Charlene Miles Objectives: At the completion of

Charlene Miles Objectives: At the completion of this simulation, the student will be able to: Use sound clinical judgment when administering medication. Note changes in condition and respond appropriately. Perform an appropriate focused assessment with cues Demonstrates appropriate communication with HCP. Charlene Miles is a 69-year-old female with a history of hypertension (HTN) and mild coronary artery disease (CAD). Charlene has been receiving weekly home care visits and the home care nurse expressed concerns related to Charlene’s recent acknowledgement of a fainting spell at home to her health care provider. Charlene has continued to have mild respiratory symptoms this week. Communicate assessment changes with HCP to discuss further interventions. Charlene’s vitals last visit was as follows: T-98.9 Oral P- 96 Apical R- 18 BP- 152/74 Oxygen saturation- 96% on RA Weight- 180lbs; Height- 5ft, 2in You are Charlene’s day shift nurse. The time is 0800. You are scheduled to see Charlene at 0800 this morning as a home care nurse, what assessments would you want to do when you arrive? What concerns do you have after reading the changes in Charlene from last week’s visit? What teaching should be done during your visit with Charlene today?

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