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NR 340 Week 6 Assignment: Clinical Simulation Prep Packet

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NR 340 Week 6 Assignment: Clinical Simulation Prep Packet

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  • February 11, 2022
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NR 340 Week 6 Assignment: Clinical Simulation Prep Packet

Directions: This assignment is to be completed independently (it is not a group assignment!) and

turned in on your assigned clinical simulation day. Late submissions will not be accepted.

The purpose of this assignment is to prepare you to complete the corresponding clinical

simulation scenarios related to coronary artery disease and hypertensive crisis respectively.

Resources to complete this assignment include the following:


A. Lewis Medical-Surgical Nursing, 9th edition. Prevention of osteoporosis (p. 1555) and hip

replacement post-operative management (p.1526-1527).

B. Sole textbook Pulmonary Embolism (p. 423-425) and thrombolytic candidates (p. 382).

C. Stroke/TPA articles posted on shell


This assignment is worth 50 points.


Susan Weil Simulation Scenario


1. What is the nurse’s role in providing family centered care during and after a crisis?

(1 point)



The nurse’s role in communication with family members and patients is to be involved

during and after a crisis. The nurse should share information with family and patient that

is clear and avoid using medical jargon, the nurse should also be truthful and show

respect for the family and patients needs and listen to what information they have to

provide. The nurse should also provide comfort and support to the family members, be

aware of family strengths, and have respect for different methods of coping.

, 2. What pharmacological and non-pharmacological comfort measures can be used for

a post-operative patient? (2 points)


Pharmacological: Opoids - morphine, dilaudid, fentanyl


Non-pharmacological: Guided imagery, relaxation or breathing techniques, active

listening, re-positioning, and therapeutic touch, sedative music, limit noise and lighting,

explanation of all procedures and interventions.


3. What vital nursing assessment data should be gathered on a patient post hip

replacement surgery? (3 points)


Pain level (0-10), vital signs, check surgical site dressing for drainage and signs of

infections, bowel sounds, lungs sounds and perfusion


4. Describe the major complications that can arise for patients who are post-operative

hip injury/replacement? (3 points)


DVT, PE, stroke, infection, falls


5. Describe the pathophysiologic process of a pulmonary embolism. Include the

typical origin site of a pulmonary embolism. (3 points)


There is a blockage in a blood vessel that forms a blood clot (thrombus). The thrombus

dislodges from the blood vessel and travels through the blood until it becomes stuck in a

blood vessel in the lungs and occludes blood flow. Pulmonary embolism happens most

commonly due to mobilization of a clot from deep venous thrombosis in the lower leg.


6. What are 3 signs and symptoms associated with a pulmonary embolism? (2 points)

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