Assignment:Clinical reasoning nursing

Want create site? With you can do it easy.

Assignment:Clinical reasoning nursing

Assignment:Clinical reasoning nursing

Permalink: 
Consider the patient situation Ms Nancy Huang is a 29 year old university student undertaking her honours year in physics. Nancy was diagnosed as a type 1 diabetic three years ago. She normally manages her diabetes reasonably well since making a number of lifestyle changes combined with regular insulin. Nancy has been very stressed, as she has not been able to finish her thesis on time due to having to recently return to China unexpectedly to attend a family funeral. Since returning a few days ago, she has seen her GP, as she was unwell, and was diagnosed with a viral chest infection that was managed conservatively. She subsequently fell further behind in her studies. Nancy decided to pull a few ‘all-nighters’ to get her thesis finished and decided to consume excessive amounts of coffee and soft drinks in order to stay awake to finish her thesis. The next day her husband noticed Nancy was particularly irritable and becoming emotional as she could not concentrate on finishing her thesis. Nancy was insisting on being driven to the university to speak to her lecturer. On the drive in, they had to stop 4 times for Nancy to use the bathroom. She became even more irritable and her husband decided to call an ambulance once they arrived at the university, who then transported her to hospital. The time is now 1400 and Nancy has just been admitted into the emergency bay. You are the first RN to assess her. She is awaiting medical review.
Collect Cues

Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
Assignment:Clinical reasoning nursing
Get a 15% Discount on this Paper
Order Now

Review:

See available patient information via MyLO. Little documentation available at this point as newly admitted.

Gather new information (patient assessment):

Upon undertaking a further assessment of Ms Huang you obtain the following new information:

Log book

Her husband provides you with a logbook that was provided to Nancy by her endocrinologist. It shows that Nancy has been diligently recording her BGL levels and insulin regime for some months. You note there are no entries for the last few days.

Vital signs

BP: 90/50

HR: 120 beats per minute

Sp02: 94%

RR: 20, coarse air entry, moist productive cough.

Temp: 37.9 degrees.

Other information

Patient irritable and agitated. Speaking in a confused mixture of English and Mandarin. Husband in attendance.

GCS 13 (confused)

BGL 24

Poor skin turgor.

Frequent urination

Urinalysis positive for glycosuria, specific gravity 1.030. No ketones present.

Soft abdomen, no rebound tenderness. Bowel sounds present.

Recall:

Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be occurring before proceeding with the rest of the cycle (self-directed)

Process Information

Interpret:

List the data that you consider to be normal/abnormal below (not included in word count)

Normal Abnormal

Relate & Infer:

· Relate the two most significant abnormal findings to the underlying physiology/pathophysiology to justify why it is considered abnormal in this context.

· Based on your interpretation of all the information/cues presented, form an overall opinion on what may be happening and justify your answer (400 words).

Predict:

What may happen to your patient if you take NO action and why? (100 words)

Identify the Problem/s List in order of priority at least three key nursing problems (not included in word count)

Establish Goals & Take Action From the above (identify problems), use the top 2 nursing problems identified and for each of these establish one goal and then list related actions you would undertake, including detailing any relevant nursing considerations (350 words)

Problem 1 Goal Related actions Rationale

 

Problem 2 Goal Related actions Rationale

 

Evaluate outcomes & Reflect on new learning Briefly describe how you would evaluate the effectiveness of the care provided (i.e. what do you want to happen?) and reflect on how this encounter has informed your nursing practice if you were to encounter a similar situation in the future (150 words).

Did you find apk for android? You can find new and apps.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with MyCoursebay
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Other
GOOD
Customer 452813, July 5th, 2022
Finance
Thank You
Customer 452643, October 24th, 2021
Nursing
As usual, the writers do amazing work.
Customer 452707, October 1st, 2022
Other
Great work! Thank so much!
Customer 452707, March 1st, 2022
Psychology
Thanks so very much. The paper is well-researched and adequately referenced. You have been of great help during the pandemic!
Customer 452467, January 31st, 2021
Social Work and Human Services
Excellent work
Customer 452587, September 4th, 2021
Other
OK
Customer 452813, July 3rd, 2022
Criminal Justice
Great work! Followed directions to the latter.
Customer 452485, September 1st, 2021
Medicine
Thank you for the great services
Customer 452635, April 24th, 2022
Nursing
Great writing! Really appreciate your help!
Customer 452503, April 22nd, 2021
Business and administrative studies
Thanks
Customer 452701, August 16th, 2022
Nursing
Always perfect!!! Don is the best!
Customer 452453, July 27th, 2021
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Get your perfect essay with a 15% discount. Use DC15

NEW

Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now