The purpose of this assignment is to reflect on lesson plan implementation in the practicum setting

An effective nurse educator participates in the continuous reflection of instruction. Reflection allows the nurse educator to identify personal areas of needs in order to improve practice and student success. The purpose of this assignment is to reflect on lesson plan implementation in the practicum setting. After implementing your lesson plan, write a 500-800 word reflection answering the following questions: Were students actively engaged in learning? How do you know? Did you make changes to your lesson during implementation? What were the changes and why did you make that change? What refinements will be necessary before implementing this lesson again? What went well that you will repeat in future lesson plan implementations? APA style is not required, but solid academic writing is expected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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A 78-year old woman is admitted to a Medical unit directly from her physician’s office for evaluation and management of congestive heart failure. She has a history of systemic hypertension.
The initial assessment completed by the RN of the assigned patient reveals a pulse rate that is rapid and very irregular. The patient is restless, her skin is pale and cool, she states she is dizzy when she stands up and she is slightly short of breath and anxious. Her BP is 106/88. Her ECG monitor pattern shows uncontrolled atrial fibrillation with a heart rate ranging from 150 -170 beats/min. Her respirations are 20/min and her O2 saturation is 90%.
Given the findings, what should be the first action of the practical nurse?
What additional data would the practical nurse collect?
Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion. Because the length of time the patient has been in atrial fibrillation is unknown, what adverse reaction may occur?
Later that evening the patient calls the nurse because she feels “like something terrible is going to happen.” She reports chest pain, has increased shortness of breath, and has coughed up blood-tinged sputum.
Based on these symptoms, what might you suspect is happening?
What is the first thing the practical nurse should do and what further information would you expect to be collected?
 
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