Reference no: EM133324328
The Clinical Judgement Measurement Model
Patient: Patient (17yo female) presented to ER with malaise and brownish-colored urine. Health care provider diagnosed her with strep throat three days prior, she has completed 4 doses of the 10 day course of amoxicillin. Pt. labs showed elevated BUN, creatinine, potassium, and WBC. BP 140/86 trending up, pulse 104bpm, respirations 22bpm unlabored, temp 101.2 F trending up, throat pain 2/10 and headache 4/10
Nursing diagnosis:
Patient at risk for electrolyte imbalance related to Increase potassium as evidenced by recent lab result
Recognize Cues:
**List the data/cues that are relevant and are interpreted as clinically significant
Significant Data/ Cue 1:
Significant Data/Cue 2:
Significant Data/Cue 3:
Significant Data/Cue 4:
Significant Data/Cue 5:
Analyze Cues-Organizing and linking the recognized cues to the clients clinical presentation
Potential Problem 1:
Potential Problem 2:
Potential Problem 3:
Prioritize Hypothesis-Evaluating and ranking hypothesis according to priority (urgency, likelihood, risk, difficulty, time, etc.)
**Of the potential problems you identified, which problems is most likely present? Which problem is the most concerning and why?
Generate Solutions-Identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes.
Priority Action/Intervention 1:
Expected Outcome:
Priority Action/Intervention 2:
Expected Outcome:
Priority Action/Intervention 3:
Expected Outcome:
Take Action-Implementing the solution that addresses the highest priorities.