Students will test online with a faculty member and should be prepared to describe the provision and patient care management of the following case(s) consistent with the course student learning outcomes (SLOs).
1.Apply complex skills and knowledge of assessment, diagnosis, planning, intervention, and evaluation in utilization of the nursing process with acutely ill patients and families.
2.Demonstrate the ability to set appropriate priorities of care for acutely ill patients including scientific/theoretical rationale for clinical decisions.
3.Discuss research findings related to the care of acutely ill patients in the assignments.
4.Demonstrate leadership in collaboration with preceptors and members of the health care team in coordinating services to patients, families and aggregates.
5.Analyze clinical situations and individual performance through reflective journaling and student self-evaluation Patient Diagnosis: Acute Renal Failure
The patient is 61-year-old male with a history of hypertension and hyperlipidemia.
His home medications include enalapril, atorvastatin and baby aspirin daily.
He weighs 100kg and smokes one pack of cigarettes per day. He is allergic to penicillin.
The patient presented to the Emergency Department (ED) three days ago with complaints of abdominal pain and yellow skin and had an emergency open cholecystectomy for obstructive jaundice.
He was admitted to the Medical-Surgical Unit postoperatively. On the second postoperative day, his IV was converted to a saline lock and clear liquid diet ordered.
On the third morning, he has nausea, vomiting, absent bowel sounds, urine output 250mL/12 hour shift, and low grade fever. He has not had a bowel movement.
His surgical wound is positive for methicillin resistant staphylococcus aureus (MRSA), which is now being treated with vancomycin. He is in contact isolation.