Question

	2. Shift Assessment Scenario
Purpose	To provide students with the opportunity to conduct a basic nursing assessment while managing and prioritizing multiple distractions.
Overview	Kyle Miller, a 41-year-old Caucasian male, was admitted Monday morning for a low-grade fever and cellulitis of the forearm secondary to a recent puncture wound. IV antibiotics were administered, and the affected area was cleaned and covered with dry gauze. Kyle's temperature has since returned to baseline, and he is slated for a Tuesday morning discharge to home. The scenario takes place on Tuesday at 0800, at which time a basic assessment is due.
Skill Review: Please review the following skills.	Hand Hygiene Vital Sign Assessment Wound Assessment Dressing Change
Pharmacology Review: Please review the following medications.	Naficillin Acetaminophen

Questions 1: Delegation contributes to efficiency in a clinical care setting. Identify the five rights of delegation.

Question 2: Kyle Miller experienced a localized infection. What signs and symptoms might he have experienced if the infection had developed into a systemic infection?

Question 3: Kyle Miller will be discharged home on an oral antibiotic. What patient education is necessary?

Question 4: Kyle Miller's infection is expected to continue to resolve. However, he should be instructed to report any signs or symptoms of an unresolved or recurrent infection to his health care provider. What will you teach him?

Nursing Diagnosis
Risk for infection related to broken skin secondary to accidental trauma.	3 Goals for this diagnosis?

Answer 1

5 RIGHTS OF DELEGATION:

• The Right person
• The Right task
• The Right circumstances
• The Right directions and communication
• The Right supervision and evaluation

Signs and symptoms of systemic infection:

• Fever and chills
• Very low body temperature
• Peeing less than normal
• Rapid pulse
• Rapid breathing
• Nausea and vomiting
• Diarrhea

Patient education :

Make sure that the patient know to take their antibiotics with food preferably at mealtimes

Many antibiotics can upset the stomach or cause gastritis,so avoid taking them on an empty stomach

Instruct the patient to drink more water

instruct the patient to take the antibiotics as prescribed by the doctor only.

Patient education:

Instruct the patient to monitor the skin temperature, if any sort of increased body temperature notify that and explain to the concerned doctor

Always be aware of health care associated infections

Know to clean hands before food and after toileting

Do not hesitate to ask any doubts with the health care providers

Goals of the nursing diagnosis:

• Patient remains free of infection as evidenced by normal vital signs and absence of signs and symptoms of infection.
• Early recognition of infection to allow for prompt treatment
• Patient will demonstrate meticulous hand washing technique