COVID-19 UNFOLDING Clinical Reasoning Case Study (Part I)

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Prepare your students for practice and the Next Generation NCLEX with this salient scenario that integrates essential content and unfolds practice realities related to the current COVID-19 pandemic with a patient who presents to the ED.

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The current COVID-19 pandemic has dramatic implications for nursing education and the priority that must be placed on preparing students for the challenges inherent in real-world clinical practice.

Be sure to check out this blog posted on KeithRN written by a nurse on the front lines that complements this relevant case study topic.

This case study scenario unfolds and mirrors practice realities and captures the unique challenges to nurses who must provide care to those who are infected.


This case study begins with the following scenario:
John Taylor is a 68-year-old African-American male with a history of type II diabetes and hypertension. He came to the emergency department (ED) triage window because he felt crummy, complaining of a headache, runny nose, feeling weaker, “achy all over” and hot to the touch and sweaty the past two days.

When he woke up this morning, he no longer felt hot but began to develop a persistent “nagging cough” that continued to get worse throughout the day.

This scenario continues to unfold in THREE additional case studies across the curriculum found only inside the all-inclusive membership Think Like a Nurse

  • Part II: MedSurg care/priorities-change of status (respiratory failure/transfer to ICU)
  • Part III: Emergent intubation/septic shock-critical care priorities
  • Part IV: Discharge/Community health implications

Key Components:

1. Develop Critical Thinking

  • By applying and using knowledge most important to practice

2. Develop Clinical Reasoning

  • By recognizing relevant clinical data to identify the nursing priority

3. Develop Clinical Judgment

  • Outcome when student interprets, notices, and responds appropriately

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