN Review [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=iNTDoz70RKI <a href=\"#return-footnote-56-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-56-4\">Lapum, J., Verkuyl, M., Garcia, W., Oona St-Amant, Tan A. (n.d.). Vital Sign Measurement Across the Lifespan \u2013 2nd Canadian Edition. https:\/\/opentextbc.ca\/vitalsignmeasurement\/ <a href=\"#return-footnote-56-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-56-5\">Medical Council of Canada: Clinical Laboratory Tests - Adult normal values https:\/\/mcc.ca\/objectives\/normal-values\/ <a href=\"#return-footnote-56-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-56-6\">Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. <a href=\"#return-footnote-56-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-56-7\">Setting Up A Sterile Dressing Tray and Principles of Sterility (Nursing Skills). (2018, April 17). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=OIPjtclwP6k <a href=\"#return-footnote-56-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><li id=\"footnote-56-8\">Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. <a href=\"#return-footnote-56-8\" class=\"return-footnote\" aria-label=\"Return to footnote 8\">&crarr;<\/a><\/li><li id=\"footnote-56-9\">Hypovolemic Shock Nursing, Treatment, Management, Interventions NCLEX. (2019, January 8). [Video]. YouTube. https:\/\/www.youtube.com\/watch?v=yZ7AXi_pkOg <a href=\"#return-footnote-56-9\" class=\"return-footnote\" aria-label=\"Return to footnote 9\">&crarr;<\/a><\/li><li id=\"footnote-56-10\">Ernstmeyer, K., &amp; Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. <a href=\"#return-footnote-56-10\" class=\"return-footnote\" aria-label=\"Return to footnote 10\">&crarr;<\/a><\/li><li id=\"footnote-56-11\">OpenMD.com (2021). Nitrofurantoin. https:\/\/reference.medscape.com <a href=\"#return-footnote-56-11\" class=\"return-footnote\" aria-label=\"Return to footnote 11\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":90,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[50],"contributor":[],"license":[],"class_list":["post-56","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":51,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/56","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/wp\/v2\/users\/90"}],"version-history":[{"count":3,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/56\/revisions"}],"predecessor-version":[{"id":108,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/56\/revisions\/108"}],"part":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/parts\/51"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/56\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/wp\/v2\/media?parent=56"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapter-type?post=56"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/wp\/v2\/contributor?post=56"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingcasestudies\/wp-json\/wp\/v2\/license?post=56"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}