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

AND

For each assessment you have identified explain:

(300 words 10 marks)

 

  1. Task 2: Care planning

You recognise that Rosie may require assistance addressing her fundamental care needs.

Based solely on the handover you have received and using the template provided, select five (5) fundamentals of care from Week 1 learning materials and develop a plan of care for each one identifying:

Notes for Task 2 only

 

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,

o Ramipril 10mg daily o Aspirin 100mg daily

AND

(300 words, 10 marks)

 

Task 4: Patient teaching

Nurses are in a prime role to support and encourage healthy lifestyle changes and educate patients on healthy living to reduce the risk of morbidity and mortality of hypertension and hypercholesteremia.

You recognise part of your nursing role is to provide Rosie with education on the modifiable risk factors for hypertension and hypercholesteremia during her hospital stay.

Select one (1) of the diagnoses above and, in grammatically correct sentences and topic paragraphs, · Identify the specific information you will need to explain to Rosie about the topic

AND

(200 words, 10 marks)

 

 

Task 5: Clinical judgement and handover

There are two (2) parts to Task 5.

Part A:

When removing Rosie’s breakfast tray this morning you notice she has not eaten and ask her why. She states she slept badly overnight as she could not get comfortable lying down and she is feeling anxious about Joe being on his own. As a result she is now feeling nauseous and unwell. She denies pain apart from slight indigestion which she often gets lately but it usually goes away on its own. She is feeling irritable so you leave her to rest.

On your return you find Rosie extremely agitated and trying to get out of bed stating she has to call Joe. Visually assessing Rosie as you assist her back into bed you notice Rosie’s skin appears very pale and slightly bluish grey. She appears dyspnoeic and slightly breathless with shallow, rapid respirations. Her skin feels cool and moist and her ankles appear swollen.

On further assessment you find:

In grammatically correct sentences and topic paragraphs,

o What you think is happening
o Your immediate nursing actions and interventions o The reason for your actions and interventions

Part B:

An important legal requirement of nursing practice is to effectively and succinctly communicate relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective.

Once Rosie’s condition has been stabilised, the doctors arrange to transfer Rosie to the Coronary Care Unit for closer monitoring and management.

Using the ISBAR format, information from the handover you initially received and the additional information above: