NR305 Week 4 Discussion : iHuman Virtual Patient Encounter Debriefing
Directions
Debriefing: Discover and Deepen
- You are encouraged, but not required, to complete at least one iHuman Virtual Patient Encounter attempt before participating in the debriefing.
- Answer all questions below with explanations and detail. No scholarly sources are required.
Paragraph one: Reflect on your experience conducting cardiovascular, respiratory, or peripheral vascular assessments. Discuss challenges and barriers when performing these assessments in a clinical setting and describe how you can address them effectively. Reflect upon a time you encountered an unexpected assessment finding and describe what you learned from that experience related to the assessment.
Paragraph two: Answer the questions based on the first letter of your last name below.
| Last Name | Question to Answer |
|---|---|
| A – G | How would you approach a cardiovascular physical assessment differently if you were assessing an adolescent female experiencing anxiety in the clinic setting? Address inspection, palpation, and auscultation. |
| H – Q | How would you approach a respiratory physical assessment differently if you were evaluating a pregnant client in her third trimester experiencing shortness of breath in the clinic setting? Address inspection, palpation, and auscultation. |
| R – Z | How would you approach a peripheral vascular physical assessment differently if you were assessing an elderly client with dementia in a long-term care facility who is non-verbal and unable to provide feedback during the examination? Address inspection and palpation. |
SOLUTION NR305 Week 4 Discussion : iHuman Virtual Patient Encounter Debriefing
Hello class,
As a practicing nurse, I have encountered challenges performing assessments in clinical settings. Time constraints are always a challenge, whether adhering to time limits or managing a busy patient load as a nurse. To address this, I have learned to prioritize key assessment techniques, explain steps concisely to patients, and request quiet assistance from others when needed. Patient discomfort is also common, especially with sensitive populations like elderly patients or those with anxiety. Taking a moment to calmly introduce myself, explain each step, and check-in on comfort level helps put patients at ease. Gentle examination techniques paired with reassurance can still allow a thorough assessment. One unexpected finding that stands out was early in my nursing career during a routine respiratory exam. Upon auscultation, I detected faint crackles that gave me pause. By promptly notifying the attending physician, additional evaluation revealed previously undiscovered CHF. This experience reinforced the importance of objective documentation and seeking guidance when findings differ from expectations. It also showed me how thorough baseline assessments establish crucial trends over time….
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