NUR250: Medical Surgical Nursing- Asymptomatic Hypertension- Nursing Case Study Assignment

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TV851
Nursing Case Study Assignment:

Task:

Topic: Nursing care of a patient in a medical surgical setting

Assessment 1 is the only written academic assignment in NUR250 for students to demonstrate they:
1. Are developing the ability to locate, interpret, integrate, synthesize and apply nursing knowledge from NUR250 to a relevant nursing practice scenario in medical surgical settings
2. Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings
3. Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings
4. Are able to explain and justify or defend their nursing care decisions
5. Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
6. Are progressing towards the level of professional written communication required for nursing practice in Australia
7. Are demonstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy

Preparation
1. Completion of study materials from weeks 1 to 6 with participation or review of online collaborate sessions
and pre-recorded lectures.

Shift handover:

Jim is a 58 year old homeless Indigenous male of no fixed address. He presented to the Emergency Department with
dyspnea, myalgia, fatigue, malaise, rhinorrhea and headache. His symptoms began approximately 1 day ago and are
continuous and steadily getting worse. On examination he was found to be febrile with a clear nasal discharge,
shortness of breath and muscle soreness. He has a previous medical history of asymptomatic hypertension but is not
currently prescribed antihypertensive medication as he did not take this medication when previously prescribed. He
is allergic to chickens but has no known drug allergies. He states he used to smoke but not so much anymore as he
cannot afford them however he does smoke up to 5 – 10 per day if he can get them.

Jim has been given a preliminary diagnosis of Influenza while awaiting diagnostic results. He has been admitted to the ward and commenced on oseltamivir pending the results of his flu swab.

Assessment 1:
Based on the handover you received at the beginning of your shift today, other information included below and
current reliable evidence for practice, address the following 5 tasks as a registered nurse looking after him.

Do not make up or assume information in relation to or about Jim. Only use what you know from the information you received today.

Task 1: Patient assessment
Assessment is one of the major roles of the registered nurse and is the first step in the nursing process to assist in
planning and to facilitate mutually established goals and evaluate outcomes. In reality the nurse is continually
assessing and re-assessing the patient throughout the continuity of care.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice
1. Identify 3 specific nursing assessments that you would conduct as a priority for Jim’s nursing care that you will undertake on Jim’s admission to your ward.
AND

2.For each assessment you have identified explain:
A. Why the assessment is relevant to Jim’s care.
B. What consequences may occur if this assessment is not completed accurately?

Task 2: Care planning
Based solely on the handover you have received and using the template provided, develop a care plan for five (5)
nursing problems related to fundamentals of care from Week 1 learning materials.
The first 3 nursing problems have been identified and are included in the template. These nursing problems cannot
be changed and a care plan needs to be developed for each.
Your task is to identify another 2 priority nursing problems related to fundamental care needs and for each of the 5
nursing problems identify:
1. The underlying cause or what the nursing problem is related to
2. Goal of care
3. Specific bedside nursing interventions you will do
4. The rationales for your nursing interventions and actions
5. Indicators that your plan is working

Notes for Task 2 only
1. Read beyond the set texts to prepare the nursing care plan. JBI and Nursing Reference Centre may be used for the care plan (but not the other tasks) along with appropriate journal articles.
2. Online nursing care plans are NOT acceptable and will not be accepted as references.
3. Dot points may be used in the care plan template
4. Rationales must be appropriately referenced

Task 3: Medication management
Three important aspects of medication management by registered nurses is for the nurse to understand why a
patient has been prescribed specific medications, understanding the nursing responsibilities and how to monitor the
patient to ensure they are responding to prescribed medications as they should.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice,
1. Briefly explain why Jim has been prescribed:
A. Oseltamivir 75mg orally bd
B. Paracetamol 4/24 orally prn
C. Fluvax IM stat dose

AND
1. Identify and explain
A. The specific nursing responsibilities associated with administering each medication
B. How you will monitor Jim for expected, side and adverse effects of each medication.

Task 4: Patient teaching
You recognise part of your nursing role is to provide Jim with education on:
1. Preventing and controlling the incidence and spread of influenza
2. Reducing the modifiable risk factors for hypertension
3. Health promotion and minimising risk of hospitalisation

Select one (1) of the topics above and, in grammatically correct sentences and topic paragraphs,
A. Identify the specific information you will need to explain to Jim about the topic
AND
B. Explain
A. Why the topic is an important aspect of Jim’s care
B. How you will ensure that Jim knows and understands why it is important and, if appropriate to the topic, what he needs to do

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Posted on : April 10th, 2018
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