NSG210120 Nursing Assignment 3 Workbook Activity – Australia.

Subject Code & Title :- NSG210120 Nursing
Assessment Type :- Assignment 3
Workbook Activity :- (30%)
Word count: 1500 words (+/- 10%)
Case Scenario: Jarrah is a 53-year-old Torres Strait Islander male who has presented to the out patient clinic for a dressing change to his infected venous ulcer. Whilst redressing his wound you notice Jarrah is rubbing his chest. When you ask him about this, he tells you he thinks he has just pulled a muscle. When you question him further he states that the chest discomfort occurs when he is walking around but is relieved once he rests (within 5 -10 mins). On further assessment he explains that the discomfort is also in his jaw. He also feels slightly nauseous.
NSG210120 Nursing Assignment 3 Workbook Activity – Australia.

Past History/Medical History: Type 2 Diabetes Mellitus (T2DM), chronic left ankle venous ulcer current smoker hyperlipidaemia.

Medication: Metformin 500 mg bd; Simvastatin 40 mg/nocte

On Examination:
BP 150/95
Temp 36.8
HR 98/min
SaO2 97% RA
RR 20/min
BGL 17mmol/L

You notify the doctor to review Jarrah.

WORK BOOK ACTIVITY INSTRUCTIONS
You are required to carefully read through the case scenario of Jarrah and address the below questions (1,2 & 3).

This workbook activity requires students to demonstrate an in depth under standing of the patho physiology of a common cardiovascular condition linking this to the client’s relevant clinical manifestations and past medical history. Students are expected to identify and discuss priority nursing assessments relevant to the client’s presentation. You are then asked to describe relevant diagnostic tests and predict results if the client was to be diagnosed with this common cardiovascular condition.

Learning Outcomes assessed:
• Demonstrate an understanding of the pathophysiology of common alterations in oxygenation perfusion renal/urological function, regulation digestion absorption, elimination and metabolism and pathophysiology of pain.
• Explain methods and techniques used to conduct a comprehensive nursing history and focused physical assessment, using a systematic body systems approach.
• Identify and analyse diagnostic tests and investigations appropriate to diagnose common health problems.

QUESTION 1.
Describe in detail the pathophysiology involved in UNSTABLE ANGINA (you will need to incorporate the atherosclerotic process within your answer) and link this with Jarrah’s current clinical manifestations and past medical history. Your answer must be supported with relevant evidence-based literature.

QUESTION 2.
Discuss priority nursing assessment of Jarrah. Identify 4 key assessments you would perform to assess Jarrah’s current condition. Please provide a rationale for performing each of these assessments. NB. These assessments may involve a patient health history.

NSG210120 Nursing Assignment 3 Workbook Activity – Australia.

QUESTION 3.
A) Identify and describe THREE relevant investigations/diagnostic tests that may be performed on Jarrah to assist in the diagnosis of his current condition.
B) Provide a predicted result of each of these investigations if Jarrah was to be diagnosed with UNSTABLE ANGINA.

Assessment Submission Instructions
• Please complete and submit a cover sheet (located in the ‘Assessment’ section of Bright space for NSG2101). Submit cover sheet separately (to your Assignment) into the allocated ‘Written Assignment 1’ drop box so that it is not included in your Similarity Index
• Your writing must be consistent with academic writing. Please do not use dot points how ever sub headings for each question are allowed.
• Ensure you edit your work to avoid errors in syntax grammar and/or spelling
• A minimum of 10 evidence-based peer-reviewed references must be used for this task. Home – Nursing – Lib Guides at Holmesglen
• Please ensure you use APA 7th referencing style (utilise Library referencing resources if you are unsure). Home – APA 7th Referencing Guide – Lib Guides at Holmesglen