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BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s, Study Guides, Projects, Research of Nursing

South College Nursing

BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical simulations that promote critical thinking, clinical judgment, prioritization, and communication skills. Each scenario includes the focus system, brief summary, learning objectives, and key actions

Typology: Study Guides, Projects, Research

2024/2025

Available from 07/09/2025

DrPrep 🇺🇸

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BSN NSG 3313 Adult Health Nursing I course.

These are realistic, evidence-based clinical simulations that promote critical

thinking, clinical judgment, prioritization, and communication skills. Each scenario

includes the focus system, brief summary, learning objectives, and key actions.

Scenario 1: Acute Exacerbation of COPD

• Focus: Respiratory System

• Summary: 68-year-old male presents with shortness of breath, wheezing,

and productive cough. History of COPD and smoking.

• Learning Objectives:

• Recognize signs of respiratory distress

• Administer oxygen and bronchodilators

• Educate on smoking cessation

• Key Actions:

• Apply oxygen via nasal cannula

• Elevate head of bed

• Monitor SpO₂ and ABGs

• Administer albuterol via nebulizer

Scenario 2: Chest Pain – Suspected MI

• Focus: Cardiovascular System

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Download BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s and more Study Guides, Projects, Research Nursing in PDF only on Docsity!

BSN NSG 3313 Adult Health Nursing I course.

These are realistic, evidence-based clinical simulations that promote critical thinking, clinical judgment, prioritization, and communication skills. Each scenario includes the focus system , brief summary , learning objectives , and key actions. Scenario 1: Acute Exacerbation of COPD

Focus: Respiratory System
Summary: 68 - year-old male presents with shortness of breath, wheezing, and productive cough. History of COPD and smoking.
Learning Objectives:
- Recognize signs of respiratory distress
- Administer oxygen and bronchodilators
- Educate on smoking cessation
Key Actions:
- Apply oxygen via nasal cannula
- Elevate head of bed
- Monitor SpO₂ and ABGs
- Administer albuterol via nebulizer Scenario 2: Chest Pain – Suspected MI
Focus: Cardiovascular System

Summary: 54 - year-old female arrives with chest pain radiating to the left arm, nausea, and diaphoresis.
Learning Objectives:
- Initiate chest pain protocol
- Perform focused cardiac assessment
- Prioritize care using MONA (Morphine, Oxygen, Nitroglycerin, Aspirin)
Key Actions:
- Obtain ECG and vital signs
- Administer aspirin and nitroglycerin
- Prepare for transport to cath lab Scenario 3: Postoperative Hemorrhage
Focus: Surgical/Medical Emergencies
Summary: 40 - year-old male, post-op day 1 from abdominal surgery, now hypotensive with tachycardia and abdominal distention.
Learning Objectives:
Identify early signs of hemorrhage
Communicate findings to provider
Manage shock symptoms
Key Actions:

Learning Objectives:
- Conduct NIH Stroke Scale
- Prioritize rapid diagnostic imaging
- Prepare for tPA administration
Key Actions:
- Notify stroke team
- Establish IV access
- Maintain NPO status Scenario 6: Sepsis in Elderly Patient
Focus: Infectious Disease / Multi-System
Summary: 81 - year-old from a nursing home, febrile, lethargic, low BP, high HR.
Learning Objectives:
Recognize early signs of sepsis
Initiate Sepsis Bundle
Communicate SBAR to provider
Key Actions:
Draw blood cultures
Start broad-spectrum antibiotics
Administer IV fluids

Scenario 7: Hypovolemic Shock – GI Bleed

Focus: GI/Fluid Balance
Summary: 58 - year-old male with dark tarry stools, fatigue, and hypotension.
Learning Objectives:
- Identify GI bleeding symptoms
- Manage fluid resuscitation
- Monitor hemoglobin and hematocrit
Key Actions:
- Insert large bore IVs
- Administer isotonic fluids
- Prepare for endoscopy Scenario 8: Heart Failure Exacerbation
Focus: Cardiovascular/Pulmonary
Summary: 72 - year-old with dyspnea, orthopnea, +3 edema, and crackles bilaterally.
Learning Objectives:
Recognize fluid overload
Administer diuretics

Summary: 30 - year-old after receiving IV antibiotics develops hives, wheezing, and hypotension.
Learning Objectives:
- Identify anaphylaxis signs
- Administer epinephrine promptly
- Maintain airway
Key Actions:
- Stop the offending agent
- Administer IM epinephrine
- Provide oxygen and call rapid response ✅ **Simulation Scenario Add-Ons: Clinical Debriefing, Roles, and Evaluation

Acute Exacerbation of COPD**

Debriefing Points:
What signs indicated respiratory failure?
How did oxygen administration impact the patient’s condition?
Student Roles:
Primary nurse
Respiratory therapist
Family member (optional)

Assessment Strategy:
- Evaluate correct O2 delivery method
- Charting of interventions
- SBAR communication to provider 2. Chest Pain – Suspected MI
Debriefing Points:
What are the priorities in MI care?
What complications must be monitored?
Student Roles:
Triage nurse
Medication nurse
ECG tech
Assessment Strategy:
Timeliness of MONA implementation
ECG interpretation
Documentation accuracy 3. Postoperative Hemorrhage
Debriefing Points:

Understanding of insulin therapy
Fluid replacement plan
Electrolyte monitoring 5. Acute Stroke (Ischemic)
Debriefing Points:
What made this a high-priority stroke case?
What barriers to communication existed?
Student Roles:
ED nurse
Neuro assessment nurse
Family support
Assessment Strategy:
NIH Stroke Scale completion
Rapid tPA checklist
CT scan prep and consent 6. Sepsis in Elderly Patient
Debriefing Points:
What sepsis indicators were present?

Did the team meet the 1-hour bundle?
Student Roles:
Rapid response nurse
Charge nurse
Documentation nurse
Assessment Strategy:
Time to antibiotics
Culture collection accuracy
Fluid resuscitation plan 7. Hypovolemic Shock – GI Bleed
Debriefing Points:
How did you recognize hypovolemia?
What are nursing priorities for a GI bleed?
Student Roles:
GI nurse
Transport nurse
IV/Access specialist
Assessment Strategy:
Volume status monitoring

Student Roles:
- Nephrology nurse
- Lab coordinator
- Educator on fluid balance
Assessment Strategy:
- I/O documentation
- Recognition of nephrotoxic agents
- Communication with pharmacy 10. Anaphylaxis
Debriefing Points:
How quickly was epinephrine given?
What safety checks were in place for medication administration?
Student Roles:
Code team responder
Medication nurse
Supportive family
Assessment Strategy:
Time-to-epi performance
Allergy verification on MAR

Airway management response **CONTINUED EXPANSION: Outcomes, Collaboration, & Nursing Diagnoses

Acute Exacerbation of COPD**

Expected Outcomes:
SpO₂ ≥ 92% on supplemental O₂
Reduced respiratory rate < 24 bpm
Patient verbalizes easier breathing
Interprofessional Collaboration:
Respiratory therapy for nebulizer treatments
Pulmonologist consult
Priority Nursing Diagnoses:
Impaired gas exchange
Ineffective airway clearance 2. Chest Pain – Suspected MI
Expected Outcomes:
Chest pain relieved within 10 minutes
ECG obtained and reviewed within 10 minutes

Risk for shock 4. Diabetic Ketoacidosis (DKA)
Expected Outcomes:
Glucose trending toward normal range
Alert and oriented ×
Electrolytes (K⁺) remain stable
Interprofessional Collaboration:
Endocrinologist
Lab services
ICU nurse for insulin titration
Priority Nursing Diagnoses:
Risk for fluid volume deficit
Altered metabolic state 5. Acute Stroke (Ischemic)
Expected Outcomes:
CT completed within 30 minutes of arrival
tPA administered (if eligible) within 3-hour window
Neurological status stabilized

Interprofessional Collaboration:
- Neurologist
- Radiology
- Speech therapy (NPO risk)
Priority Nursing Diagnoses:
- Impaired physical mobility
- Risk for aspiration 6. Sepsis in Elderly Patient
Expected Outcomes:
MAP ≥ 65 mmHg
Lactate < 2 mmol/L
Temp and WBC trending toward normal
Interprofessional Collaboration:
Infectious disease
Pharmacist
ICU team
Priority Nursing Diagnoses:
Ineffective tissue perfusion
Risk for infection progression

Cardiology
Dietician
Home health coordination
Priority Nursing Diagnoses:
Excess fluid volume
Decreased cardiac output 9. Acute Kidney Injury (AKI)
Expected Outcomes:
Creatinine levels improve within 48–72 hrs
Urinary output increases > 30 mL/hr
Electrolytes within normal range
Interprofessional Collaboration:
Nephrologist
Pharmacy (med adjustment)
Nutritionist for renal diet
Priority Nursing Diagnoses:
Risk for electrolyte imbalance
Impaired urinary elimination

10. Anaphylaxis - Expected Outcomes: - Improved airway patency within minutes - BP and HR stabilized - Allergic trigger identified and avoided - Interprofessional Collaboration: - Rapid response team - Allergist/immunologist - Pharmacist for EpiPen education - Priority Nursing Diagnoses: - Ineffective airway clearance - Risk for impaired gas exchange Scenario 1: Acute Exacerbation of COPD – Performance Checklist Task Completed Notes Assessed respiratory rate, effort, and SpO₂ ☐ Elevated head of bed to 45–90° ☐ Applied oxygen appropriately (e.g., 2L NC) ☐

BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s, Study Guides, Projects, Research of Nursing

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Partial preview of the text

Download BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s and more Study Guides, Projects, Research Nursing in PDF only on Docsity!

BSN NSG 3313 Adult Health Nursing I course.

BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s, Study Guides, Projects, Research of Nursing

Download BSN NSG 3313 Adult Health Nursing I course. These are realistic, evidence-based clinical s and more Study Guides, Projects, Research Nursing in PDF only on Docsity!