Posted: July 14th, 2022

NSG/302 Professional Contemporary Nursing Role & Practice

NSG/302 Professional Contemporary Nursing Role & Practice
Read the following case study:
You are a staff nurse working in an intensive care unit and
assigned to care for a 75-year-old man who had coronary artery
bypass graft surgery four days ago. The patient has a history of
chronic obstructive pulmonary disease exacerbated by heavy
smoking. His postoperative course has been difficult, and he has
suffered a number of setbacks. Staff members, despite their
diligent efforts, have not been able to wean him off the ventilator
since the surgery. He has required frequent suctioning throughout
the shift, and he is being evaluated for the development of
ventilator-associated pneumonia.
Today, when returning from lunch, you observed that an
experienced nurse was suctioning your patient. His secretions
were thick, and you observed that the nurse was instilling saline
into the patient’s endotracheal tube as she was suctioning him.
The patient turned red and began coughing, and it was obvious he
was in distress. You asked the nurse why she was instilling saline
into his endotracheal tube. She replied that this was being done to
loosen the secretions. You told her this was no longer an
acceptable practice. She stated that she many years of critical. Today, when you returned from lunch, you saw an experienced nurse suctioning your patient, and you were curious about what they were doing. You saw that the nurse was adding saline to the patient’s endotracheal tube as she was suctioning him because his secretions were particularly thick.
It was clear that the patient was in some kind of trouble since he flushed red and started coughing. You questioned the nurse about the purpose of the saline infusion she was giving him through the endotracheal tube. She said that this procedure was being carried out in order to break up the secretions. You informed her that this behavior was no longer tolerated in today’s society. She claimed that she had many years of valuable experience.

NSG/302 Professional
Contemporary Nursing Role &
Practice

care experience and she didn’t care what anyone said, that the
only way you could loosen the patient’s secretions would be to
instill saline. She also said that would be the last time she would
do something for one of your patients while you were at lunch.
Determine a plan of care for the patient using the nursing process.
Use at least two nursing diagnoses and include their associated
goals, interventions, and outcomes that you expect to see for
each diagnosis.
Define each step of the nursing process and align each step to
critical thinking and clinical decision-making processes. This can
be accomplished by using bubbl.us and developing multidirectional links in your concept map to demonstrate the
interrelationships that exist among the various concepts.
Format your care plan as a concept map using visual presentation
software from the College of Education Technology Resource
Library
(https://ecampus.phoenix.edu/secure/aapd/COE/COEresrc/tec
h-resources.asp)
Click Web Tools. (I am requesting that you use bubbl.us to
develop your concept map)
Click Collaboration & Productivity.
Format your alignment of the nursing process with the critical
thinking process and clinical decision-making process in a
document, table, or other visual representation approved by your
instructor. This can all be done within your bubbl.us concept map.
Your concept map image should be copied and pasted into a
Microsoft Word document with a title page, concept map image,
reference page.
Assignment adapted from Leading and Managing in Nursing (Ch.
21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright
2015 by Elsevier. Adapted with permission.

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Tags: 150-200 words discussion with a scholarly reference, 200-300 words response to classmate discussion question, 250 word analysis essay, bachelor of nursing assignments, case study