Summary: Melanie is a 28-year-old woman who

Summary: Melanie is a 28-year-old woman who presents with a severe headache. She began having flu-like symptoms a few days ago and the headache has become severe over the last 12 hours, with concomitant vomiting. On examination, she is found to have nuchal rigidity, photophobia, fever, tachycardia and hypotension. Before and during your scenario, consider the following: Recognizing cues: (What matters most?) · What assessments will you prioritize? · What data will you gather? Analyzing cues and prioritizing hypotheses: (What do the cues mean? Where do I start?) · What are the potential nursing diagnoses for this patient? · What health problems or risks do you anticipate for this patient? Generate solutions: (What can I do?) · What goals/desired outcomes do you have for this patient? · What nursing interventions should you be prepared to do? Take action: (What will I do?) · How will you implement your planned interventions? · How could you practice delegation? · What additional help might you need from your patient care team? Evaluate outcomes: (Did it help?) · How will you evaluate the success of your interventions? SCIENCE

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