Nursing Standardized Simulation (Annie Laduke)

Student Instructions for Standardized Simulation NR 304 Annie Laduke


Annie Laduke is a 32-year-old Native American female with no significant health history. This morning, she presented to her provider’s office with complaints of pain, increased redness, and warmth of the right lower leg in the calf area. She was directly admitted to the inpatient medical unit by her provider.

 Health histories and physical assessments: a-Peripheral vascular system  SIMCARE CENTER™ activities: b-Focused assessment 

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.


1. Based on what you’ve learned about the nursing process, describe one applicable nursing diagnosis, treatments, and nursing considerations for this diagnosis.

2. What are some non-pharmacological measures that can be used for pain relief in care for this patient?

3. Describe the components of a peripheral vascular nursing assessment.





Nursing Standardized Simulation




Student’s Name






Nursing Standardized Simulation

In the fast-pounded globe of healthcare, where lives hang in the steady, nursing standardized simulation rise as a life-changing force, molding the nurses of tomorrow through enveloping encounters and unparalleled training. Nursing standardized simulation has appeared as an essential piece of equipment in the education and training of aspiring nurses. This innovative perspective replicates real-life cases in a controlled environment, equipping students with hands-on skills and the opportunity to establish critical thinking skills. Using high-fidelity manikins and interactive simulations, nursing students can practice their clinical decision-making, communication, and technical skills in safe and supportive settings. Standardized simulations also permit consistent assessment and feedback, assisting educators in objectively evaluating student performance and recognizing areas for enhancement (Bogossian et al., 2019). However, these simulations foster student teamwork and partnership, as they frequently need interdisciplinary interaction and coordination. Comprehensively, standardized nursing simulation improves the competence and confidence of future nurses, preparing them to deliver quality patient care in multiple healthcare settings. This paper will explore a case study of Annie Laduke, a 32-year-old Native American female with no significant health history; eventually, the paper will describe one appropriate nursing diagnosis, treatments, and nursing considerations for the diagnosis, some of the non-pharmacological measures that can be used for pain relief in care for the patient, and finally, the components of a peripheral vascular nursing assessment.

Applicable Nursing Diagnosis, Treatments, and Nursing Considerations for the Diagnosis

Based on Annie Laduke’s presentation, one applicable nursing pinpoint could be impaired peripheral tissue perfusion linked to inflammation and compromised circulation secondary to presume deep vein thrombosis. The treatment for this status may include anticoagulant therapy like heparin or low molecular weight heparin to minimize further clot formation, pain management to lessen discomfort, and increased impacted leg to enhance blood flow. In addition, bed rest and physical restriction may be appropriate to prevent clot dislodgement. Nursing consideration for this pinpoint would include closely observing Annie’s vital signs, specifically her blood pressure, heart rate, and oxygen saturation, to detect any worsening perfusion or respiratory distress. Regular evaluation of the impacted leg for changes in colour, temperature, and swelling is critical in recognizing any possible complications. The nurse must also educate Annie and her family about the significance of medication adherence, signs and symptoms of deep vein thrombosis recurrence, and measures to prevent further clot formation, like avoiding prolonged periods of immobility, staying hydrated, and wearing compression stockings. In addition, the nurse must offer emotional support to help lessen anxiety or fear connected with the diagnosis and hospitalization.

Non-Pharmacological Measures to be Used for Pain Relief in Care for the Patient

For Annie Laduke, a 32-year-old Native American female presenting with pain, elevated redness, and warmth in her right lower leg, various non-pharmacological measures can offer pain relief and care. Firstly, the impacted leg should be increased to lessen and foster blood flow. Applying ice packs or cold compresses to the area can assist in lessening pain and minimizing inflammation (Francisco et al., 2018). Gentle massage and compression bandages can also aid in relieving discomfort and enhancing circulation. Providing a comfortable and supportive environment involving soft bedding and suitable room temperature can improve overall comfort. In addition, distraction methods like listening to soothing music, engaging in relaxation exercises, or involving in activities that capture her attention can divert her aim from the pain. Motivating deep breathing exercises and mindfulness methods may also assist in managing pain perception. Lastly, offering emotional support, reassurance, and open communication about her pain and concerns can contribute to her overall well-being and minimize any anxiety or distress she may be encountering.

The Component of a Peripheral Vascular Nursing Assessment

A peripheral vascular nursing evaluation involves an inclusive assessment of the patient’s circulatory system outside the heart and brain, mainly focusing on evaluating the peripheral blood vessels and their connected structures. It consists of various key implements to gather relevant information and recognize any abnormalities. The evaluation begins with a thorough patient history, including any pat vascular problems, surgeries, or risk factors like smoking, obesity, or diabetes (American Diabetes Association, 2019). The nurse will evaluate the patient’s vital signs, paying specific attention to blood pressure, heart rate, and oxygen saturation levels. Inspection of the impacted limb is essential, looking for any signs of discoloration, swelling, or visible veins. The nurse will palpate the pulses in both the impacted and unaffected limbs, evaluating for differences in strength, rhythm, or absence. Capillary refill time may also be measured to evaluate peripheral perfusion. Auscultation of the blood vessels using a Doppler device permits the nurse to detect any abnormal sounds or murmurs (Ratliff & Strider, 2018). The nurse will also evaluate skin temperature and examine for any ulcers, lesions, or areas of elevated warmth or tenderness. Finally, a sensory assessment may be performed to increase the patient’s sensation, including the ability to feel touch, pressure, or pain. The nurse can recognize any peripheral vascular abnormalities through this inclusive examination and equip suitable interventions and care.


In conclusion, standardized simulation in nursing plays a critical role in preparing healthcare professionals for real-life scenarios. Equipping a realistic and controlled environment permits nurses to establish crucial skills and knowledge appropriate for effective patient care. In the case of Annie Laduke, a 32-year-old Native American female presenting with manifestations of a possibly severe condition in her lower leg, the nursing procedure can be applied to equip qualified care. One appropriate nursing diagnosis could be impaired peripheral tissue perfusion connected to compromised blood flow in the right lower leg, as indicated by elevated redness, warmth, and pain. Treatment options may include administering anticoagulant medication, increasing the leg, and applying compression stockings. Nursing considerations for this diagnosis may involve close observation of vital signs, examining for signs of deep vein thrombosis, and equipping education and the significance of compliance with medication and lifestyle modifications. In addition, non-pharmacological measures can be used for pain relief, such as applying ice packs, using relaxation methods, or providing distraction activities. Finally, a peripheral vascular nursing evaluation should include examining pulses, capillary refill, skin temperature, and colour, including evaluating for any signs of edema or ulcers. By incorporating such components into their practice, nurses can enhance patient outcomes and deliver high-quality care in diverse healthcare settings.








American Diabetes Association. (2019). Standards of medical care in diabetes—2019 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association37(1), 11.

Bogossian, F. E., Cant, R. P., Ballard, E. L., Cooper, S. J., Levett‐Jones, T. L., McKenna, L. G., … & Seaton, P. C. (2019). Locating “gold standard” evidence for simulation as a substitute for clinical practice in prelicensure health professional education: A systematic review. Journal of Clinical Nursing28(21-22), 3759-3775.

Francisco, A. A., De Oliveira, S. M. J. V., Steen, M., Nobre, M. R. C., & De Souza, E. V. (2018). Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial. Women and Birth31(5), e334-e340.

Ratliff, C., & Strider, D. (2018). Peripheral vascular disorders. Advanced Practice Nursing in the Care of Older Adults, 215.

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