INSTRUCTIONS Introduction – You have learned how to assess the client’s cardiova

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INSTRUCTIONS
Introduction – You have learned how to assess the client’s cardiova

INSTRUCTIONS
Introduction – You have learned how to assess the client’s cardiovascular system. Now you will put that knowledge into practice. You will be gathering, interpreting, and analyzing normal and abnormal data related to a cardiovascular assessment.Collect and analyze data regarding a symptom to obtain a history of present illness (symptom analysis) using the COLDSPA mnemonic.
Analyze clinical assessment and diagnostic findings.
Identify priority lab and diagnostic data and priority nursing diagnosis for client symptom.
Answer questions in Canvas related to the scenario and chapter content.
Purpose – Practice collecting, analyzing, and prioritizing data from a client with a cardiovascular complaint. Practice accurate documentation of assessment findings in an assessment documentation form. This is going to help prepare you develop clinical judgment skills and to care for client’s in the clinical setting.
Detailed TasksStep 1: Review Patient ChartPatient Chart: Case Scenario – Cardiovascular Patient ChartActions
The patient chart includes additional information you may need when filling out your Patient Assessment Form and Reflection. This will also give you some background information to help you plan your patient care.
*Note: some information between the patient chart and video may be different (for example, the chart may say the patient has an allergy but the patient denies allergies). When this happens, always default to what the patient reports if they are alert and oriented.
Step 2: Review the Patient Scenario video to collect data you will need for your assessment form. Take notes while watching like you would as a student nurse assessing a patient in the clinical setting.
Step 3: Complete Patient Assessment Form.ActionsMust be typed directly into template to receive credit.
All areas must be addressed per rubric.
Do NOT include patient name (HIPAA Violation).
Use Lippincott Advisor Problem-Based ListActions to help choose your priority NANDA diagnoses.
Step 4: Complete Case Scenario Assignment ReflectionActionsMust be typed directly into template to receive credit.
All questions must be addressed per rubric.
Do NOT include patient name (HIPAA Violation).
Optional Step: Cardiovascular Completion VideoProfessor Hixon walks you through the patient chart and additional assessment findings in a client with a cardiovascular complaint. She helps you fill out the Patient Assessment Form you will be using to complete your assignment.
Case Scenario Assignment Reflection 2024 RUBRIC
CriteriaRatingsPts
Upload the completed patient assessment form5 ptsFull MarksPatient Assessment form submitted and complete0 ptsNo MarksNo patient assessment form submitted or <50% complete./ 5 pts Q1 Medical Diagnosis10 ptsFull MarksIncludes medical diagnosis, accurate pathophysiology for medical diagnosis, AND includes reference and in-text citation.5 ptsPartial MarksIncludes medical diagnosis for patient with partially complete pathophysiology OR provided accurate pathophysiology with NO reference/in-text citation OR incorrect APA formatting.0 ptsNo MarksIncomplete pathophysiology & no APA reference/in-text citation./ 10 pts Q2 Common Assessment Findings10 ptsFull MarksIdentifies 2 or more common assessment findings for the diagnosis.5 ptsPartial MarksIncludes only 1 common assessment findings for the diagnosis OR includes 1 correct and 1 incorrect finding.0 ptsNo MarksIncorrect assessment findings included OR no findings included./ 10 pts Q3 Improving or Deteriorating10 ptsFull MarksIdentifies two or more findings that indicate whether the patient is improving or deteriorating AND states explicitly that the patient is improving or deteriorating.5 ptsPartial MarksIncludes only 1 finding from the scenario to indicate whether the patient is improving or deteriorating OR includes 1 correct and 1 incorrect finding OR does not explicitly state that the patient is improving or deteriorating.0 ptsNo MarksIncorrect findings included OR no findings included./ 10 pts Q4 Laboratory and Diagnostic Data10 ptsFull MarksIdentifies ALL abnormal laboratory and diagnostic data. Needs to include: test name, patient result, and whether the finding was high or low.5 partial MarksIdentifies 50% of abnormal laboratory and diagnostic data OR is missing part of required information: test name, patient result, whether finding was high or low.0 ptsNo MarksMissing a majority of abnormal laboratory and diagnostic data OR missing two or more required information: test name, patient result, whether finding was high or low./ 10 pts Q5 Assessment Findings Related to Laboratory/Diagnostic Data10 ptsFull MarksIncludes at least one assessment finding that would be expected for EACH abnormal laboratory and diagnostic data.5 ptsPartial MarksIdentifies assessment findings that would be expected for 50% of listed abnormal laboratory and diagnostic data. For example: includes 6 abnormal laboratory tests, but only includes expected findings for 3 of those tests.0 pts NUM MarksMissing a majority of expected assessment findings related to abnormal laboratory and diagnostic data./ 10 pts Q6 RN Diagnosis10 ptsFull MarksIdentifies 2 RN diagnoses AND identifies the priority RN diagnosis AND discusses why those 2 diagnoses were chosen.5 ptsPartial MarksIncludes only 1 RN diagnosis OR does not state what the priority RN diagnosis is for the patient.0 ptsNo MarksNo discussion about rationale for chosen RN diagnoses./ 10 pts Q7 RN Intervention10 ptsFull MarksIdentifies NURSING interventions to include: an assessment based intervention, an action/do intervention AND a monitoring intervention that are indicated for the patient's PRIORITY problem. For example: a patient with a pressure injury, we would assess the patient's skin Q2H, turn the patient at least Q2H and monitor for incontinence at least Q2H.5 ptsPartial MarksIncludes 2 out of 3 NURSING interventions that are indicated for the patient's PRIORITY problem OR 3 NURSING interventions that are not related to the PRIORITY problem.0 ptsNo Marks1 or less RN interventions included OR MEDICAL interventions are included OR interventions are not related to the patient's case./ 10 pts Q8 Medication10 ptsFull MarksIdentifies a medication that would be indicated for the patient's priority nursing diagnosis. MUST include: name of the medication, indication, and at least one side effect to be monitored for.5 ptsPartial MarksMedication listed is not associated with the patient's priority problem OR missing 1 required item: medication name, indication OR possible side effect.0 ptsNo MarksMedication not associated with the patient's case OR 2 or more items missing from required items: medication name, indication, side effect./ 10 pts Q9 Additional Information10 ptsFull MarksIdentifies at least two points of additional information that the student would like to know or assess to better care for the patient AND discusses why they would need this info.5 ptsPartial MarksIdentifies only one point of additional information that the student would like to know or assess to better care for the patient AND discusses why they would need this info OR lists two points but does not discuss why.0 ptsNo MarksInformation not related to patient case OR identifies only one point of additional information AND does not discuss why./ 10 pts Additional Informationview longer description5 ptsFull Marks0 ptsNo marks1 pt deducted per issue/ 5 pts Total Points: 0 Choose a submission typeSubmission type Upload, currently selectedUploadSelect submission type StudioStudioMore submission optionsMoreDrag a file here, or click to select a file to uploadDrag a file here, orChoose a file to uploadFile permitted: DOC, DOCX, PDFor Submit file using Canvas FilesCanvas FilesI agree to the tool's End-User License AgreementPer UTA’s Academic Integrity and Scholastic Dishonesty Standards, students are accountable for work submitted for credit, including group projects. To ensure the academic integrity of work submitted, faculty have the option to submit assignments to Turnitin, or have students directly submit assignments to Turnitin, through Canvas. Turnitin is an anti-plagiarism tool that compares a student’s work against any other work found on the internet, and to previously submitted academic work at UTA. Upon submission, students’ work will be automatically added to the Turnitin secure database for the purpose of monitoring future assignments submitted by anyone at UTA. Academic work will not be sold to others by Turnitin and will be used solely to monitor academic dishonesty per UTA's policies. By clicking on this Box you acknowledge this statement and agree to abide by UTA’s Honor Code available at www.uta.edu/conduct.Previous ModulePreviousSubmit AssignmentNext ModuleNext

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