Fara is a staff nurse working in an outpatient cardiovascular clinic. Today she is working in the hypertensive clinic. During her assessment of a patient, the patient’s blood pressure is 170/90. When Fara reviewed the patient’s medication, the patient states he forgot to take his morning medication. Fara realizes forgetting to take medication is a common clinical problem. In the last few months, Fara remembers several patients who admitted to sometimes forgetting to take their medication. Fara wants to help her patients achieve a healthy blood pressure. She recalls reading in a nursing journal about a new phone app that sends patient medication reminders via their cell phone.

1.

What clinical judgment might the nurse make based on the CUES (Assessment) in the scenario?

2.

What HYPOTHESIS (Diagnosis) will the nurse consider?

3.

What ACTION (Plan and Implement) will be most effective for the nurse to take to assure the best outcome?

4.

How will the nurse evaluate the OUTCOME (Evaluation) for the purpose of arriving at a satisfactory clinical outcome?