Beth is 76 years old and has been admitted to your ward at 2000 with pneumonia from ED. Beth has a PMH of COPD and HTN. The nurse had an extremely busy shift over night.

CASE STUDY 1.

Beth is 76 years old and has been admitted to your ward at 2000 with pneumonia from ED. Beth has a PMH of COPD and HTN. The nurse had an extremely busy shift over night.

See ADD's chart below.

At 0600: The Nurse was distracted and forgot to do an intervention i.e. (A)

When the nurse went to see Beth at 0700, her Nasal Prongs were laying on the floor. Beth was confused and climbing out of bed. Beth was Cyanosed, RR 30, Spo2 87% RA. A blood gas shows that Beth is acidotic and hypercapnic.

Question 1 -

  • Identify which two of the eight NSHQS standards the nurse did not meet and why?
  • How does meeting the NSQHS standards protect Beth?

300 words

Question 2 -

​​​​​​Beth went to the ED where her GCS declined. Beth was made palliative and died 2 hrs later.

  • Why will this scenario become a coroners?
  • Do you think that there should be consequences for the nurse?

300 words

Question 3 -

Beth became hypoxic and hypercapnic.

  • Why is this a risk for patients with COPD?
  • Explain the pathophysiology of why this occurred and how it could have been prevented.

300 words

Expert's Answer

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