Junetta Cooper
1. What priority problem(s) did you identify for Junetta Cooper?
Hypertension and Angina
2. Identify Junetta Cooper’s risk factors specific to cardiovascular disease.
Hypertension, angina, African American (higher risk of hypertension)
3. What potential problem could arise from sublingual nitroglycerin therapy, and what teaching should
be included specific to this potential problem?
Overdose possibility only take 3 tablets 5 min apart, then call 911 if pain perssists
4. Discuss the potential synergistic effect(s) of Junetta Cooper’s medication, and identify the potential
side effect this could cause.
Sublingual nitroglycerin, morphine and aspirin.
Monitor blood pressure, nitroglycerin and morphine can cause hypotension
5. What other interprofessional team members should be involved in Junetta Cooper’s care?
HCP, cardiologist, pharmacist
Toua Xiong
1. What priority problem(s) did you identify for Toua Xiong?
COPD, emphysema, difficulty breathing, difficulty swallowing and pain in throat and mouth
2. Upon focused assessment, what was identified to be causing the priority problems listed above?
Identify the underlying causes.
Side effects of oral corticosteroid, ipratropium inhalation
3. Based on your assessment, what priority teaching does Toua Xiong need?
How to properly use his corticosteroid, first use bronchodilator then corticosteroid. appropriate use and
cleaning of a dry powder and aerosol inhaler and proper administration of a swish and swallow
medication.
4. Explore community resources for patients with COPD.
The National Heart, Lung, and Blood Institute’s COPD Learn More Breathe Better program provides
information for people who are at risk for COPD, those who have been diagnosed with COPD, and health
care providers.
The American Thoracic Society – Pulmonary Rehabilitation (Pulmonary Rehabilitation)
COPD Foundation (Pt Support Groups)
5. List a couple or a few nursing diagnoses that would be appropriate for Toua Xiong.
Dry mouth, throat irritation, difficulty swallowing/breathing
Juan Carlos
1. What priority problem(s) did you identify for Juan Carlos? Did your priorities change during the
scenario? Why?
Risk for infection from surgery, type 2 diabetes, hypertension, hyperlipidemia
Yes, pts blood sugar was high and insulin was given then his blood glucose became low so food had to
be given according to the orders
2. What data (either presented to you or that you gathered) indicated a need for more education for
Juan Carlos in regard to diabetes management?
Checking his foot often for infections, and also checking his blood sugar before and after meals or when
feeling sick
3. List and discuss the importance of patient education on proper diabetic control.
Know how to check blood sugar and what to do when blood sugar is high or low
Also checking foot for ulcers and infections
4. What other interprofessional team members should be involved in Juan Carlos’ care?
Nutritionist, HCP, Endocrinologist
5. List a couple or a few nursing diagnoses that would be appropriate for Juan Carlos.
Risk for infection, imbalanced nutrition, risk for delayed surgical recovery