A – patent
B – RR 24 and shallow, bilateral chest expansion, equal air entry
C – pale, not diaphoretic, left foot cool and pale
D – alert and orientated to time place and person. Pain 7/10 left leg and 8/10 left side of chest
E – swelling and bruising to left leg, grazes to back, left elbow and forehead, 20 gauge intravenous cannula (IVC) insitu left cubital fossa, 18 gauge IVC insitu right hand.
It is important that registered nurses understand the disruptions to normal physiology that cause the abnormal assessment findings we observe in the clinical setting. The information provided in the scenario includes a number of abnormal assessment findings. This section requires you to:
The clinical scenario includes a number of orders or nursing interventions. In order to maintain patient safety and achieve the best clinical outcomes for Peter, it is important that these interventions are prioritised appropriately. It is also essential for registered nurses to understand how the interventions we provide are linked to the underlying pathophysiology of the patient’s condition. This section of the report requires you to:
Provide a rationale for each intervention listed in the case study. Each rationale should include an explanation of why you have prioritised the intervention in that order and an explanation of how the intervention will improve Peter’s condition based on the underlying pathophysiology you have already discussed.
You must support the discussion in both sections of your report with a MINIMUM of 10 recent (less than 6 years old) and credible sources. Credible sources include the following:
Best practice guidelines
Health facility clinical guidelines, pathways and policies/procedures
Websites containing content aimed at health professionals.
This paper is a piece of formal academic writing and should therefore adhere to academic writing conventions. Sub-headings are acceptable, but point form and tables should not be used.