CJSim™ Unit Census Faculty Unit Census 1.11.2024 1 CJSim™ Unit Census Table of Contents Introduction ........................................................................................................................................................................................................ 3 Med Room........................................................................................................................................................................................................... 5 Fundamentals ..................................................................................................................................................................................................... 7 Skilled & Long-Term Care Unit .......................................................................................................................................................................... 16 Medical Unit ...................................................................................................................................................................................................... 22 Surgical Care Unit .............................................................................................................................................................................................. 37 Pediatric Unit .................................................................................................................................................................................................... 43 Maternal – Child Unit ........................................................................................................................................................................................ 50 Mental Health Unit ........................................................................................................................................................................................... 55 Stepdown & Critical Care Unit .......................................................................................................................................................................... 61 Pre-hospital & Emergency Care Unit ................................................................................................................................................................ 67 Outpatient & Community Health Care Unit ..................................................................................................................................................... 76 Pharmacology ................................................................................................................................................................................................... 85 Pathophysiology ................................................................................................................................................................................................ 90 Leadership ......................................................................................................................................................................................................... 93 Health Assessment ............................................................................................................................................................................................ 96 Women’s Health ............................................................................................................................................................................................... 98 Skills Lab .......................................................................................................................................................................................................... 100 DISCLAIMER: NCLEX®, NCLEX-RN®, and NCLEX-PN® are federally registered trademarks and service marks of the National Council of State Boards of Nursing, Inc. NurseThink® tools, resources, events, and publications are not endorsed by the National Council of State Boards of Nursing, Inc. Copyright NurseThink® – All rights reserved. Only schools where the CJSim™ have been purchased may use this document in any way. 2 CJSim™ Unit Census Introduction The NurseThink® Next Gen Simulator NurseThink® CJSim™ is an active learning tool that engages students with realistic Next Gen and client scenarios to enhance prioritization, delegation, and clinical judgment skills within the framework of Next Gen NCLEX®. CJSim™ provides unique opportunities for classroom, clinical, simulation, group, and individual clinical judgment skill development. The CJSim™ includes the following units: Med Room, Fundamentals, Skilled & Long-term Care, Medical, Surgical, Pediatric, Maternal-Child, Mental Health, Step-down & Critical Care, Pre-hospital & Emergency, Outpatient & Community Health, Pharmacology, Pathophysiology, Leadership, Health Assessment, Women’s Health, and Skills Lab. CJSim™ Levels: Basic: Client complexity is much like real life. These cases are introduced for beginner nursing students to focus on key factors and begin applying knowledge. Intermediate: Client complexity increases. These cases are used for students who have progressed in knowledge acquisition and continue building on foundational concepts. Advanced: Highest level of complexity for the nurse generalist. Cases involve multiple factors and concepts. Note About Leveling: Students should be challenged to care for clients in the intermediate and advanced levels even from the beginning of the program. Much like in real life and traditional clinical settings, faculty can help the students focus on the key components to meet the learning objectives. The cases labeled “Practice” will give the students all the answers in a summary at the conclusion of the case. Those not labeled practice will only show the student’s answers (not the right answers), time spent, overall score, and the consider questions. The first 3 (three) cases in select units are found in the trial version. 3 CJSim™ Unit Census The NurseThink® CJSim™ provides a varied experience with each attempt by randomizing the questions. Each student will have a unique quiz with each attempt. Each CJSim™ case is designed to represent diverse experiences as part of the NCSBN® Clinical Judgment Measurement Model and the Nursing Process. Due to question randomization, the blueprint provided is case-specific, not question-specific. Every case gives an overview to include background, major concepts and exemplars, and other blueprint information. Cases will overlap into multiple categories, but only the main category is labeled per case. Additionally, there are intentional errors built into the scenarios. Due to the randomization of the questions, you may notice errors in the electronic health record that are not addressed in your specific question. Ideas for NEW CJSim™ cases or any feedback can be sent to nursethink_help@wolterskluwer.com 4 CJSim™ Unit Census Med Room Med Room Concept Exemplar Blueprint CJSim™ Overview Keywords Avery Dawson: 26 Years/ Basic Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions Practice Nurse providing medications for a postoperative client. Medication calculation, suppositories, subcutaneous route Tameika James: 4 Years/ Basic Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions Practice Medication administration to a pediatric client with sickle cell anemia. Medication calculation, oral route, intravenous route, implanted central line Dominick Eagleson: 28 Years/ Basic Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions Medication administration for an aggressive client in the mental health unit. Medication calculation, intramuscular route, conflict resolution, alcohol use/abuse Babette Forrest: 97 Years/ Basic Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions Medication administration for a client in rapid atrial fibrillation in the emergency department. Medication calculation, intravenous route, oral route 5 CJSim™ Unit Census Med Room Concept Garland Lehman: 64 Years/ Basic Safety Exemplar Blueprint CJSim™ Overview Keywords Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions Medication administration to a client with flank pain. Medication calculation, intravenous route, oral route, kidney stone, urolithiasis, CT scan, MRI 6 CJSim™ Unit Census Fundamentals Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Allison Andrés: 12 Years/ Intermediate Glucose Regulation Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice A 12-year-old female admitted with abnormal labs. Diabetes Mellitus – Type 1, blood glucose monitoring, medication teaching Sue Maw: 78 Years/ Intermediate Tissue Integrity Pressure Injury NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Practice An older adult is admitted for pneumonia and a wound. Wound staging, pressure injury interventions, incontinence, diversity, equity, inclusion Justin Smoake: 28 Years/ Basic Tissue Integrity Wound Care & Wound Healing NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Analyze Cues, Generate Solutions Practice A client who presents to urgent care with a laceration. Laceration, suture care, wound care interventions, tetanus prophylaxis, infection, intramuscular route Vincent Sunderman: 83 Years/ Basic Infection NCLEX® Client Needs – Basic Care and Comfort QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Take Actions Practice Long-term care resident experiencing urinary discomfort. Urinalysis, medication calculation, medication administration, health education Urinary Tract Infection (UTI) 7 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Ellen Thomas: 71 Years/ Intermediate Fluid & Electrolyte Balance Dehydration NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Practice Client from the long-term care facility is admitted with a headache. Moisture associated skin damage, urinary catheter, older adult violence, wound care interventions Newton Anders: 64 Years/ Intermediate Infection Health CareAssociated Infections NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes PN/VN Focus Client in transitional care unit post knee replacement for rehab. Clostridium difficile, isolation precautions, nutrition planning Simon Andrews: 68 Years/ Basic Safety Dehydration NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions PN/VN Focus Client in assisted living with a feeding tube. Nasogastric feeding tube, intake & output, dehydration, skin injury, medication calculation Asti Safar: 38 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions PN/VN Focus A client with back pain. Culture & spirituality, pain scale, delegation, scope of practice, pharmacological pain management 8 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Hans St. Joseph: 28 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions PN/VN Focus Client presents to urgent care with pain. Acute pain, pharmacological pain management, nonpharmacological pain management, hypertension Jake Abbott: 28 Years/ Basic Comfort Falls NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Prioritize Hypotheses, Evaluate Outcomes Young adult with an ankle injury. Hypoglycemia, crutch teaching, neurovascular assessment, health education, blood glucose monitoring James Adams: 53 Years/ Intermediate Safety Fractures NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Analyze Cues, Take Actions A client admitted to the hospital after sustaining a left humerus fracture in a motor vehicle accident. CIWA-Ar assessment, alcohol abuse, cirrhosis, thrombocytopenia, communication techniques 9 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint Melanie Baker: 38 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Basic Woman with Care and Comfort arm and wrist QSEN – Patient – Centered pain. Care NCJMM – Generate Solutions, Take Actions Surgical management, postoperative assessment, dehiscence, infection, health education Geraldine Benedict: 80 Years/ Fluid & Basic Electrolyte Balance Dehydration NCLEX® Client Needs – Physiological Adaptation QSEN – Safety NCJMM – Analyze Cues, Evaluate Outcomes Client with new onset of confusion and weakness. Hypoglycemia, medication calculation, nutrition planning, hypernatremia, urinalysis Josie Brennan: 15 Years/ Basic Anemia NCLEX® Client Needs – Basic Care and Comfort QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Take Actions Adolescent female presents to clinic with exertional fatigue, dizziness, and palpitations. Conflict resolution, iron deficiency anemia, medication calculation, nutrition planning Antibiotic Resistant Infection NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Postoperative client with wound drainage. Postoperative assessment, infection, wound culture, MRSA, contact precautions Nutrition Wanda Evans: 68 Years/ Basic Infection CJSim™ Overview Keywords 10 CJSim™ Unit Census Fundamentals Concept Exemplar CJSim™ Overview Keywords Matilda Haines: 84 Years/ Basic Safety Cerebrovascular NCLEX® Client Needs – Basic Accident Care and Comfort QSEN – Safety NCJMM – Take Actions, Evaluate Outcomes Client who needs assistance with ADLs. Dysphagia, nutrition planning, fall risk, moisture associated skin damage, wound care, communication barriers, immobility Millicent Hatfield: 83 Years/ Basic Professionalism Professional NCLEX® Client Needs – Client with joint Communication Psychosocial Integrity pain. QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Chronic pain, nonpharmacological pain management, Rheumatoid Arthritis, conflict resolution Camden Heller: 19 Years/ Basic Infection Wound care, wound culture, professional communication, MRSA, contact precautions Wound Care & Wound Healing Blueprint NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Recognize Cues, Take Actions Client presents to the emergency department with a sacral wound. 11 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Cara Jett: 34 Years/ Basic Comfort Inflammatory Bowel Diseases NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Client with severe abdominal pain after eating. Malnutrition, colonoscopy, postoperative care, Crohn’s Disease, family dynamics Julius Johnson: 65 Years/ Basic Infection Urinary Tract Infection (UTI) NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Recognize Cues, Generate Solutions A client presents to the emergency department with back pain, urinary incontinence, urgency, and dysuria. Urinalysis, intravenous drug abuse, subcutaneous route, urinary catheter, intake & output Viola Johnson: 91 Years/ Basic Comfort Fractures NCLEX® Client Needs – Safety and Infection Control QSEN – Teamwork and Collaboration NCJMM – Recognize Cues, Generate Solutions Team conference for discharge planning Fall risk, client advocacy, environment safety risk, immobility Lloyd Kints: 57 Years/ Basic Cellulitis NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Analyze Cues, Generate Solutions A client is admitted for cellulitis of his right lower extremity. Vulnerable populations, access to care, hyperglycemia, infection, wound care, telehealth Inflammation 12 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Gabriel Levitt: 82 Years/ Basic Comfort Health Promotion NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Surgical client that needs morning care. Urinary catheter, colostomy, intake & output, activities of daily living Walter McCaffery: 69 Years/ Intermediate Infection Tuberculosis (TB) NCLEX® Client Needs – Safety Client in for skin and Infection Control test reading. QSEN – Safety NCJMM – Generate Solutions, Take Actions Isolation precautions, vulnerable populations, medication sideeffects, medication teaching Linda McCartchy: 86 Years/ Basic Sensory Perception Alzheimer Disease & Dementia NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Analyze Cues, Take Actions Older adult client with sensory deficits who lives in a long-term care facility. Alzheimer’s Disease, activities of daily living, conflict resolution, communication barrier, eye drops Neil O’Leary: 83 Years/ Intermediate Stress & Coping Grief NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Prioritize Hypotheses, Evaluate Outcomes Client brought to the emergency department after home wellness check. Malnutrition, loss, bereavement, family dynamics, conflict resolution, spirituality, parenteral nutrition 13 CJSim™ Unit Census Fundamentals Concept Exemplar Blueprint CJSim™ Overview Keywords Sarah Partridge: 43 Years/ Intermediate Perfusion Myocardial Infarction (MI) NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Client presents with chest pain, nausea, and shortness of breath. STEMI, electrocardiogram, medication administration, falls Elda Powell: 79 Years/ Intermediate Elimination Urinary Catheterization NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Generate Solutions, Evaluate Outcomes Client with urinary dysfunction in a rehabilitation center. Intake & output, urinary catheter, urinalysis, health education Dana Underhill: 26 Years/ Basic Oxygenation & Gas Exchange Asthma NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes Client at the clinic with shortness of breath. Inhalers, lab analysis, medication teaching, medication side effects 14 CJSim™ Unit Census Fundamentals Concept Exemplar Eleanor Volke: 97 Years/ Intermediate Spirituality Eustace Waters: 86 Years/ Basic Comfort Blueprint CJSim™ Overview Keywords End-of-Life Care NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Care of client on hospice in a long-term care facility. End-of-life care, bradycardia, apnea, activities of daily living, anticipatory grief, family grief, transdermal medication Pain: Acute & Chronic Older client with osteoporosis and spinal fracture history. Visual impairment, fall risk, inhaler, medication teaching, pneumonia NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions 15 CJSim™ Unit Census Skilled & Long-Term Care Unit Skilled & Long-Term Care Unit Concept Exemplar Hilda DeVries: 69 Years/ Advanced Immunity Jacob Edmonds: 88 Years/ Intermediate Dottie Longsworth: 72 Years/ Advanced Blueprint CJSim™ Overview Keywords Hypersensitivity NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice Resident in a long-term care facility with urinary tract infection. Safety precautions, medication side effects, allergic reaction Cognition Alzheimer Disease & Dementia NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Analyze Cues, Generate Solutions Practice A client in a longterm care facility with dementia and aggressive behaviors. Intake & output, fall risk, communication barrier, conflict resolution, immobility Cognition Cerebrovascular NCLEX® Client Needs – Accident Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Practice A client in a longterm care facility who acts out aggressively. Immobility, hypertension, aphasia, communication barrier, conflict resolution 16 CJSim™ Unit Census Skilled & Long-Term Care Unit Concept Exemplar Hazel Paisley: 89 Years/ Advanced Elimination Arthur Richards: 92 Years/ Basic Elimination CJSim™ Overview Keywords Gastrointestinal NCLEX® Client Needs – Obstruction Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice Resident in a long-term care facility with abdominal pain. Dehydration, falls, hypotension, communication barrier Constipation & Impaction NCLEX® Client Needs – Basic Care and Comfort QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Generate Solutions Practice Resident in a long-term care facility with constipation. Intake & output, chronic kidney disease, nutrition planning Gerald Adams: 78 Years/ Basic Fluid & Electrolyte Balance Hypotension NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Generate Solutions, Take Actions A long-term care resident with Parkinson's disease experiencing dizziness. Orthostatic hypotension, dysphagia, communication barrier, dementia, fall risk, UTI Mary Barrett: 85 Years/ Basic Fractures NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Evaluate Outcomes The client is admitted to longterm care after a hospital stay for a fractured leg. Rehabilitation, pneumonia, shortness of breath, intravenous medication, medication error Mobility Blueprint 17 CJSim™ Unit Census Skilled & Long-Term Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Dale Carson: 76 Years/ Intermediate Safety Hypotension NCLEX® Client Needs – Safety and Infection Control QSEN – Evidence-Based Practice NCJMM – Prioritize Hypotheses, Generate Solutions Resident in a long-term care facility who is unsteady. Intake & output, orthostatic hypotension, fall risk, Parkinson’s Disease Sally Edwards: 89 Years/ Basic Infection Urinary Tract Infection (UTI) NCLEX® Client Needs – Safety and Infection Control QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Take Action Female client with confusion. Communication barrier, dementia, incontinence, immobility, falls, Isaac Hoffman: 78 Years/ Advanced Spirituality End-of-Life Care NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Analyze Cues, Evaluate Outcomes Care of a Jewish male client with hemophilia in a long-term care setting. Culture & spirituality, family dynamics, end-oflife care, conflict resolution, therapeutic communication Samuel Malholtra: 61 Years/ Basic Tissue Integrity Cellulitis A resident in a long-term care facility with a leg wound. Skin injury, hyperglycemia, wound care, allergic reaction, conflict resolution, subcutaneous injection NCLEX® Client Needs – Basic Care and Comfort QSEN – Evidence – Based Practice NCJMM – Take Actions, Evaluate Outcomes 18 CJSim™ Unit Census Skilled & Long-Term Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Luisa Montessori: 62 years/ Basic Infection Health CareAssociated Infections NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Recognize Cues, Take Actions Client in rehabilitation. MRSA, contact precautions, wound care, fall risk, activities of daily living Marilyn Rivera: 48 Years/ Advanced Safety Neuromuscular Disorders NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Generate Solutions Female with advanced multiple sclerosis who resides in a long-term care facility. Delegation, UTI, urinalysis, fall, skin injury, antibiotic resistance Margaret Rossi: 82 Years/ Basic Stress & Coping Depressive Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Recognize Cues, Generate Solutions Client in a subacute rehabilitation setting after a right total knee replacement. Intake & output, wound assessment, grief, insomnia Lois Singer: 89 Years/ Advanced Infection Sepsis & Septicemia NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Prioritize Hypotheses, Take Actions A female resident in a long-term care facility with dementia. Advanced directives, difficult behavior, family dynamics, tachypnea, unresponsive 19 CJSim™ Unit Census Skilled & Long-Term Care Unit Concept Exemplar Mildred Snook: 68 Years/ Intermediate Functional Ability Martha Tass: 88 Years/ Basic Blueprint CJSim™ Overview Keywords Cerebrovascular NCLEX® Client Needs – Basic Accident Care and Comfort QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Care of a client in a long-term care facility who lives with residual deficits of a cerebrovascular accident. Communication barrier, dysphagia, nutrition planning, family dynamics Nutrition Constipation & Impaction NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Client with abdominal cramping. Enemas, medication side effects, acute pain, nutrition planning Ernie Valasquez: 88 Years/ Basic Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Resident in a long-term care facility with stage IV metastatic colorectal cancer and chronic kidney disease. End-stage renal disease, end-of-life care, family dynamics, death and dying, professional communication Earnest Waller: 64 Years/ Intermediate Functional Ability Mobility Techniques & Devices NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Take Actions, Evaluate Outcomes Immobile client in a skilled nursing facility. Clostridium difficile, intake & output, sliding scale insulin, fall risk, Braden scale 20 CJSim™ Unit Census Skilled & Long-Term Care Unit Concept Harold Winslet: 87 Years/ Intermediate Exemplar Blueprint CJSim™ Overview Keywords Oxygenation Influenza & Gas Exchange NCLEX® Client Needs –Safety and Infection Control QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Take Actions A client in longterm care is exposed to COVID-19. Airborne precautions, family dynamics, therapeutic communication, inhaler Ralph Woomer: 84 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Generate Solutions, Evaluate Outcomes WheelchairMedication bound client who teaching, sustained a fall. medication side effects, opioid use, family dynamics Akeno Yamamoto: 55 Years/ Basic Fluid & Electrolyte Balance Chronic Kidney Disease NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Generate Solutions, Evaluate Outcomes Client on hospice with end-stage renal failure. Medication side effects, transdermal route, advanced directive, caregiver role strain, hypoglycemia, endof-life care 21 CJSim™ Unit Census Medical Unit Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords John Aramici: 74 Years/ Advanced Perfusion Fractures NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Practice An older adult client sustained a left tibia and fibula fracture and is in a plaster cast. Hypertension, intravenous route, compartment syndrome, cast care Jonathan Dolan: 59 Years/ Advanced Hormonal Regulation Syndrome of Inappropriate Antidiuretic Hormone (SIADH) NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice Client with cancer admitted for nausea, vomiting, and reduced urine output Lung cancer, hyponatremia, anemia, thrombocytopenia, thoracentesis, shortness of breath, intake & output Jose Rojas: 72 Years/ Intermediate Oxygenation & Gas Exchange Lower Respiratory Infections NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice Older adult admitted with chronic bronchitis and secondary pneumonia. Respiratory acidosis, ABGs, shortness of breath, inhaler, intravenous route 22 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Trevor Simbly: 34 Years/ Intermediate Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Practice The client arrives in the emergency department with nausea, vomiting, and confusion. Metabolic acidosis, ABGs, hyperkalemia, hyperglycemia, insulin delivery, blood glucose monitoring Gladys Sloane: 85 Years/ Intermediate Mobility Lower Respiratory Infections NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-based Practices NCJMM – Generate Solutions, Evaluate Outcomes Practice Acute kidney failure, A client with end-of-life care, family chronic kidney dynamics, legal issues disease is admitted after sustaining a fall and fracturing her ribs. Graham Abernathy: 57 Years/ Advanced Elimination Chronic Kidney Disease NCLEX® Client Needs – Client with kidney Physiological Adaptation disease. QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Evaluate Outcomes Hyperkalemia, nutrition planning, intake & output, conflict resolution, therapeutic communication, urinary catheter Hattie Ammons: 84 years/ Intermediate Perfusion Dysrhythmias NCLEX® Client Needs – Client with a Physiological Adaptation history of atrial QSEN – Safety fibrillation. NCJMM – Analyze Cues, Prioritize Hypotheses Tachycardia, cardioversion, medication assessment, medication teaching, transient ischemic stroke 23 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Lorna Anderson: 68 Years/ Basic Clotting Deep Vein Thrombosis (DVT) NCLEX® Client Needs – Client with new Physiological Adaptation onset of limp. QSEN – Safety NCJMM – Recognize Cues, Prioritize Hypotheses Acute pain, family dynamics, implanted central line, intravenous medication, medication teaching Josephine Argent: 65 Years/ Intermediate Perfusion Cerebrovascular Accident NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Client transferred from an outside emergency department as direct admission to the medicalsurgical floor. Communication barrier, aphasia, ischemic stroke, MRI, NIH Stroke Scale Tyrone Baker: 33 Years/ Intermediate Oxygenation & Gas Exchange Asthma NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Client with workrelated asthma. Respiratory assessment, inhaler, tachypnea Giada Bellucci: 32 years/ Intermediate Hormonal Regulation Adrenocortical Dysfunction NCLEX® Client Needs – Client with weight Physiological Adaptation gain and weakness. QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes CT scan, pituitary tumor, preoperative education, Addisonian crisis, hyperglycemia, postoperative education 24 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords June Benn: 66 Years/ Intermediate Oxygenation & Gas Exchange Lower Respiratory Infections NCLEX® Client Needs – Client with Physiological Adaptation dyspnea, chest QSEN – Patient – pain, and fatigue. Centered Care NCJMM – Analyze Cues, Take Actions ABGs, respiratory alkalosis, x-ray, respiratory assessment, medication calculation Jedidiah Billings: 60 Years/ Intermediate Perfusion Heart Failure NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client is a direct admit from the health care provider’s office. Medication side effects, intravenous, nutrition planning, glucose monitoring Jessie Blue: 63 Years/ Intermediate Perfusion Peripheral Vascular Disease (PVD) NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Analyze Cues, Take Actions The client with leg pain, numbness, and tingling in his right foot. Amputation, residual limb care, wound care, angiogram, neurovascular assessment 25 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Michael Brooks: 38 Years/ Intermediate Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes Client admitted to the oncology unit for intractable nausea, vomiting, and abdominal pain. Colon cancer, metastasis, implanted port, lab analysis, family grief, end-of-life care, patient-controlled analgesia Rex Bryant: 58 Years/ Advanced Metabolism Liver Diseases NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Recognize Cues, Generate Solutions Client with ascites. Liver failure, lab analysis, safety precautions, fall risk Jonah Byler: 54 Years/ Advanced Perfusion Aneurysm NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Evaluate Outcomes Client with chest and left leg pain in rural emergency department. Aortic aneurysm, hypovolemic shock, CT scan, medication calculation, blood administration, professional communication Mark Carlson: 61 Years/ Intermediate Perfusion Cerebrovascular Accident NCLEX® Client Needs – Adult male with a Physiological Adaptation transient ischemic QSEN – Patient – attack. Centered Care NCJMM – Recognize Cues, Generate Solutions TIA, neurologic assessment, health education, medication teaching 26 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Edward Cortez: 32 Years/ Intermediate Immunity Organ Transplantation NCLEX® Client Needs – Adult client in Pharmacological and need of a renal Parenteral Therapies transplant. QSEN – Patient – Centered Care NJCMM – Analyze Cues, Take Actions Hemodialysis, acute rejection, hyperglycemia, medication error, intake & output, health education Sara Dahl: 28 Years/ Intermediate Comfort Inflammatory Bowel Disease NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions A female client presents with severe abdominal pain and diarrhea. Ulcerative colitis, anemia, endoscopy, lab analysis Carol Davis: 81 Years/ Basic Perfusion Hypotension NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Prioritize Hypotheses, Take Actions Older female presents with skin problem. Skin cancer, skin exam, biopsy, health promotion, orthostatic hypotension, medication administration Julie Davis: 69 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Recognize Cues, Prioritize Hypotheses A postoperative client with poor pain relief. Infiltration, postoperative, medication side effects, medication teaching 27 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Floyd Dunmire: 58 Years/ Intermediate Fluid & Electrolyte Balance Liver Diseases NCLEX® Client Needs – Client presenting Physiological Adaptation with abdominal QSEN – Patient – pain. Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Lab analysis, paracentesis, nutrition planning, intravenous medication, health education, alcohol abuse Benjamin Fink: 67 Years/ Advanced Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Client with newly diagnosed colon cancer admitted for first dose of chemotherapy. Colon cancer, implanted central line, medication calculation, medication side effects, medication teaching Deborah French: 52 Years/ Intermediate Mobility Postoperative Care NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NJCMM – Analyze Cues, Take Actions Client in the postoperative period following open reduction and internal fixation (ORIF). Conflict resolution, medication calculation, pain assessment, surgical site infection, pharmacological pain management Linus Fuller: 68 Years/ Basic Infection Influenza NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NJCMM – Recognize Cues, Generate Solutions Client with shortness of breath. Respiratory assessment, droplet precautions, medication error, oxygen therapy, health promotion 28 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Sierra Glover: 42 Years/ Advanced Perfusion Cerebrovascular Accident NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Analyze Cues, Generate Solutions A woman comes to the emergency department with a severe headache. Hypertension, cerebrovascular accident symptoms, medication teaching, rehabilitation, lab analysis Barry Hansel: 61 Years/ Advanced Cellular Regulation Lymphomas NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Client admitted to an oncology floor to undergo testing for a suspicious growth in his axillary region. Non-Hodgkin’s Lymphoma, biopsy, professional communication Charlene Ingles: 45 Years/ Intermediate Comfort Gallbladder Disease NCLEX® Client Needs – Client with Physiological Adaptation abdominal pain. QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes Acute pain, nutrition planning, CT scan, intravenous route Jeffrey Jefferson: 29 Years/ Intermediate Behaviors & Addiction Osteomyelitis NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Generate Solutions, Take Actions Opioid abuse, oral route, intravenous route, phlebitis, professional communication Adult male admitted for osteomyelitis secondary to IV drug use. 29 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Ashley Johnson: 44 Years/ Intermediate Clotting Shock NCLEX® Client Needs – A client presents to Physiological Adaptation the hospital with a QSEN – Patient – headache. Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Lab analysis, hypovolemic shock, blood administration, endoscopy, blood transfusion reaction Joan Johnson: 65 Years/ Advanced Cellular Regulation Sepsis & Septicemia NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client receiving chemotherapy is hospitalized for fever and other general symptoms. Lab analysis, urinary tract infection, dehydration, hypoglycemia, cardiac arrest Lisa Katchen: 56 Years/ Intermediate Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Client with a mass admitted to the oncology unit for further testing and management. Kidney cancer, implanted port, preoperative, medication teaching, medication side effects Jairaj Kumar: 71 Years/ Basic Mobility Osteoarthritis NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered NCJMM – Prioritize Hypotheses, Evaluate Outcomes Client with joint pain at the rheumatology clinic. Culturally sensitive care, nonpharmacological pain management, topical cream, medication side effects, medication teaching 30 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Olivia Mains: 73 Years/ Advanced Oxygenation & Gas Exchange Acute Respiratory Distress Syndrome (ARDS) NCLEX® Client Needs – Client with Physiological Adaptation shortness of QSEN – Evidence-Based breath. Practice NCJMM – Analyze Cues, Take Actions Isolation precautions, oxygen therapy, mechanical ventilation, x-ray Jocelyn Mayes: 54 Years/ Intermediate Hormonal Regulation Adrenocortical Dysfunction NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Generate Solutions Medication teaching, skin exam, infection, Addison’s Disease, delegation Gary Miller: 60 Years/ Intermediate Perfusion Dysrhythmias NCLEX® Client Needs – Client with Physiological Adaptation dizziness and QSEN – Safety syncope. NCJMM – Recognize Cues, Evaluate Outcomes Bradycardia, pacemaker, health education, laceration Helen Ottosen: 42 Years/ Intermediate Nutrition Enteral and Parenteral Nutrition NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Medication assessment, medication teaching, PEG tube, cerebrovascular accident symptoms A client with Addison’s disease experiences increased symptoms. Client with aphasia and PEG tube placement after a CVA. Keywords 31 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Carl Parks: 58 Years/ Intermediate Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Analyze Cues, Take Actions A male client with colorectal cancer is admitted with rectal bleeding and anemia. Conflict resolution, client advocacy, blood administration, anemia, delegation Joseph “Joe” Parks: 68 Years/ Cellular Intermediate Regulation Solid Tissue Cancers NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Client with pancreatic cancer. Nonverbal pain scale, death and dying, medication administration, professional communication Larry Shortz: 69 Years/ Intermediate Infection Antibiotic Resistant Infection NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Client at an Skin exam, contact ambulatory care precautions, MRSA, lab setting with armpit analysis, wound care infection and pain. John Smith: 55 Years/ Intermediate Perfusion Heart Failure NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Prioritize Hypotheses, Evaluate Outcomes A male client is admitted to the emergency department with heart failure. Dysrhythmias, lab analysis, hypokalemia, medication assessment, intravenous route, nutrition planning, health education 32 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Mikel Smolek: 35 Years/ Advanced Fluid & Electrolyte Balance Liver Diseases NCLEX® Client Needs – Reduction of Risk Potential QSEN – Teamwork and Collaboration NCJMM – Analyze Cues, Evaluate Outcomes A male client admitted with endstage liver cirrhosis. Neurologic assessment, hypotension, lab analysis, medication assessment, intravenous route, conflict resolution Jerry Snow: 56 Years/ Intermediate Elimination Urolithiasis & Nephrolithiasis NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client comes to the emergency department for right flank pain. Acute pain, medication teaching, CT scan, urinalysis, pharmacological pain management, nutrition planning Kathy Sorbeno: 56 Years/ Advanced Fluid & Electrolyte Balance HyperHypokalemia NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions A 56-year-old female comes to the hospital with shortness of breath. Lab analysis, medication assessment, intravenous route, hemodialysis, chronic kidney disease 33 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Roger Stauffer: 56 Years/ Advanced Cellular Regulation Leukemia NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Client with acute myeloid leukemia admitted to an oncology floor. Blood administration, hypotension, lab analysis, implanted central line, medication error Dimitrios Tropophilous: 30 Years/ Intermediate Oxygenation & Gas Exchange Tracheostomy Care & Suctioning NCLEX® Client Needs – Client with acute Physiological Adaptation hypoxia. QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Respiratory assessment, tracheostomy, chest tube, pressure injury, septic shock, wound care William Trutt: 22 years/ Intermediate Tissue Integrity Wound Care & Wound Healing NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Generate Solutions, Take Actions Laceration, alcohol use/abuse, wound care, professional communication, skin exam, medication calculation Male client with altered mental status and injury. 34 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Emily VonLander: 25 Years/ Intermediate Mobility Pulmonary Embolism NCLEX® Client Needs – Reduction of Risk Potential QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Evaluate Outcomes A client is admitted Fracture, open after a fall off a reduction internal bicycle. fixation, neurovascular assessment, surgical wound Cal Weston: 68 Years/ Basic Nutrition Enteral and Parenteral Nutrition NCLEX® Client Needs – Client in long-term Reduction of Risk care with Potential gastronomy tube. QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Generate Solutions PEG tube, abdominal assessment, pressure injury, medication administration Denise Williams: 68 Years/ Advanced Perfusion Dysrhythmias NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Evaluate Outcomes Hypokalemia, lab analysis, atrial fibrillation, cardiac assessment, medication assessment, medication side effects A client presents to the hospital with shortness of breath and a headache Keywords 35 CJSim™ Unit Census Medical Unit Concept Exemplar Blueprint CJSim™ Overview Gemma Williamson: 36 Years/ Intermediate Hormonal Regulation Thyroid Disease NCLEX® Client Needs – Client with rapid Physiological Adaptation pulse and QSEN – Evidence-Based confusion. Practice NCJMM – Recognize Cues, Prioritize Hypotheses Thyroid storm, neurologic assessment, medication calculation, lab analysis, health education, medication teaching Edgar Winston: 48 Years/ Advanced Immunity HIV & AIDS NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Recognize Cues, Generate Solutions Health promotion, professional communication, diversity, equity, inclusion, lab analysis Man seroconverts to HIV positive. Keywords 36 CJSim™ Unit Census Surgical Care Unit Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Liza Diemetri: 78 Years/ Intermediate Mobility Fractures NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice The client is a female admitted for a right hip fracture and prepared for surgical repair. Culturally sensitive care, communication barrier, surgical wound, wound care, hip precautions, hip fracture management, fall risk Patricia Hopper: 56 Years/ Advanced Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice Client admitted for surgery related to a new diagnosis of ovarian cancer with metastasis to the lungs. Catheter management, surgical drain, postoperative, wound care, surgical wound, professional communication Joe Inguito: 42 Years/ Advanced Elimination Gastrointestinal Obstruction NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Practice A male client with a history of obesity in the hospital after post-right knee arthroplasty who experiences post-surgical complications. Obesity, abdominal assessment, bowel obstruction, nasogastric tube, intake & output 37 CJSim™ Unit Census Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Dorcas Stolzfus: 19 Years/ Intermediate Inflammation Appendicitis NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Practice Young female comes to the health care provider's office with abdominal pain. Culturally sensitive care, acute pain, preoperative, postoperative teaching, pharmacological pain management Joseph Thomas: 56 Years/ Intermediate Inflammation Diverticular Diseases NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice A middle-aged man with surgical repair of a diverticular abscess. Surgical drain, surgical wound, health careassociated infections, pneumonia, septicemia Jack Armstrong: 52 Years/ Basic Mobility Client needing Bleeding precautions, home health care postoperative, surgical after knee surgery. wound, wound care, lab analysis, medication side effects Osteoarthritis NCLEX® Client Needs – Basic Care and Comfort QSEN – Quality Improvement NJCMM – Analyze Cues, Evaluate Outcomes 38 CJSim™ Unit Census Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Jenna Batch: 37 Years/ Intermediate Nutrition Obesity NCLEX® Client Needs – Reduction of Risk Potential QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Evaluate Outcomes Client preparing for bariatric surgery. Preoperative care, postoperative care, urinary retention, pneumonia Sylvia Grant: 32 Years/ Advanced Cellular Regulation Breast Cancer NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions 32-year-old female with a history of the BRCA gene to receive an elective radical bilateral mastectomy. Breast cancer, preoperative care, urinary catheter insertion, aspiration precautions, legal issues, consent Willow Gussma: 22 Years/ Intermediate Inflammation Appendicitis NCLEX® Client Needs – Reduction of Risk Potential QSEN – EvidenceBased Practice NCJMM – Generate Solutions, Take Actions 22-year-old female who presents to an ambulatory care setting with abdominal pain. Preoperative care, professional communication, intravenous route, lab analysis, pregnancy 39 CJSim™ Unit Census Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Amos Hendricks: 78 Years/ Intermediate Cellular Regulation Solid Tissue Cancers NCLEX® Client Needs – Reduction of Risk Potential QSEN – EvidenceBased Practice NCJMM – Analyze Cues, Generate Solutions Client with newly diagnosed stage II prostate cancer. Lab analysis, preoperative care, health screening, health education Roxy Hillside: 20 Years/ Advanced Tissue Integrity Burns NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NJCMM – Prioritize Hypotheses, Evaluate Outcomes The client was brought to the emergency department after spilling boiling water on herself, causing burns. Intravenous route, medication calculation, urinary catheter, tetanus prophylaxis, legal issues, consent, preoperative care, burn assessment, partial thickness burns, compartment syndrome Georgia Lee: 56 Years/ Intermediate Tissue Integrity Wound Care & Wound Healing NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Analyze Cues, Take Actions Presents to the emergency room with abdominal pain and bleeding from a wound. Abdominal assessment, surgical wound, dehiscence, evisceration, medication calculation, prioritization, preoperative care, wound care 40 CJSim™ Unit Census Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Juan Martinez: 72 Years/ Basic Tissue Integrity Wound Care & Wound Healing NCLEX® Client Needs – Basic Care and Comfort QSEN – EvidenceBased Practice NCJMM – Analyze Cues, Generate Solutions Male client presents to the emergency department with infected foot ulcer MRSA, wound culture, wound care, hyperglycemia, hypoglycemia, lab analysis, respiratory assessment, oxygen therapy Colin Rice: 43 Years/ Basic Comfort Gastrointestinal Obstruction NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – EvidenceBased Practice NCJMM – Generate Solutions, Evaluate Outcomes A client with a bowel obstruction requiring small bowel resection. Abdominal assessment, nasogastric tube, patient-controlled analgesia (PCA), lab analysis, anemia from blood loss Elise Tang: 32 Years/ Intermediate Hormonal Regulation Hyper-Hypocalcemia NCLEX® Client Needs – Physiological Adaptation QSEN – Quality Improvement NCJMM – Generate Solutions, Evaluate Outcomes Client with followup after renal calculi. Genitourinary assessment, kidney stone, hyperparathyroidism, lab analysis, 24-hour urine, postoperative teaching 41 CJSim™ Unit Census Surgical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Glenda Wilson: 72 Years/ Intermediate Mobility Falls NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NCJMM – Recognize Cues, Evaluate Outcomes Client with dementia living in assisted living who sustains a fall. Urinary catheter, urinary tract infection, preoperative care, pneumonia, oral route, intravenous route, surgical wound, hip fracture management 42 CJSim™ Unit Census Pediatric Unit Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Harley Becket: 6 Years/ Intermediate Fluid & Electrolyte Balance Dehydration NCLEX® Client Needs – Management of Care QSEN – Safety NCJMM – Generate Solutions, Evaluate Outcomes Practice Child admitted with vomiting, diarrhea, and a low-grade fever. Consent, medication calculation, wound culture, dehydration assessment, intravenous therapy, intake & output Raymond James: 16 Years/ Advanced Oxygenation & Gas Exchange Sickle Cell Anemia NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NJCMM – Recognize Cues, Generate Solutions Practice Adolescent client with sickle cell anemia. Oxygen therapy, patient-controlled analgesia (PCA), ABGs, intravenous route, lab analysis, stress management Felix Perez: 4 Weeks/ Intermediate Nutrition Gastroesophageal Reflux (GERD) NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice A 4-week-old infant remains hospitalized after premature birth, experiencing gastric reflux, and periods of apnea. Medication calculation, communication barrier, feeding tube insertion, developmental care, health education 43 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Aliza Simmons: 9 Years/ Intermediate Mobility Fractures NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Practice Child fell from a treehouse and fractured a femur requiring surgery. Cast care, intravenous therapy, pharmacological pain management, pain assessment, neurovascular assessment, surgical wound Mario Stephens: 18 Days/ Intermediate Nutrition Gastrointestinal Obstruction NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice Newborn with vomiting. Dehydration assessment, tachycardia, pyloric stenosis, postoperative, intravenous therapy, medical error Micah Billows: 8 Years/ Advanced Perfusion Shock NCLEX® Client Needs – Physiological Adaptation QSEN – Safety NCJMM – Recognize Cues, Take Actions A child admitted to the hospital with vomiting and diarrhea. Dehydration assessment, culturally sensitive care, professional communication, hypovolemic shock, intravenous therapy, intake & output 44 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Xiang Chen: 9 Years/ Intermediate Glucose Regulation Diabetes NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes A client with newly diagnosed diabetes mellitus is discharged to home for a pilot teaching program. Insulin delivery, medication calculation, nutrition planning, medication teaching, health promotion, lab analysis, hyperglycemia, hypoglycemia Reecie Diaz: 10 Years/ Intermediate Oxygenation & Gas Exchange Asthma NCLEX® Client Needs – Physiological Adaptation QSEN – Safety NCJMM – Prioritize Hypotheses, Take Actions A 10-year-old with asthma at summer camp experiences an exacerbation. Respiratory assessment, health promotion, inhalation route, medication calculation, medication error, ABGs Janessa Fitzgerald: 14 Years/ Advanced Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A teenage client admitted to the emergency department for increasing lethargy. Dehydration assessment, medication calculation, insulin delivery, intravenous therapy, blood glucose monitoring, urine ketones, hyperkalemia 45 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Solana Garcia: 10 Months/ Intermediate Oxygenation & Gas Exchange Upper Respiratory Infections NCLEX® Client Needs – Basic Care and Comfort QSEN – EvidenceBased Practice NCJMM – Recognize Cues, Prioritize Hypotheses Child with trouble breathing at night. Croup, respiratory assessment, oxygen therapy, medication calculation, legal issues, inhalation route Carter Hodges: 3 Years/ Advanced Perfusion Dysrhythmias NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Client in respiratory arrest. Cardiac arrest, defibrillation, medication calculation, intravenous route, professional communication, family dynamics Katrina McAvoy: 8 Years/ Intermediate Oxygenation & Gas Exchange Asthma NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Recognize Cues, Evaluate Outcomes A young client with asthma experiences respiratory distress. Asthma exacerbation, bronchitis, respiratory assessment, inhalation route, oxygen therapy, medication teaching, health education 46 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Emmanuel Mwangi: 7 Years/ Oxygenation Advanced & Gas Exchange Upper Respiratory Infections NCLEX® Client Needs – Physiological Adaptation QSEN – EvidenceBased Practice NCJMM – Recognize Cues, Take Actions School-aged child in respiratory distress. Epiglottitis, respiratory assessment, tracheostomy, suctioning, culturally sensitive care, medication calculation, medication error Somkiet Noy: 7 Years/ Intermediate Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions School-aged child presents to the school nurse, who refers the client to the local children’s hospital. Culturally sensitive care, dehydration assessment, intravenous therapy, medication calculation, lab analysis, urine ketones, diabetic ketoacidosis (DKA) Muhamed Paras: Newborn/ Intermediate Immunity HIV & AIDS NCLEX® Client Needs Newborn infant – Safety and Infection born to an HIV+ Control mother. QSEN – EvidenceBased Practice NCJMM – Recognize Cues, Take Actions Newborn care, medication calculation, legal issues, culturally sensitive care, developmental care, vulnerable populations, access to healthcare 47 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Jace Paterson: 15 Years/ Advanced Glucose Regulation Diabetes NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – EvidenceBased Practice NCJMM – Prioritize Hypotheses, Take Actions A young male is brought into the ED by his soccer coach after he started experiencing nausea, abdominal pain, and confusion at an out-of-state tournament. Consent, intravenous therapy, urine ketones, ABGs, lab analysis Eduardo Rios Hernandez: 1 day/ Advanced Mobility Spina Bifida NCLEX® Client Needs – Reduction of Risk Potential QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Take Actions Infant with congenital birth anomaly. Vulnerable populations, newborn care, medication error, medication calculation, health promotion, wound care, increased intracranial pressure (ICP) Postoperative Care NCLEX® Client Needs – Reduction of Risk Potential QSEN – EvidenceBased Practice NCJMM – Generate Solutions, Take Actions Infant with cleft lip Therapeutic and palate for communication, repair. preoperative care, lab analysis, postoperative teaching, intake & output, SBAR, surgical wound, wound care, nutrition planning Kendall Schmidt: 11 Months/ Nutrition Intermediate 48 CJSim™ Unit Census Pediatric Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Khaleel Taylor: 3 Months/ Basic Oxygenation & Gas Exchange Lower Respiratory Infections NCLEX® Client Needs – Reduction of Risk Potential QSEN – EvidenceBased Practice NCJMM – Take Actions, Evaluate Outcomes Infant having trouble breathing while at a church nursery. Nonverbal pain assessment, respiratory assessment, medication calculation, suctioning, dehydration assessment, isolation precautions Li-Mei Wang: 8 Weeks/ Advanced Intracranial Regulation Increased NCLEX® Client Needs Intracranial Pressure – Reduction of Risk Potential QSEN – Safety NCJMM – Prioritize Hypotheses, Take Actions An infant has a change in level of consciousness. Head injury, neurologic assessment, child violence, parenting, CT scan, nonverbal pain scale 49 CJSim™ Unit Census Maternal – Child Unit Maternal – Child Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Sarah Beiler: 33 Years/ Intermediate Culture Postpartum Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Recognize Cues, Prioritize Hypotheses Practice The community nurse provides a home visit to a client and infant who had an athome birth. Postpartum care, postpartum assessment, culturally sensitive care, health promotion Isabella Marinucci: 1 Day/ Advanced Development Newborn Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice A newborn infant in the neonatal intensive care unit for a slow transition to an extrauterine environment. Preterm infant, respiratory assessment, bradycardia, hypothermia, suctioning, hypoglycemia, professional communication Stephanie Scott: 30 Years/ Intermediate Reproduction Family Planning and NCLEX® Client Needs Preconception Care – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Practice An adult female with five children comes to the family planning clinic for contraception. Lab analysis, iron deficiency anemia, intimate partner violence, vulnerable population, child violence 50 CJSim™ Unit Census Maternal – Child Unit Concept Amalie Stewart-Wilson: 19 Years/ Intermediate Exemplar Blueprint CJSim™ Overview Keywords Reproduction Intrapartum Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Practice College freshman who is pregnant and admitted for a scheduled induction. Arrangements have been made for a newborn adoption. Culturally sensitive care, labor and birth care, nutrition planning, lab analysis, dehydration, health education, access to health care Anna Vogel: 28 Years/ Intermediate Reproduction Intrapartum Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – EvidenceBased Practice NCJMM – Recognize Cues, Take Actions Practice A 28-year-old in spontaneous labor was admitted. Culturally sensitive care, high-risk pregnancy, nonpharmacological pain management, labor and birth care, conflict resolution, professional communication Rebekah Beiler: 2 Days/ Intermediate Health Promotion NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Recognize Cues, Prioritize Hypotheses The community nurse provides a home visit to an infant and her mother, who are Amish. Newborn care, assessment, intramuscular route, eye ointment, lab analysis, health screening, suctioning, culturally sensitive care Newborn Care Child of Sarah Beiler 51 CJSim™ Unit Census Maternal – Child Unit Concept Sophia Dickinson: 35 Years/ Intermediate Milajah Hasam: Newborn/ Intermediate Exemplar Blueprint CJSim™ Overview Keywords Reproduction Hemorrhage NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Postpartum recovery client. Postpartum hemorrhage, intravenous route, hypotension, high-risk pregnancy, labor and birth care, professional communication Development Newborn Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Newborn care following delivery. Newborn care, health promotion, culturally sensitive care, conflict resolution, health education, eye ointment, APGAR score Jillian Kessler: 20 Years/ Basic Reproduction Antepartum & Prenatal Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Client scheduled for a prenatal visit at the community clinic. High-risk pregnancy, pregnancy care, lab analysis, vaginal exam, urinary tract infection, professional communication 52 CJSim™ Unit Census Maternal – Child Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Monique Kramer: 35 Years/ Intermediate Perfusion Preeclampsia NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Safety NCJMM – Prioritize Hypotheses, Evaluate Outcomes Client at 37-weeks’ gestation scheduled for weekly non-stress test. High-risk pregnancy, hypertension, lab analysis, intravenous route, intake & output, fetal heart monitoring, vaginal exam Lelna Mengistu: 37 Years/ Advanced Perfusion Placental Complications NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes Pregnant client with vaginal bleeding. High-risk pregnancy, lab analysis, intake & output, ultrasound, professional communication, SBAR, health education Georgette Polsky: 26 Years/ Intermediate Reproduction Intrapartum Care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Teamwork and Collaboration NCJMM – Prioritize Hypotheses, Generate Solutions Client with a planned vaginal birth after cesarean (VBAC) admitted at 38 2/7 weeks. High-risk pregnancy, vaginal exam, fetal heart monitoring, SBAR, cesarean birth, urinary catheter, epidural 53 CJSim™ Unit Census Maternal – Child Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Anne Trust: 28 Years/ Intermediate Stress & Coping Perinatal Loss NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes A young female has a vaginal stillbirth at 34 weeks. Postpartum care, miscarriage, postpartum hemorrhage professional communication, family grief, postmortem care, conflict resolution Daniel Vogel: Newborn/ Advanced Oxygenation & Gas Exchange Newborn Care NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes Care of an infant post-delivery. APGAR score, conflict resolution, professional communication, culturally sensitive care, newborn care NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Teamwork and Collaboration NCJMM – Analyze Cues, Prioritize Hypotheses The client comes in with a vaginal delivery after a planned induction at 40 weeks. Twana Weeks: 28 Years/ Intermediate Reproduction Postpartum Care Child of Anna Vogel. APGAR score, epidural, postpartum care, anaphylactic reaction, newborn assessment 54 CJSim™ Unit Census Mental Health Unit Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Jenny Gribaldi: 13 Years/ Basic Stress & Coping Suicide NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Practice A student comes to the school nurse and is found to be cutting. Suicide observation, conflict resolution, consent, parenting, stress management, wound care, crisis, SBAR James Hudson: 30 Years/ Intermediate Stress & Coping Suicide NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Recognize Cues, Generate Solutions Practice Client with suicidal ideation admitted to the inpatient unit to treat anxiety and PTSD. Mental health examination, suicide observation, substance use, chronic anxiety, conflict resolution, SBAR, Mike Kennedy: 64 Years/ Intermediate Behaviors & Addiction Substance Use Disorder NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Analyze Cues, Evaluate Outcomes Practice Care of a client admitted with intoxication and concurrent health issues. CIWA-Ar, alcohol use/abuse, seizure precaution, lab analysis, suicidal observation 55 CJSim™ Unit Census Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Van Klinger: 26 Years/ Intermediate Mood & Affect Bipolar Disorder NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generating Solutions Practice Young adult with bipolar disorder presents to the outpatient office for medication concerns. Conflict resolution, marijuana use/abuse, vulnerable populations, SBAR, workplace violence Nanette Summers: 72 Years/ Basic Cognition Alzheimer Disease & Dementia NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NJCMM – Generate Solutions, Evaluate Outcomes Practice The nurse visits an older adult who is a new admission to homecare. Chronic pain, communication barrier, fall risk, nonverbal pain assessment, client advocacy, older adult violence, environmental safety risk Chelsea Aboyo: 42 Years/ Intermediate Stress & Coping Anxiety Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Client with tachypnea and numbness. Panic disorder, urinalysis, conflict resolution, stress management, communication techniques 56 CJSim™ Unit Census Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Daylen Carpenter: 18 Years/ Intermediate Mood & Affect Depressive Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Client with depression. Gender identity, suicidal observation, alcohol use/abuse, grief, lab analysis, stress management, legal issues, client advocacy, SBAR Maci Erdman: 20 Years/ Intermediate Psychosis Postpartum Care NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NJCMM – Recognize Cues, Evaluate Outcomes Client with flat affect. Postpartum mood disorders, homicidal, wound care, family advocacy, conflict resolution, medication teaching Chandler Harris: 24 Years/ Intermediate Stress & Coping Personality Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Client from a group home with agitation and acting out. Dissociative disorder, vulnerable population, client advocacy, violence, SBAR, posttraumatic stress disorder 57 CJSim™ Unit Census Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Scotty Harris: 21 Years/ Intermediate Mood & Affect Personality Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Client who appears Conflict resolution, tense and irritable. paranoid personality disorder, stress management, medication side effects Devin Hershell: 39 Years/ Intermediate Psychosis Bipolar Disorder NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Analyze Cues, Take Actions Adult with a history of substance-induced psychosis, bipolar disorder, with depression. Violence, conflict resolution, chemical restraint, psychosis, safety precautions Timothy Jansen: 34 Years/ Advanced Psychosis Schizophrenia NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Client with a history of schizophrenia. Communication barrier, SBAR, safety precautions, psychosis, chemical restraint, intramuscular route, hemorrhage, hypovolemic shock 58 CJSim™ Unit Census Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Kyle Jensen: 22 Years/ Intermediate Violence Personality Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Analyze Cues, Take Actions A young adult with Antisocial personality, suicidal and violence, lab analysis, homicidal ideation. substance use, physical restraint, intramuscular route, conflict resolution Leighton Kalinoski: 22 Years/ Intermediate Stress & Coping Personality Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Female client Borderline personality admitted to mental disorder, suicide health unit for observation, suicidal ideation. marijuana use, communication techniques, stress management Allison Osborn: 22 Years/ Basic Nutrition Eating Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Recognize Cues, Prioritize Hypotheses Client admitted to telemetry unit with a diagnosis of anorexia nervosa. Nutrition planning, hyponatremia, lab analysis, communication techniques, conflict resolution, fall risk 59 CJSim™ Unit Census Mental Health Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Coleen Spriggle: 53 Years/ Intermediate Mood & Affect Suicide NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Client admitted to the psychiatric unit of an acute care facility for suicidal ideations. Involuntary commitment, suicide observation, family dynamics, hypoglycemia, SBAR, communication techniques 60 CJSim™ Unit Census Stepdown & Critical Care Unit Stepdown & Critical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Carrol Childres: 53 Years/ Intermediate Perfusion Myocardial Infarction (MI) NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Practice Client presents to the emergency department with chest pain, nausea, and shortness of breath. STEMI, cardiac assessment, electrocardiogram, hypotension, medication side effect Ada Mongomery: 78 Years/ Intermediate Oxygenation & Gas Exchange Pneumothorax NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Practice Older adult enters ED after a fall and sustains pulmonary complications. Respiratory assessment, x-ray, chest tube, lab analysis, dehydration assessment, environment assessment Aaron Moskowitz: 19 Years/ Advanced Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Practice The client presents to the provider’s office and is directly admitted to the ICU with hyperglycemia and dehydration. Culturally sensitive care, urine ketones, insulin delivery, medication calculation, hypokalemia 61 CJSim™ Unit Census Stepdown & Critical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Maxine Strawser: 61 Years/Advanced Intracranial Regulation Increased Intracranial Pressure NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice Female who had a bicycle accident resulting in a head injury. Neurologic assessment, CT scan, intravenous route, IICP, nonpharmacological management, legal issues, mechanical ventilation Matthew Winters: 32 Years/ Advanced Sensory Perception Guillain-Barré Syndrome NCLEX® Client Needs – Physiological Adaptation QSEN – Safety NCJMM – Generate Solutions, Take Actions Practice Management of a client with Guillain-Barré. Neurologic assessment, mechanical ventilation, delegation, medication assessment, enteral nutrition, tracheostomy, suctioning Ari Brown: 38 Years/ Advanced Clotting Disseminated Intravascular Coagulation (DIC) NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes Client admitted with sepsis being transferred to step-down unit from intensive care. Bleeding precaution, lab analysis, medication teaching, health education, professional communication 62 CJSim™ Unit Census Stepdown & Critical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Shana Delco: 21 Years/ Advanced Mobility Neuromuscular Disorders NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Young adult presenting to ED with shortness of breath and anxiety. Myasthenic crisis, respiratory assessment, mechanical ventilation, ABGs, gastric tube insertion, lab analysis, health education Felix Harper: 72 Years/ Intermediate Cellular Regulation Falls NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions An older male was Rhabdomyolysis, admitted for fall pressure injury, lab and confusion. analysis, intravenous therapy, intake & output Alishia Jones: 34 Years/Advanced Hormonal Regulation Thyroid Disease NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions A client with asthma and anemia presents to the emergency department with shortness of breath. Lab analysis, intravenous route, medication calculation, postoperative care tracheostomy, cardiac arrest 63 CJSim™ Unit Census Stepdown & Critical Care Unit Concept Exemplar Blueprint Rosaria Lopez: 32 Years/ Intermediate Infection Urinary Tract Infection (UTI) NCLEX® Client Needs – Client admitted Physiological Adaptation for a complicated QSEN – Patient – UTI. Centered Care NCJMM – Prioritize Hypotheses, Take Actions Jesus Nino: 57 Years/ Intermediate Elimination Acute Kidney Injury NCLEX® Client Needs – Basic Care and Comfort QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Prioritize Hypotheses Male client with Lab analysis, cellulitis that leads medication to complications. assessment, medication side effects, skin exam George Ramariz: 65 Years/ Intermediate Perfusion Pulmonary Embolism A client that underwent a total hip replacement three days ago and has developed complications. NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes CJSim™ Overview Keywords Anaphylactic reaction, family dynamics, cardiac arrest, medication calculation, defibrillation Respiratory assessment, cardiac assessment, medication calculation, intravenous route, oxygen therapy, health education 64 CJSim™ Unit Census Stepdown & Critical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Rose Ritter: 67 Years/ Advanced Perfusion Dysrhythmias NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes A client is admitted for intermittent dizziness and chest pain episodes. Lab analysis, atrial fibrillation, bradycardia, pacemaker, health education Marcus Sheffler: 55 Years/ Intermediate Perfusion Myocardial Infarction (MI) NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions A client comes to the emergency department of a rural hospital with chest pain. Medication calculation, medication side effects, sublingual route, ventricular tachycardia, SBAR, electrocardiogram Kelli Shepherd: 27 Years/ Advanced Intracranial Regulation Aneurysm NCLEX® Client Needs – Female client in Physiological Adaptation coma. QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes Neurologic assessment, mechanical ventilation, death and dying, medication calculation, organ donation, family dynamics, communication techniques 65 CJSim™ Unit Census Stepdown & Critical Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Jamison Trent: 78 Years/ Advanced Cerebrovascular Accident NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Prioritize Hypotheses A client presents to the family healthcare provider's office for follow-up after ablation for atrial fibrillation. Neurologic assessment, NIH Stroke Scale, mechanical ventilation, intravenous route, death and dying, IICP Perfusion 66 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Maria Cummings: 47 Years/ Advanced Perfusion Shock NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Practice The client was admitted for observation after a motor vehicle accident with a blunt chest injury. Infiltration, cardiac tamponade, cardiac assessment, atrial fibrillation, laceration, obstructive shock, oxygen therapy, CT scan, SBAR Susie Jackson: 21 Years/ Intermediate Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Practice A young adult with type 1 diabetes has a motor vehicle accident. Lab analysis, communication techniques, intravenous route, intake & output, medication error, hypotension Susan McDaniel: 82 Years/ Intermediate Fluid & Electrolyte Balance Heart Failure NCLEX® Client Needs – Management of Care QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice An older adult with shortness of breath. Cardiac assessment, lab analysis, medication reconciliation, fluid overload, advanced directive, medication calculation 67 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Dave Smoak: 36 Years/ Advanced Perfusion Dysrhythmias NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Generate Solutions, Take Actions Practice Client presenting to the emergency department via wheelchair, clutching his chest, with labored breathing. Atrial fibrillation, cardiac assessment, prioritization, cardioversion, conflict resolution, lab analysis, medical error Jonathan White: 44 Years/ Intermediate Inflammation Pancreatitis NCLEX® Client Needs: Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Practice Client with abdominal pain, nausea, and vomiting. Dehydration assessment, preoperative, postoperative, sepsis, gallbladder disease, SBAR, medication error Sheryl Atkinson: 92 Years/ Intermediate Nutrition NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Older adult is brought to the clinic by her daughter for a non-healing wound. Vulnerable population, dehydration assessment, health promotion, intake & output, pressure injury staging, older adult violence Wound Care & Wound Healing 68 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Kirby Baxter: 36 Years/ Intermediate Perfusion Spinal Cord Injuries NCLEX® Client Needs – Client with Physiological Adaptation decreased QSEN – Patient – sensation. Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes Neurogenic shock, bradycardia, hypotension neurologic assessment, urinary catheter, CT scan Chantel Butler: 38 Years/ Intermediate Intracranial Regulation Traumatic Brain Injury NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Generate Solutions A female comes to the emergency department with an acute headache. Neurologic assessment, hypertension, CT scan, MRI, health education Rodrigo Chavez: 24 Years/ Intermediate Sensory Perception Spinal Cord Injuries NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Client in an ATV accident. Autonomic dysreflexia, intake & output, enemas, health education, communication techniques 69 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Anthony Constanzo: 53 Years/ Basic Elimination Benign Prostatic NCLEX® Client Needs – Hyperplasia (BPH) Health Promotion and Maintenance QSEN – Safety NCJMM – Recognize Cues, Prioritize Hypotheses Gloria Cox: 92 Years/ Intermediate Oxygenation & Gas Exchange Chronic Obstructive Pulmonary Disease (COPD) NCLEX® Client Needs – Client with fatigue Physiological Adaptation and shortness of QSEN – Patient – breath. Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Respiratory assessment, oxygen therapy, inhalation route, health promotion Ezra Dorsey: 3 Years/ Intermediate Violence Abuse NCLEX® Client Needs – Management of Care QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Child violence, communication techniques, growth and development, toddler, family dynamics, lab analysis Client with dysuria. A child is brought to the emergency department from a preschool. Communication barriers, vital sign procedure, nutrition planning, access to health care 70 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Preston Erdley: 48 Years/ Intermediate Intracranial Regulation Traumatic Brain Injury NCLEX® Client Needs – Client with a Physiological Adaptation traumatic brain QSEN – Patient – injury. Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Neurologic assessment, CT scan, IICP management, ABGs Frank Fletcher: 76 Years/ Intermediate Nutrition Malnutrition NCLEX® Client Needs – Basic Care and Comfort QSEN – Safety NCJMM – Prioritize Hypotheses, Generate Solutions Client with a 20pound weight loss. Nutrition planning, pressure injury, fall risk, oxygen therapy, anemia, blood administration, orthostatic vital signs Henry Freeman: 56 Years/ Basic Inflammation Gout NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Recognize Cues, Evaluate Outcomes Client with toe pain. Health education, medication teaching, lab analysis, nutrition planning, musculoskeletal assessment, access to healthcare 71 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Jasmine Gelnett: 26 Years/ Basic Stress & Coping Substance Use Disorder NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Generate Solutions, Take Actions Client presenting to ED with back pain. Workplace violence, opioid use/abuse, legal issues, chronic pain, communication techniques Thom Germaine: 64 Years/ Intermediate Tissue Integrity Wound Care & Wound Healing NCLEX® Client Needs – Safety and Infection Control QSEN – Safety NJCMM – Analyze Cues, Prioritize Hypotheses A client presents to the ED with a foot injury. Diabetes mellitus – Type 2, wound care, skin injury, medication side effect, medication error, health education, intravenous route Alyssa Henderson: 25 years/ Intermediate Violence Abuse NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Recognize Cues, Generate Solutions Client presents Health screening, holding right arm. communication techniques, intimate partner violence, legal issues, safety precautions 72 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Amelia Houston: 35 Years/ Advanced Hormonal Regulation Diabetes Insipidus NCLEX® Client Needs – Head injury after Physiological Adaptation an ATV accident. QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Thomas Hoy: 62 Years/ Advanced Inflammation Diverticular Diseases NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client comes to the emergency department via ambulance for right-sided abdominal pain. Grant Irving: 63 Years/ Intermediate Elimination NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Client with Genitourinary abdominal pain in assessment, SBAR, distress. acute pain, nutrition planning, health education Urolithiasis & Nephrolithiasis Blueprint CJSim™ Overview Keywords Neurologic assessment, lab analysis, diagnostic testing, hypernatremia, medication administration, health education Hypovolemic shock, gastrointestinal hemorrhage, lab analysis, hypotension, airborne isolation, ventricular tachycardia, cardiac arrest 73 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Liam Jeong: 32 Years/ Intermediate Stress & Coping Anxiety Disorders NCLEX® Client Needs – Client with Physiological Adaptation sudden onset of QSEN – Patient – palpitations. Centered Care NCJMM – Generate Solutions, Take Actions Acute anxiety, electrocardiogram, lab analysis, communication techniques, health education Melody Ledford: 27 Years/ Advanced Violence Abuse NCLEX® Client Needs – Client with a Physiological Adaptation gunshot wound. QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Take Actions Weapon threat, environmental safety risk, spinal precaution, ABGs, CT scan, communication techniques Declan McGee: 29 Years/ Advanced Oxygenation & Gas Exchange Pneumothorax NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Prioritize Hypotheses, Generate Solutions Client with respiratory distress. Chest trauma, chest tube, respiratory assessment, intravenous route, ABGs, SBAR Wally Newhouse: 19 Years/ Basic Comfort Mobility Techniques & Devices NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions The client presents to the emergency department with ankle pain and reports an injury while hiking. Neurovascular assessment, fall risk, nonpharmacological pain management, crutch teaching 74 CJSim™ Unit Census Pre-hospital & Emergency Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Grace Ruiz: 58 Years/ Advanced Glucose Regulation Diabetes NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses A 58-year-old female presents to the hospital via ambulance for lethargy and weakness. Wound assessment, ABGs, lab analysis, hypokalemia, falls, SBAR, rhabdomyolysis, wound care Lindia Smith: 65 Years/ Advanced Perfusion Cerebrovascular Accident NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Prioritize Hypotheses, Generate Solutions A client experiences new symptoms while at a restaurant and is transported to the emergency department. Neurologic assessment, CT scan, HIPAA, hypertension, IICP, medication calculation, aspiration precautions, conflict resolution Dwayne Talbott: 28 Years/ Intermediate Behaviors & Addiction Substance Use Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Recognize Cues, Prioritize Hypotheses Client who presents with intoxication. Hypothermia, alcohol use/abuse, hypokalemia, electrocardiogram, seizure precaution, legal issues, conflict resolution Stanley West: 75 Years/ Intermediate Cellular Regulation Lymphomas NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes A male client presents to the emergency department with chest congestion and shortness of breath. Lab analysis, neutropenic precautions, inhaled route, communication techniques 75 CJSim™ Unit Census Outpatient & Community Health Care Unit Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Meredith Anthony: 15 Years/ Intermediate Sexuality Sexually Transmitted Infections (STIs) NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Practice A teen client visits the school-based health center for vaginal discharge, depression, and weight loss. Chlamydia, trichomoniasis, depression, stress, HIPAA, nutrition planning, suicide risk Elijah Jackson: 4 Years/ Basic Infection Otitis NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NJCMM – Generate Solutions, Take Actions Practice Pediatric client with a complex health history presents to the clinic with ear pain. Growth and development, role of the nurse, medication calculation, ear drops, developmental care, health education Ainsley Pendergast: 16 Years/ Intermediate Oxygenation & Gas Exchange Cystic Fibrosis NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions Practice An adolescent presents to the pulmonologist’s office with a fever, decreased breath sounds, a frequent non-productive cough, and fatigue. Telehealth, respiratory assessment, inhalation route, communication techniques, ABGs, pneumonia, nutrition planning 76 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Robert Sessoms: 68 Years/ Intermediate Oxygenation & Gas Exchange Chronic Obstructive Pulmonary Disease (COPD) NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Generate Solutions, Evaluate Outcomes Practice An adult client is recently discharged from the hospital. The home care nurse is completing an inhome follow-up visit. Oxygen therapy, SBAR, inhalation route, lab analysis, health education Melva Stone: 72 Years/ Basic Coordinating & Managing Care Care Coordination NCLEX® Client Needs – Safety and Infection Control QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Practice Home visit of a client after inpatient rehabilitation following a stroke. Access to healthcare, medication teaching, environmental assessment, medication reconciliation, SBAR Hannah Aikers: 22 Years/ Intermediate Elimination Ostomies NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client follows up at her provider’s office after discharge from the hospital after a motor vehicle accident. Gastrointestinal assessment, colostomy, skin injury and damage, communication techniques, health teaching 77 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint Ezekiel Baptiste: 47 Years/ Basic Health Promotion Social Determinants of Health NCLEX® Client Needs – Homeless client Health Promotion and with nausea and Maintenance vomiting. QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Access to health care, vulnerable populations, dehydration assessment, medication calculation, intravenous route Lydia Bishop: 28 Years/ Intermediate Perfusion Peripheral Vascular Disease (PVD) NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes Client with numbness and tingling in fingers. Neurovascular assessment, Raynaud’s phenomenon, stress management, health education, medication teaching NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Generate Solutions 11-year-old girl visits the school nurse’s office. Growth and development, HIPAA, health education, communication techniques, stress management Mackenzie Bramble: 11 Years/ Development School-Age Basic Children CJSim™ Overview Keywords 78 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Joie Chung: 8 Months/ Basic Immunity Immunizations NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Evaluate Outcomes An 8-month-old infant is brought to the clinic for a well-child visit. Developmental care, health education, infant growth and development, telehealth, nutrition planning, parenting Janelle Collins: 20 Years/ Basic Sexuality Sexual Violence NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions A young female with pelvic pain comes to the college campus health center. Acute anxiety, sexual assault, SBAR, legal issues, communication techniques, conflict resolution, family dynamics, spirituality, stress management Alex DeChilds: 38 Years/ Intermediate Violence Abuse NCLEX® Client Needs – Client with Psychosocial Integrity multiple injuries. QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Lab analysis, medication calculation, SBAR, non-pharmacological pain management, intimate partner violence, laceration, wound care 79 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords David Erickson: 13 Years/ Advanced Immunity Hypersensitivity NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes 13-year-old male presents to the clinic with a rash. Allergic reaction, diagnostic testing, inhalation route, topical ointments and creams, medication teaching, SBAR, skin exam Paul Faust: 76 Years/ Basic Safety Environmental Safety NCLEX® Client Needs – Male client with Health Promotion and home health Maintenance needs. QSEN – Safety NCJMM – Recognize Cues, Evaluate Outcomes Fall risk, environmental assessment, environmental safety risk, blood glucose monitoring, orthostatic hypotension, caregiver role strain, health education Lester Finch: 65 Years/ Advanced Oxygenation & Gas Exchange Tuberculosis (TB) NCLEX® Client Needs – Safety and Infection Control QSEN – Teamwork and Collaboration NCJMM – Analyze Cues, Prioritize Hypotheses Inmate with active TB. Marginalized populations, lab analysis, isolation precautions, medication teaching 80 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Wally Genowitz: 82 Years/ Intermediate Nutrition Diverticular Diseases NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions An older adult client with abdominal cramping. Intake & output, enemas, stress management, SBAR, grief, diverticulitis, health education Cedric Gerber: 70 Years/ Basic Perfusion Peripheral Vascular Disease (PVD) NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Client experiencing Falls, wound care, pain with wound assessment, ambulation. intramuscular route, health education, medication teaching India Hartwell: 37 Years/ Basic Comfort Pain: Acute & Chronic NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Recognize Cues, Generate Solutions Client with back pain. Musculoskeletal assessment, caregiver role strain, pain assessment, medication reconciliation, health education Candice Jeffries: 36 Years/ Intermediate Thyroid Disease NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes Female client with weight gain. Health education, medication teaching, lab analysis, urinary tract infection, hypoglycemia Hormonal Regulation 81 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Alain King: 54 Years/ Advanced Fluid & Electrolyte Balance Heart Failure NCLEX® Client Needs – Reduction of Risk Potential QSEN – Informatics NCJMM – Take Actions, Evaluate Outcomes Telehealth appointment with a farmer with heart failure and chronic obstructive pulmonary disease (COPD). Telehealth, access to healthcare, nutrition planning, health education, medication side effects, hypokalemia Barbara Matthews: 64 Years/ Intermediate Functional Ability Neuromuscular Disorders NCLEX® Client Needs – Physiological Adaptation QSEN – Safety NJCMM – Prioritize Hypotheses, Generate Solutions Client with increased muscle weakness and spasms. Fall risk, PEG tube, oxygen therapy, health education, advance directive Taylor Michaelson: 21 Years/ Intermediate Reproduction Endometriosis NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes A female client Telehealth, sexual experiencing pelvic education, pain. medication teaching, ultrasound 82 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Ebony Robinson: 17 Years/ Intermediate Immunity HIV & AIDS NCLEX® Client Needs – Safety and Infection Control QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Prioritize Hypotheses An adolescent tests positive for pregnancy and HIV. Pregnancy care, lab analysis, stress management, health education, fetal heart monitoring Angelina Rodriguez: 29 Years/ Intermediate Mood & Affect Depressive Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Generate Solutions Woman visits the postpartum clinic and counseling center 7 weeks after the birth of her daughter. Postpartum depression, mental health exam, medication teaching, culturally sensitive care, telehealth Maya Thompkins: 19 Years/ Intermediate Elimination Hypersensitivity NCLEX® Client Needs – Reduction of Risk Potential QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Prioritize Hypotheses Client with abdominal pain referred from college health center to local primary care provider. Celiac disease, stress management, nutrition planning, health education, suppositories, lab analysis 83 CJSim™ Unit Census Outpatient & Community Health Care Unit Concept Exemplar Blueprint CJSim™ Overview Keywords Katina Trevor: 21 Years/ Basic Infection Patient Education NCLEX® Client Needs – Basic Care and Comfort QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Client presents with increasing fatigue and diarrhea. Medication teaching, abdominal assessment, medication reconciliation, nutrition planning Ethan Watson: 2 Years/ Intermediate Nutrition Anemia NCLEX® Client Needs – Child with Health Promotion and weakness and Maintenance irritability. QSEN – Safety NCJMM – Recognize Cues, Evaluate Outcomes Growth and development, health education, lab analysis, medication calculation, iron deficiency anemia Vivian Young: 52 years/ Intermediate Safety Central Line Catheters NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions, Evaluate Outcomes Access to healthcare, medication reconciliation, intravenous therapy, intravenous route Client requiring gynecology screening. 84 CJSim™ Unit Census Pharmacology Pharmacology Concept Exemplar Blueprint CJSim™ Overview Keywords Indira Grady: 86 Years/ Intermediate Perfusion Hypotension NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Analyze Cues, Evaluate Outcomes Practice An older client is brought to the clinic with dizziness. Medication side effects, fall risk, environmental assessment, environmental safety risk, health education Julia Jones: 53 Years/ Intermediate Safety Deep Vein Thrombosis (DVT) NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Prioritize Hypotheses, Generate Solutions Practice The client comes to the emergency room with a chief complaint of right leg pain. Lab analysis, medication side effects, medication teaching, medication calculation Sandra Mall: 38 Years/ Intermediate Mood & Affect Substance Use Disorders NCLEX® Client Needs – Psychosocial Integrity QSEN – Safety NCJMM – Analyze Cues, Take Actions Practice Bradycardia, Management of an hypotension, lab overdose client. analysis, medication side effects, medication error, medication calculation 85 CJSim™ Unit Census Pharmacology Concept Exemplar Blueprint CJSim™ Overview Keywords Bethlehem Alemu: 3 Years/ Intermediate Mobility Cerebral Palsy NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions Client receiving treatment for seizure disorder. Medication calculation, medication side effects, medication assessment, lab analysis, medication error, PEG tube Holly Apotek, RN/ Intermediate Coordinating & Managing Care Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions, Evaluate Outcomes The nurse prepares to administer medications to assigned clients in a long-term care facility. Multiclient, medication calculation, eye drops and ointments, sliding scale insulin, blood glucose monitoring, transdermal route Wudnesh Beyene: 71 Years/ Intermediate Mobility Postoperative Care NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Take Actions, Evaluate Outcomes A surgical client with knee pain. Medication teaching, medication calculation, subcutaneous route, medication reconciliation, preoperative care Earl Duckworth: 58 Years/ Basic Perfusion Hypertension NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Recognize Cues, Take Actions A client with hypertension presents with new symptoms. Medication assessment, nutrition planning, medication calculation, medication error, medication side effects, medication teaching 86 CJSim™ Unit Census Pharmacology Concept Miriah Haven: 40 Years/ Intermediate Exemplar Blueprint CJSim™ Overview Keywords Inflammation Inflammatory Bowel Disease NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Analyze Cues, Take Actions Client with ulcerative colitis. Nasogastric feeding tube, medication calculation, medication teaching, medication assessment, medication side effects Sadrac Joicin: 51 Years/ Advanced Perfusion Heart Failure NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NJCMM – Take Actions, Evaluate Outcomes A client who was resuscitated from cardiac arrest. Cardiogenic shock, heart failure, medication error, medication calculation, intravenous route, medication side effect Jacky Joseph: 22 Years/ Advanced Perfusion Burns NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions A young female is admitted with thermal burns. Central line catheters, mechanical ventilation, medication calculation, intravenous route, medication assessment Susan Little: 71 Years/ Basic Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions A hospitalized client with edema and adventitious lung sounds. Eye drops, medication calculation, medication assessment, lab analysis, medication side effects, intravenous route 87 CJSim™ Unit Census Pharmacology Concept Exemplar Blueprint CJSim™ Overview Keywords Binh Pho: 65 Years/ Intermediate Safety Postoperative Care NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Prioritize Hypotheses, Take Actions A female client who is postsurgical for a total knee arthroplasty. Culturally sensitive care, sliding scale insulin, subcutaneous route, phlebitis, hypoglycemia, bleeding precaution, medication teaching, medication calculation Henrique Ramirez: 8 Years/Intermediate Oxygenation & Gas Exchange Asthma NCLEX® Client Need – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Analyze Cues, Take Actions Client in Otitis externa, respiratory distress medication calculation, inhalation route, ear drops, medication teaching Thor Smyth: 27 Years/ Intermediate Mood & Affect Depressive Disorders NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Recognize Cues, Take Actions A client receiving antidepressant therapy. Conflict resolution, intramuscular route, medication side effects, suicide risk, medication calculation, medication teaching Madilynn Weaver: 27 Years/ Intermediate Inflammation Peptic Ulcer Disease NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions A client presents with abdominal pain and vomiting. Urinary tract infection, intramuscular route, medication side effects, medication calculation, blood administration 88 CJSim™ Unit Census Pharmacology Concept Exemplar Blueprint CJSim™ Overview Keywords Paula Jane Westover: 82 Years/ Advanced Perfusion Coronary Artery Disease (CAD) NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions A client presents to the emergency department with shortness of breath and chest pain. Unstable angina, lab analysis, intravenous route, medication calculation, gastrointestinal hemorrhage, eye drops, blood administration 89 CJSim™ Unit Census Pathophysiology Pathophysiology Concept Sidney Barnes: 31 Years/ Advanced Exemplar Blueprint CJSim Overview Keywords Inflammation Acute Kidney Injury NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Analyze Cues Practice A client with swollen hands. Lab analysis, intake & output, medication assessment, medication side effects, medication teaching Damien Bright: 37 Years/ Advanced Infection Osteomyelitis NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Practice Young adult with septic osteomyelitis of the right upper extremity. HIV-AIDS, opioid drug use, lab analysis, MRSA, wound culture, MRI, medication teaching, medication assessment Lottie Hancock: 74 Years/ Intermediate Perfusion Heart Failure NCLEX® Client Needs – Physiological Adaptation QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Generate Solutions Practice Client with pitting edema. Lab analysis, intravenous route, medication teaching, nutrition planning, health promotion, echocardiogram 90 CJSim™ Unit Census Pathophysiology Concept Exemplar Blueprint CJSim Overview Keywords Dennis Kohler: 45 Years/ Advanced Perfusion Peptic Ulcer Disease NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Evaluate Outcomes Practice Client with intermittent abdominal pain for three months. Gastrointestinal hemorrhage, lab analysis, blood administration, hypovolemic shock, endoscopy, hypotension Jolene Sigmund: 39 Years/ Basic Inflammation Pancreatitis NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Analyze Cues Practice Client with nausea, vomiting, and abdominal pain. SBAR, dehydration, nasogastric tube, lab analysis, hypotension Eli Blanchman: 21 Years/ Intermediate Mobility NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Client who experienced a seizure. Seizure management, seizure precaution, intravenous route, MRI, SBAR, medication side effects Seizures 91 CJSim™ Unit Census Pathophysiology Concept Exemplar Blueprint CJSim Overview Keywords Stephen Blecha: 71 Years/ Basic Perfusion Hypertension NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Take Actions, Evaluate Outcomes An older man who slipped on ice and sustained a fracture to the right wrist. Fractures, x-ray, acute pain, SBAR, medication side effects Lamar Calhoun: 31 Years/ Intermediate Oxygenation & Gas Exchange Lower Respiratory Infections NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Recognize Cues, Prioritize Hypotheses Client with shortness of breath. Pneumonia, inhaled medication, x-ray, medication side effects, asthma exacerbation Patrick Colemen: 81 Years/ Intermediate Elimination Benign Prostatic NCLEX® Client Needs – Hyperplasia (BPH) Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions An older adult is experiencing urinary frequency that impairs his ability to sleep. Lab analysis, medication teaching, genitourinary assessment, intake & output Sean O'Sullivan: 15 Years/ Intermediate Glucose Regulation Diabetes A male high school student is admitted for vomiting, fatigue, and weight loss. Dehydration, ABGs, lab analysis, intravenous route, insulin delivery NCLEX® Client Needs – Physiological Adaptation QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions 92 CJSim™ Unit Census Leadership Leadership Concept Exemplar Blueprint CJSim™ Overview Keywords Clyde, RN/ Intermediate Safety Medication Administration NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Generate Solutions, Take Actions Practice Provide medications to three clients at an assisted living facility. Multiclient, medication assessment, eye drops, nasal spray, medication calculation, medication side effects Gabe, ED Charge Nurse/ Intermediate Collaboration Disaster and & Teamwork Emergency Preparedness NCLEX® Client Needs – Management of Care QSEN – Teamwork and Collaboration NCJMM – Prioritize Hypotheses, Take Actions Practice Gabe is assigned for the shift as a charge nurse for a 16-bed emergency department. Multiclient, mass casualty event, disaster triage, stages of disaster management, HIPAA, delegation, professional communication, SBAR Mary, Surgical Care Charge Nurse/ Advanced Collaboration Delegation & Teamwork NCLEX® Client Needs – Management of Care QSEN – Patient – Centered Care NCJMM – Generate Solutions, Take Actions Practice Mary is assigned for the shift as the charge nurse for a busy 10-bed surgical care unit. Multiclient, scope of practice, delegation, conflict resolution 93 CJSim™ Unit Census Leadership Concept Exemplar Blueprint CJSim™ Overview Keywords Sam Goode, RN/ Intermediate Legal Issues Environmental Safety NCLEX® Client Needs – Management of Care QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Take Actions Practice Nurse on a trip to a nursing conference. Myocardial infarction, scope of practice, HIPAA, delegation, conflict resolution, cardiac arrest, defibrillation Care Coordination NCLEX® Client Needs – Management of Care QSEN – Safety NCJMM – Recognize Cues, Take Actions Practice Shania is assigned as the charge nurse for the pediatric unit. Multiclient, delegation, scope of practice, infant abduction, isolation precautions Shania, Pediatric Unit Charge Coordinating Nurse/ Advanced & Managing Care Jordan, ED Charge Nurse/ Advanced Collaboration Delegation & Teamwork NCLEX® Client Needs – Management of Care QSEN – Safety NCJMM – Recognize Cues, Take Actions Jordan is a charge nurse for a rural 14bed emergency department. Multiclient, delegation, communication techniques, conflict resolution, legal issues, cardiac arrest Laura, Skilled Care Charge Nurse/ Advanced Collaboration Delegation & Teamwork NCLEX® Client Needs – Management of Care QSEN – Teamwork and Collaboration NCJMM – Generate Solutions, Take Actions Laura is assigned as the RN charge nurse for the skilled care unit. Multiclient, delegation, communication techniques, conflict resolution 94 CJSim™ Unit Census Leadership Concept Steven, Medical Care Unit Charge Nurse/ Advanced Exemplar Blueprint CJSim™ Overview Keywords Collaboration Delegation & Teamwork NCLEX® Client Needs – Management of Care QSEN – Teamwork and Collaboration NCJMM – Analyze Cues, Take Actions Steven is assigned for the shift as the charge nurse for a busy 10-bed medical care unit. Multiclient, delegation, scope of practice, isolation precautions, environmental safety risk Terrance, ICU Charge Nurse/ Intermediate Advocacy Prioritization of Care NCLEX® Client Needs – Management of Care QSEN – Safety NCJMM – Prioritize Hypotheses, Generate Solutions Terrance is a charge nurse for a busy 10bed med-surg intensive care unit on night shift. Multiclient, death and dying, cardiac arrest, delegation, scope of practice, isolation precautions, communication techniques, conflict resolution Norah Winkler/ Advanced Violence Environmental Safety NCLEX® Client Needs – Management of Care QSEN – Teamwork and Collaboration NCJMM – Prioritize Hypotheses, Evaluate Outcomes Nurse assaulted by visitor. Intimate partner violence, environmental safety risk, laceration, head injury, culturally sensitive care 95 CJSim™ Unit Census Health Assessment Health Assessment Concept Exemplar Stacey Cenhed, RN/ Basic Elimination Paul Hamdy: 55 Years/ Basic Christine Bauch, RN/ Basic Blueprint CJSim™ Overview Keywords Health Promotion NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Evidence-Based Practice NCJMM – Analyze Cues, Generate Solutions Practice Three clients admitted with problems requiring assessment of the genitourinary system. Multiclient, genitourinary assessment, catheterassociated urinary tract infection, bladder scanner, intake & output, lab analysis, urinalysis Perfusion Documentation NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses Practice Client at cardiac rehabilitation center. Cardiac assessment, medication reconciliation, nutrition planning, peripheral vascular disease Elimination Documentation NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes An overview of three clients needing focused abdominal assessments. Multiclient, abdominal assessment, genitourinary assessment, constipation, kidney stone, colostomy 96 CJSim™ Unit Census Health Assessment Concept Exemplar Blueprint CJSim™ Overview Keywords Franklin Sanderson: 42 Years/ Oxygenation Basic & Gas Exchange Tuberculosis (TB) NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions A client comes into the low-cost public health center with a new cough. Respiratory assessment, skin exam, intradermal route, access to health care, tuberculosis Abby Spir, RN/ Basic Documentation NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Analyze Cues, Prioritize Hypotheses A nurse has several clients requiring respiratory assessments. Multiclient, respiratory assessment, pneumonia, COPD exacerbation, asthma exacerbation Oxygenation & Gas Exchange 97 CJSim™ Unit Census Women’s Health Women’s Health Concepts Exemplar Blueprint CJSim™ Overview CJ Grant: 22 Years/ Intermediate Sexuality Wound Care & Wound Healing NCLEX® Client Needs – Practice Safety and Infection Client with vaginal Control pain. QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Abscess, reproductive exam, medication calculation, urinalysis, urinary tract infection, wound care, wound culture Wisteria Metcalf: 39 Years/ Intermediate Health Promotion Menopause NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Patient – Centered Care NCJMM – Recognize Cues, Take Actions Menopause, lab analysis, health promotion, hypertension, nutrition planning Ju Young Shin: 25 Years/ Intermediate Sexuality Sexually Transmitted Infections (STIs) NCLEX® Client Needs – Practice Health Promotion and Client with vaginal Maintenance itching. QSEN – Evidence-Based Practice NCJMM – Recognize Cues, Evaluate Outcomes Practice Client with night sweats. Keywords Culturally sensitive care, reproductive exam, access to health care, topical ointments and creams, conflict resolution, communication techniques, biopsy, sexual education 98 CJSim™ Unit Census Women’s Health Concepts Exemplar Blueprint CJSim™ Overview Keywords Hermosa Flores: 51 Years/ Advanced Comfort Solid Tissue Cancers NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Analyze Cues, Take Actions Client admitted for uterine cancer. SBAR, postoperative, implanted central line, lab analysis, intravenous route, central line-associated bloodstream infection, medication calculations Paloma Silva: 67 Years/ Intermediate Comfort Solid Tissue Cancers NCLEX® Client Needs – Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions Client with nausea and vomiting in the emergency department. Communication barrier, culturally sensitive care, access to health care, ovarian cancer, bowel obstruction, nasogastric tube, nutrition planning Rochelle Wallace: 27 Years/ Intermediate Reproduction Perinatal Loss NCLEX® Client Needs – Client with vaginal Reduction of Risk bleeding. Potential QSEN – Safety NCJMM – Prioritize Hypotheses, Take Actions Spontaneous abortion, lab analysis, communication techniques, family grief, preoperative care, consent 99 CJSim™ Unit Census Skills Lab Skills Lab Concept Exemplar Blueprint CJSim™ Overview Keywords Atlas Kemp: 10 Years/ Intermediate Oxygenation & Gas Exchange Asthma NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Evaluate Outcomes Practice A child comes to the school nurse’s office during recess with shortness of breath. Respiratory assessment, asthma exacerbation, inhalation route, medication side effects Faith Kost, RN/ Intermediate Oxygenation & Gas Exchange Best Practices NCLEX® Client Needs – Health Promotion and Maintenance QSEN – Evidence-Based Practice NCJMM – Generate Solutions, Take Actions Practice Provide teaching to three newly diagnosed clients at the clinic. Multiclient, respiratory assessment, inhalation route, medication side effects, health education, oxygen therapy Danica Larsen: 36 Years/ Basic Safety Urinary Catheterization NCLEX® Client Needs – Reduction of Risk Potential QSEN – Safety NCJMM – Analyze Cues, Take Actions Practice A female client is admitted with an unstable femur fracture. Catheter management, communication techniques, prioritization of care, acute pain, nonpharmacological pain management, health education 100 CJSim™ Unit Census Skills Lab Concept Exemplar Troy Lightfoot: 53 Years/ Intermediate Safety Fatima Shariq: 68 Years/ Intermediate Mia Trujillo: 25 Years/ Basic Blueprint CJSim™ Overview Keywords Tracheostomy NCLEX® Client Needs – Care & Suctioning Reduction of Risk Potential QSEN – Patient – Centered Care NCJMM – Prioritize Hypotheses, Take Actions A client has a tracheostomy and receives home care and teaching. Spinal cord injury, suctioning, environmental safety risk, health education, neurologic assessment Elimination Constipation & Impaction NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Evidence-Based Practice NCJMM – Take Actions, Evaluate Outcomes A client experiencing constipation. Culturally sensitive care, nutrition planning, abdominal assessment, medication side effects, suppositories, enemas Safety Intravenous Therapy NCLEX® Client Needs – Pharmacological and Parenteral Therapies QSEN – Safety NCJMM – Analyze Cues, Take Actions Nurse troubleshoots an intravenous line. Intravenous route, medication calculation, intake & output, conflict resolution, intravenous therapy 101 CJSim™ Unit Census We always appreciate feedback from you! If you have suggestions for cases you want to see in the future, please let us know. You can contact us: nursethink_help@wolterskluwer.com 102
