NSG2201 Clinical Care B – Assignment Semester 2, 2020
Date Due: Sunday August 23 at 2330 Word Count: 2000 Words
a.Referencing APA 6th Ed
b.References MUST be within 5 years
c.Assignment to be written according to Holmes glen guidelines
The focus of this year has been the Clinical Reasoning Cycle.
Consider the patient situation and collect the cues/information that are provided in the Case Study.
NSG2201 Clinical Care B Assignment.

Your assignment will begin with Process the Information No introduction is required.

Part 1

• Interpret: analyse the cues
• Discriminate: distinguish relevant information
• Relate: discover new relationships or patterns
• Infer: make logical deductions
• Match: NOT REQUIRED
• Predict: outcome
• This MUST be referenced

Part 2

Formulate a care plan
o 2 priority nursing diagnoses
o Short & long term goals for each nursing diagnosis (SMART)
o 5 priority interventions for each nursing diagnosis
o 1 evidenced-based rationale for each intervention (must be referenced)
o 5 expected outcomes including clinical data

Part 3

• Write a short reflection of your learning throughout this assignment.

NSG2201 Case Study

Mr Jason Bourne is a 35-year-old man who presented to his GP complaining of nausea, vomiting, dizziness and severe headache. He has no relevant history apart from a very sore throat over the past week. He is normally fit & healthy. He is married to Gwyeneth and they have two sons, Bill and Ben,twins, who are 5 years old. The GP sent him home after giving him an injection of Metoclpramide 10 mg and Morphine 10mg for a migraine headache.

NSG2201 Clinical Care B Assignment.

Last night Jason woke his wife complaining that his headache was worse. He vomited all over the bed and collapsed.An ambulance was called and Jason was taken to the ED.

On admission

• T.39°
• P. 120 & regular
• RR. 28 bpm
• BP. 170/90
• SpO2. 94% on room air
• BGL. 3.5 mmol/L
• Pupil reaction. Slow & PEARL
• Photophobic
• Pupil Size. 3 mm L & R
• GCS. 11 (3,3,5)
• Nuchal Rigidity

Jason was ordered

• blood cultures, FBE, E&U, LFT, Glucose level, platelet count
• Lumbar Puncture – protein, glucose, WBC, Gram Stain & culture
• CT, MRI,
• IV Therapy
• IV Antibiotic therapy
• Dexamethasone
• IV Paracetamol
• IV Mannitol

Provisional diagnosis is Bacterial Meningitis

NSG2201 Clinical Care B Assignment.