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NR226_RUATemplate2.docx
RespiratoryCaseScenariosNR293wk3-Dr.Nelson.pptx
NR226_RUATemplate2.docx
NR226 Fundamentals – Patient Care
RUA Template
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Success note: Follow APA guidelines and include intext citations, a title page and a reference page. In the title page, include the title of the RUA, student name, name of school, number/name of course, instructor name and assignment due date. Please delete this success note when submitting.
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Introduction of Disease
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Age and reason for hospitalization (medical diagnosis): Nursing concept that is connected to reason for hospitalization: Brief review of underlying pathophysiology:
Functional changes that can happen as part of the disorder. Complications that can happen as part of the disorder. Scholarly in text citation(s) to support information.
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Safety-Communication-Infection Control |
Communication elements: Safety concerns: Infection control practices:
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Assessment: Recognize/Identify cues |
Identified cues:
· Cue 1 · Cue 2 · Cue 3 · Cue 4 · Psychosocial Cue
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Nursing Diagnosis: Analyze Cues/ Prioritize Hypothesis |
Cue/ area of concern that is high priority: Cue/ area of concern that is medium priority: Cue/ area of concern that focuses on psychosocial problem/need: Rationale for why these areas of concern/cues were chosen and prioritized as high, medium or psychosocial and how they connect to the client:
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Planning: Generating Solutions and Implementation: Taking Action
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Cue/area of concern that is high priority: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
Cue/area of concern that is medium priority: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
Cue/area of concern that is psychosocial: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
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Evaluation: Evaluating Outcomes
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Explain if goals were met or not: Supportive evidence: Changes needed to achieve goals in the future: |
References
NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1
NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 1
image1.png
RespiratoryCaseScenariosNR293wk3-Dr.Nelson.pptx
Respiratory Case Scenarios
ONRS workshop week 3-
NR 293
with Dr. Nelson
ONRS Session Reminders
Psychologically safe environment
Respectful, courteous, and supportive
Engage with the activity
Ask questions:
Patho of disease
Purpose of medication
Side Effects/Adverse Effects
Client education
Book 1:1s as needed (or if required)
Case Study #1
Jasmine is a 22-year-old female who is admitted to the hospital with an asthma exacerbation. She is receiving fluticasone and albuterol.
What is the mechanism of action of inhaled corticosteroids, like fluticasone in asthma management?
Why is it important for Jasmine to use the fluticasone daily even when she feels well?
What are common side effects of the fluticasone therapy? How can Jasmine prevent these side effects from occurring?
If Jasmine continues to use her rescue inhaler frequently, what changes might need to be made to her treatment plan?
3
Case Study #2
The nurse is caring for a 6-year-old female named Mia comes in with sneezing, nasal congestion, itchy eyes, and runny nose, especially during the spring and fall. The provider diagnosed with patient with allergic rhinitis and prescribes montelukast 5 mg po daily in the evening.
What nursing assessment findings support the diagnosis of allergic rhinitis in Mia?
What is the mechanism of action of montelukast in treating allergic rhinitis?
What potential side effects montelukast should the nurse monitor for in pediatric patients?
What non-pharmacologic interventions should the nurse recommend to help manage Mia’s allergic rhinitis?
How would the nurse evaluate for effectiveness of the montelukast therapy at Mia’s follow-up appointment?
4
Case Study #3
Robert is a 68-year-old male who came to hospital complaining of shortness of breath. He is currently in the emergency department with acute COPD exacerbation and is receiving the following medications: tiotropium, albuterol, prednisone, azithromycin (if needed)
What are the therapeutic goals of using oral corticosteroids during a COPD exacerbation?
What side effects should be monitored during short-term Prednisone therapy?
How does tiotropium differ from albuterol in terms of onset and duration of action?
What clinical signs would indicate that Robert’s exacerbation is resolving?
Why might antibiotics be prescribed during a COPD exacerbation, and what criteria guide that decision?
5
Practice Questions
Practice Question #1
A client says, “Why do I need two inhalers?” What is the nurse’s best response?
“Both are rescue inhalers for emergencies.”
“One prevents symptoms; the other treats attacks.”
“You can use them interchangeably.”
“One is a placebo use for study purposes.”
Practice Question #2
Which client would most likely benefit from an expectorant like guaifenesin?
Client with COPD and thick mucus.
Client with dry, productive cough.
Client with asthma and wheezing.
Client with nasal congestion only.
Practice Question #3
What is the primary purpose of using a spacer with a metered-dose inhaler (MDI)?
Prevent systemic absorption.
Deliver medication to the mouth.
Reduce medication cost.
Ensure more medication reached the lungs.
Practice Question #4
A client taking diphenhydramine reports drowsiness. What is the best nurse intervention?
Advise switching to a nasal spray.
Suggest a second-generation antihistamine.
Increase the dose to reduce drowsiness.
Stop the antihistamine immediately.
Practice Question #5
A 72-year-old client is prescribed ipratropium. What should the nurse monitor closely?
Bradycardia
Urinary retention
Hyperactivity
Hypotension
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image1.jpeg
image3.png
image4.jpeg
image5.jpeg
image6.jpg
NR226_RUATemplate2.docx
NR226 Fundamentals – Patient Care
RUA Template
|
|
|
|
Success note: Follow APA guidelines and include intext citations, a title page and a reference page. In the title page, include the title of the RUA, student name, name of school, number/name of course, instructor name and assignment due date. Please delete this success note when submitting.
|
Introduction of Disease
|
Age and reason for hospitalization (medical diagnosis): Nursing concept that is connected to reason for hospitalization: Brief review of underlying pathophysiology:
Functional changes that can happen as part of the disorder. Complications that can happen as part of the disorder. Scholarly in text citation(s) to support information.
|
|
Safety-Communication-Infection Control |
Communication elements: Safety concerns: Infection control practices:
|
|
Assessment: Recognize/Identify cues |
Identified cues:
· Cue 1 · Cue 2 · Cue 3 · Cue 4 · Psychosocial Cue
|
|
Nursing Diagnosis: Analyze Cues/ Prioritize Hypothesis |
Cue/ area of concern that is high priority: Cue/ area of concern that is medium priority: Cue/ area of concern that focuses on psychosocial problem/need: Rationale for why these areas of concern/cues were chosen and prioritized as high, medium or psychosocial and how they connect to the client:
|
|
Planning: Generating Solutions and Implementation: Taking Action
|
Cue/area of concern that is high priority: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
Cue/area of concern that is medium priority: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
Cue/area of concern that is psychosocial: S.M.A.R.T. goal: Rationale for goal: Client specific intervention:
|
|
Evaluation: Evaluating Outcomes
|
Explain if goals were met or not: Supportive evidence: Changes needed to achieve goals in the future: |
References
NR226_RUA _Template_Jul25 © 2024 Chamberlain University. All Rights Reserved. 1
NR226_RUA_Clinical_Judgment _Template_Jul25 © 2024 Chamberlain University. All Rights Reserve 1
image1.png
RespiratoryCaseScenariosNR293wk3-Dr.Nelson.pptx
Respiratory Case Scenarios
ONRS workshop week 3-
NR 293
with Dr. Nelson
ONRS Session Reminders
Psychologically safe environment
Respectful, courteous, and supportive
Engage with the activity
Ask questions:
Patho of disease
Purpose of medication
Side Effects/Adverse Effects
Client education
Book 1:1s as needed (or if required)
Case Study #1
Jasmine is a 22-year-old female who is admitted to the hospital with an asthma exacerbation. She is receiving fluticasone and albuterol.
What is the mechanism of action of inhaled corticosteroids, like fluticasone in asthma management?
Why is it important for Jasmine to use the fluticasone daily even when she feels well?
What are common side effects of the fluticasone therapy? How can Jasmine prevent these side effects from occurring?
If Jasmine continues to use her rescue inhaler frequently, what changes might need to be made to her treatment plan?
3
Case Study #2
The nurse is caring for a 6-year-old female named Mia comes in with sneezing, nasal congestion, itchy eyes, and runny nose, especially during the spring and fall. The provider diagnosed with patient with allergic rhinitis and prescribes montelukast 5 mg po daily in the evening.
What nursing assessment findings support the diagnosis of allergic rhinitis in Mia?
What is the mechanism of action of montelukast in treating allergic rhinitis?
What potential side effects montelukast should the nurse monitor for in pediatric patients?
What non-pharmacologic interventions should the nurse recommend to help manage Mia’s allergic rhinitis?
How would the nurse evaluate for effectiveness of the montelukast therapy at Mia’s follow-up appointment?
4
Case Study #3
Robert is a 68-year-old male who came to hospital complaining of shortness of breath. He is currently in the emergency department with acute COPD exacerbation and is receiving the following medications: tiotropium, albuterol, prednisone, azithromycin (if needed)
What are the therapeutic goals of using oral corticosteroids during a COPD exacerbation?
What side effects should be monitored during short-term Prednisone therapy?
How does tiotropium differ from albuterol in terms of onset and duration of action?
What clinical signs would indicate that Robert’s exacerbation is resolving?
Why might antibiotics be prescribed during a COPD exacerbation, and what criteria guide that decision?
5
Practice Questions
Practice Question #1
A client says, “Why do I need two inhalers?” What is the nurse’s best response?
“Both are rescue inhalers for emergencies.”
“One prevents symptoms; the other treats attacks.”
“You can use them interchangeably.”
“One is a placebo use for study purposes.”
Practice Question #2
Which client would most likely benefit from an expectorant like guaifenesin?
Client with COPD and thick mucus.
Client with dry, productive cough.
Client with asthma and wheezing.
Client with nasal congestion only.
Practice Question #3
What is the primary purpose of using a spacer with a metered-dose inhaler (MDI)?
Prevent systemic absorption.
Deliver medication to the mouth.
Reduce medication cost.
Ensure more medication reached the lungs.
Practice Question #4
A client taking diphenhydramine reports drowsiness. What is the best nurse intervention?
Advise switching to a nasal spray.
Suggest a second-generation antihistamine.
Increase the dose to reduce drowsiness.
Stop the antihistamine immediately.
Practice Question #5
A 72-year-old client is prescribed ipratropium. What should the nurse monitor closely?
Bradycardia
Urinary retention
Hyperactivity
Hypotension
image2.jpeg
image1.jpeg
image3.png
image4.jpeg
image5.jpeg
image6.jpg
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