ACTIVITY NO.

1. What data from the histories are RELEVANT and must be NOTICED as clinically significant by
the nurse?
o The data that are relevant from the history includes the place where Emili lives, that
is a large metropolitan area and has a 31,932 confirmed cases of covid-19. Although
people of all ages are at risk of contracting COVID-19, older people are at a higher risk of developing severe illness due

to physiological changes associated with aging and potential underlying health condition. He is also active in his
local church that's why it indicates that the patient may had exposure to COVID-19.
-

2. What additional clarifying questions does the triage nurse need to ask Emilio to determine if
his cluster of physical symptoms are consistent with COVID-19?
- The additional clarifying questions that the triage nurse need to ask to determine
if his physical symptoms are consistent with Covid-19 includes;
 Did you lose your sense of taste and sense smell
 Did you experience diarrhea
 Did you have sore throat
 Did anyone from your family tested positive for Covid-19?
 Do you have any travel history?

3. Based on the clinical data collected, identify what measures need to be immediately
implemented using the following clinical pathway.
- The measures that need to be implemented are the following
 All persons with suspected, probable, or confirmed Covid-19 should
immediately isolated to contain the virus transmission.
 Suspect case should be tested
 Screen all persons at the first point of contact
 Use appropriate PPE and practice hand hygiene and social distancing

4. What type of isolation precautions does the nurse need to implement if COVID-19 is
suspected? What specific measures must be implemented to prevent transmission?
 Type of Isolation and its Implementation Components
- The type of isolation precaution is the Contact precautions.
A single patient room is preferred for patient. When single patient room is not
available, a multi-patient room > 3 feet spatial separation between beds is
advised to reduced opportunities for sharing of items between infected patient
and other patients. Health care personnel caring for patient on contact
precautions should wear a gown and gloves for all interactions that may involve
with patient.
Donning PPE upon room entry and discarding before exiting the patient room is
done to contain pathogens.
5. What are the six steps in the chain of infection? Apply what is known about COVID-19 to
each step.

Infectious Agent

-Coronavirus

Susceptible Host
-Children below 18 y/o Reservoir

-Adult >65 y/o -Human

-Pregnant women and -Surfaces and
person w/ comorbidities equipment
Anyone who is
immunocompromised

Portal of Entry Portal of Exit

The eyes, mouth, Body fluids
and nose from the body

Mode of Transmission

-Direct contact (person

to person through
respiratory droplets)

-Indirect contact (from

contaminated objects)
 6. Time to transfer Mr jose to the ward of probable patients with COVID 19. Before transferring
the patient COVID ward, what are things( duties/responsibilities) that you must ensure before
transferring Mr. Jose.

 Things to take notes before transferring patient to the ward:

o
 Endorsement for the receiving nurse-on-duty:

7. What VS data are RELEVANT and must be NOTICED as clinically significant by the
nurse?
The vital signs that are relevant includes:
 Temperature (38.8 C) – increase in temperature indicate signs of
infection
 Oxygen saturation (92%) – low oxygen sat. means difficulty of breathing
 pulse rate of 118 bpm – increased PR due to illness and stress.
 blood pressure of 164/88 mmHg – it should be monitored closely because
increased BP could worsen his condition.

8. What body system(s) will you assess most thoroughly performing a FOCUSED
assessment based on the primary/priority problem? Identify correlating specific nursing
assessments.
- The body system that should be assessed most thoroughly is the Respiratory System.
Nursing assessments:

o Through inspection, note accessory breathing and labored respiratory effort. Note for
cyanosis.
o Through auscultation, listen for diminished breathing, dullness, wheezing, and crackles.
9. What are the nursing problems can be indentified?
Nursing problems Rationale