His vital signs on presentation were BP 146/80 mmHg, Pulse 124/ minute, Respirations 26/minute and Temperature
37.8 C. His oxygen saturation in the emergency department today was 82% and he was commenced on
oxygen therapy via the nasal prongs at 2 liters/ minute. He was also commenced on an IVT of Normal Saline
0.9% 12th hourly. Dr Reese also prescribed some oral antibiotics and regular nebulisers. Then he was taken
up to the ward at about 1pm. Today you start your afternoon shift at 2pm, introduce yourself and are about to take Mr Webster?s vital
signs and conduct a comprehensive assessment. He has laboured breathing, using his accessory muscles,
has pale lips and is complaining of thirst. His eyes appear reddened and he says, ?I can?t seem…? (pause)
? To catch my breath….? (pause) ? I think I need more oxygen?. Mr Webster lives alone and has no close
family. You will need to read through his progress notes and his charts (which are on Model under
Assessments, then Assessment Task 3, The Nurse?s Desk? Mr John Webster?s Chart). Use this case scenario,
the patient?s notes and charts to inform your assignment writing. Don?t forget to support your assignment
with recent peer reviewed references and follow the marking guide.
Clinical Experiences Scenario Assignment.
discussing the clinical experience scenario.
You are also required to identify the nursing priorities as they relate to the
client case scenario
.
it is expected that students have at least fifteen suitable and recent academic references (not more than 7 years old and peer reviewed).
You are also required to provide a self-assessment of your assignment by completing a review of the
marking criteria.
MARKING GUIDE
:
1.Provides an overview of the client?s case history, including discussion
of nursing assessment, clinical presentation and identifies 4 actual/potential
nursing or health problems.
2.An appropriate nursing assessment framework for a comprehensive and focussed assessment is
selected , discussed and applied to the case study.
3.Clinical reasoning demonstrated in relation to actual and potential health
problems as they relate to this case study and it is supported with literature.
4.Identifies 2 nursing interventions for each of the 4 health problems and discusses
rationales/clinical reasoning for the nursing intervention providing evidence based
practice through supportive literature.
5.Clearly identifies nursing priorities and management plan with supportive literature.
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