NURS2026 Health Variations 3 Assignment

NURS2026 Health Variations 3 – Acute Exacerbations of Chronic Conditions
Word count : 1000
Weight : 30%
Format : Short Answer
Use of Artificial Intelligence: In this assessment task, you will not be able to meet the learning outcomes related to analysing the causes, pathogenesis, clinical manifestations and appropriate selection and prioritisation of nursing interventions as appropriate to NURS2016 by using generative artificial intelligence (AI) tools. Working with another person or technology in order to gain an unfair advantage in assessment or improperly obtaining answers from a third party including generative AI to questions in an examination or other form of assessment may lead to sanctions under the Student Misconduct Rule . Use of generative AI tools may be detected. More information is available on the Library web page
NURS2026 Health Variations 3 Assignment

Instructions:

Word Count- There is a word limit of 1000 words. Use your computer to total the number of words used in your assignment. However, do not include the reference list at the end of your assignment in the word count. In-text citations will be included in the additional 10%- word count. If you exceed the word count by 10% the marker will stop marking at 1100 words.

Aim of Assessment- The aim of this assessment is to enable students to:
1. Demonstrate knowledge by analysing the information provided in the case study
2. Explain the underlying pathophysiology related to the clinical manifestations of a patient with exacerbation of COPD
3. Demonstrate understanding of nursing strategies and evidence-based rationales to manage a patient with exacerbation of COPD

Details –You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past 10 years with at least two references from the resources provided in the v… site. Resources must include peer-reviewed journal articles, textbook material or other appropriate evidence-based published resources.

NURS2026 Health Variations 3 Assignment

Case Study ISBAR Handover: Chronic Obstructive Pulmonary Disease
Introduction –David Nazzal a 62-year-old male with no known allergies (NKA)
Situation – David presented to the Emergency Department at 2200 hrs. Upon assessment he was sitting in a tripod position and found to have a barrel chest. David presents with fever, sore throat, productive cough, yellow phlegm and dyspnoea.
Background – David tested positive for COVID-19 three days ago through a rapid antigen test. Wife Linda indicated symptoms had progressively worsened with no relieving factors noted. David had similar episode a year ago with an acute exacerbation of chronic obstructive pulmonary disease (COPD) requiring hospitalisation.
David has an increasing amount ofpurulent mucus which appears as yellow phlegm. He self-medicated with a Ventolin inhaler prior to admission but this had not resolved his symptoms
Past Medical History – COPD, hypertension, hyperlipidaemia. He was a previous smoker for 30 years however he quit when he was diagnosed with COPD 10 years ago.

Current Regular Medications taken:
– Ipratropium (Atrovent) via nebulizer once a day
– Salbutamol (Ventolin) puffer PRN
– Lipitor 40mg daily
– Not up to date on his annual pneumococcal and influenza vaccinations

A to G Assessment

Airway- Patent, own
Breathing- RR-30 b/min, SPO2 78% on room air, Increased Shortness Of Breath (SOB)
Auscultation: Diminished breath sounds bilaterally, with wheezing and crackles in the lung bases. Using accessory muscles of respiration ++.
Circulation- Heart Rate (HR) Regular- 128 b/min-Sinus tachycardia. BP- 168/85 mmHg. Capillary Refill Time 3 sec, peripherally cool, heart sounds dual no murmur. Disability- GCS-14/15 E4V4M6, confused and distressed +
Exposure- Febrile, skin intact, IV cannula right cubital fossa Abdo: bowel sounds present in all four quadrants with a soft, nontender abdomen
Fluid- IVF fluids in progress TKVO, Nil by mouth
Glucose- BSL- 5.8 mmol/L

NURS2026 Health Variations 3 Assignment

To Be Continuous…