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OLIVIA JONES-Vsim, Complete solution, latest Spring 2020/2021.
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OLIVIA JONES-Vsim, Complete solution, latest Spring 2020/2021.
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialVSIM CLINICAL OLIVIA
V-Sim Clinical Olivia Jones JONES
Patient Introduction
Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has
been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for
assessment and surveillance.
Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood
pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed
rest at home until prenatal visit today with increasing symptoms, resulting in admission.
She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones,
negative glucose, +2 dependent edema, and facial puffiness.
Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents
with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness.
The fetus is active; however, patient states that it is a bit quieter than normal. There is a
possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125
mL/hr. Labs were obtained.
Readings: Hypertension during pregnancy: Read pages 97 - 100
Also review: on Vsim
1. Pharmacology: Magnesium Sulfate
2. Procedures: Deep Tendon Reflex Assessment & Magnesium Sulfate Administration
3.
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V-Sim Clinical Olivia Jones
Concept Map Worksheet Activity
Patient Complaint and Pathophysiology of Disease/Condition:
Severe preeclampsia is characterized by high blood pressure greater than 160/110mm Hg. It is
unknown, in regards to, the pathophysiology. This condition causes pulmonary edema, oliguria,
seizures, abnormal liver enzymes, and thrombocytopenia.
Diagnostic Tests: Anticipated Findings:
Patient Information: Increased blood
pressure >140/90
Fetal heart rate Olivia Jones is a 23-year-old
monitor African-American female, Facial edema
G1P0 at 36 weeks of
CBC gestation. She has been Oliguria
diagnosed with severe
Urine Dipstick preeclampsia and is Headache
admitted to the labor and
Liver function test delivery unit for assessment Difficulty breathing
and surveillance.
Pitting edema
(dependent)
Epigastric pain
Anticipated Nursing Interventions:
Monitor labs
Monitor both maternal and fetal vitals
Provide patient and family emotional support
Provide patient and family education on what is happening
Assess deep tendon reflexes
Auscultate patient’s lung sounds
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