Shadow Health Preeclampsia Care Plan 2024/2025

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Shadow Health Preeclampsia Care Plan

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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier

Focused Exam: Preeclampsia Results | Completed NURS 438: Patient-Centered Care: Childbearing Family Fall 2022, NURS 438 Return to Assignment (/assignments/673642/)

Your Results

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Overview

Care Plan : 6.5 of 8 (81.3%)

Transcript Subjective Data Collection

Nursing Diagnosis

1 out of 2

Objective Data Collection Education & Empathy Documentation

International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurses (IC https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-download

Diagnosis

Care Plan Video Tutorial Student Survey

Student Response

Model Answer

Explanation

Points Earn

injury

risk of complications during pregnancy

Naomi's preeclampsia has not yet resulted in an injury for her or her fetuses, but it is a serious risk that can be addressed by a nurse. While Naomi is experiencing daily headaches, an acute headache diagnosis is less urgent to address compared to the risk of complications during pregnancy; in addition, addressing the risk of complications during pregnancy first through preeclampsia management education will ultimately reduce headaches and discomfort.

0 out of 0.5

Model Answer

Explanation

Points Earn

Signs & Symptoms Student Response

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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier edema in lower extremities

edema in lower extremities

To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis.

0.5 out of 0.5

unexpected weight gain

proteinuria

To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis.

0 out of 0.5

systolic blood pressure greater than or equal to 140 mmHg

systolic blood pressure greater than or equal to 140 mmHg

To minimize risk for Naomi and her baby, it is important to identify signs and symptoms indicating that her gestational hypertension is causing damage. These signs and symptoms include sustained hypertension, lower extremity edema, and protein in the urine. Nausea, frequency of urination, and weight gain are not concerning symptoms that would indicate preeclampsia or a "risk of complications during pregnancy" diagnosis.

0.5 out of 0.5

Planning

3 out of 3.

Short-Term Goal Student Response

Model Answer

Explanation

Points Earn

To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide.

To have the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you will provide.

Address a patient's insufficient knowledge as soon as possible (in this current visit), and give the patient the correct information yourself, as opposed to encouraging them to conduct their own research, which can lead to less evidenced-based learning.

0.5 out of 0.5

Model Answer

Explanation

Points Earn

Interventions Student Response

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2/5

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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier Instruct patient to drink 8 glasses of water a day

Instruct patient to drink 8 glasses of water a day

While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure.

Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician.

0.5 out of 0.5

Instruct patient to consume more protein, especially through nuts, beans, and poultry with the skin removed

Instruct patient to consume more protein, especially through nuts, beans, and poultry with the skin removed

While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure.

Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician.

0.5 out of 0.5

Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily

Instruct patient to buy a blood pressure cuff for at-home measurement 3 times daily

While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure.

Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician.

0.5 out of 0.5

Instruct patient to call physician if blood pressure reading is above 140/90

Instruct patient to call physician if blood pressure reading is above 160/110

While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure.

Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician.

0 out of 0.5

Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes

Instruct patient to call physician if she experiences severe headaches that don't go away, nausea, vomiting, or visual changes

While nothing alleviates preeclampsia symptoms quite like the delivery of the baby, a patient can manage the condition through careful lifestyle changes. Increasing lean protein intake and increasing fluid intake can all help address high blood pressure.

Additionally, having the patient monitor her own blood pressure at home can help her know when it's time to call her physician.

0.5 out of 0.5

Intervention Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt

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Student Response

Model Answer

Explanation

3/5

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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal.

by increasing water intake, monitering BP, and altering the diet, the pt. will have the causes of managing her preeclampsia

Making changes to diet, hydration, activity level, and blood pressure monitoring are all healthy and effective ways to manage preeclampsia.

Patients should receive detaile instructions; vague suggestion like "work on your diet" or "monitor your blood pressure" (without any idea of how or ho often) do not lead to optimum patient outcomes.

Data Collections Student Response

Model Answer

Explanation

Points Earn

Ask patient to state back and agree to her preeclampsia management instructions

Ask patient to state back and agree to her preeclampsia management instructions

A patient should be able to state back and agree to all of her instructions so that you can ensure there are no errors, omissions, or hesitations.

0.5 out of 0.5

Discussion Of Care

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt

Student Response

Model Answer

Explanation

Explain the rationale behind your nursing diagnosis, as well as your goal(s) for Ms. Adebayo and the interventions and data collections you will use to help her achieve this goal(s).

ege

Ms. Adebayo, as you know, preeclampsia can affect the health of you and your babies, placing you and them at risk for injury. Fortunately, we're at a stage where we can make concrete changes that can drastically reduce that risk. Some contributing factors to preeclampsia include your current sodium intake, hydration habits, strenuous exercise, lack of at-home blood pressure monitoring, and the history in your family of high blood pressure. We're going to talk more about how to address these factors and better manage your preeclampsia.

Showing a patient that you understand their needs can he build rapport and ensure that y have your information right.

Additionally, explaining the details of your interventions an data collections will help Ms. Adebayo understand the plan, and give her an opportunity to raise concerns.

Before beginning her postpartum education, ask for Ms. Adebayo’s consent to the Care Plan.

do you consent to this care plan

Ms. Adebayo, if you don’t have any other questions, we can start our discussion now. Does this plan I just talked about sound good to you?

A patient must consent to all interventions in their Care Plan Disagreements are opportuniti to provide further patient education and to consider alternative options.

Intervention & Evaluation

Student Response

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2.5 out of 2

Model Answer

Explanation

Points Earn

4/5

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| Shadow Health® │ Digital Clinical Experiences™ from Elsevier Fully

Fully

Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved!

2.5 out of 2.5

Intervention & Evaluation Rationale

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Prompt

Student Response

Model Answer

Explanation

Did you achieve your goal of having the patient, within her visit at the prenatal clinic, state back and agree to preeclampsia management tips that you provided?

Pt. understands all instructions given to her. Pt. askes questions about the instructions. she understand the implications of not following the instructions. she wants to whatever it takes to stay healthy so she can have her babies

Naomi exhibits complete understanding of her preeclampsia management instructions: when stating them back, she does not make any errors or omissions, and verbally agrees to abide by them. Your goal is fully achieved!

Assessing the completeness a correctness of your patient's teach-back gives you an opportunity to go over any mistakes with your patient.

Comments If your instructor provides individual feedback on this assignment, it will appear here.

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