Highlights
Question 1
On Sunday at 13:42hrs, you are about to leave to have your lunch break when Mr McFarlane’s wife calls you from the corridor and states “Nurse! My husband does not look well and something is wrong with him. Please can you come and have a look at him?” On entry to Mr McFarlane’s room, you notice the following:
He is lying in a supine position
His breathing is short and shallow
Pale and clammy skin with slight cyanosis around his lips and peripheral extremities
His eyes are closed and not opening when you call his name; eyes open with trapezius squeeze (painful stimuli), and the best motor response is localising.
Discuss the nursing actions you will take to manage this situation, with rationales for your decisions, including referrals.
Question 2:
You have taken a set of vital signs and get the following findings:
RR: 9/min, SpO2: 74% Room Air, BP: 100/60mmHg, HR: 45/min and irregular, Temp: 38.7OC, BGL 2.5 mmol/L
Document the findings (consider data from Q1 and Q2) on the charts used in Assessment 1 part A (Observation and GCS charts ONLY. These charts MUST be uploaded as a part of your submission)
Analyse the patient's condition based on the information in Q1 and Q2 and discuss your concerns about the patient.
Question 3.
Complete the following table on Emergency codes and corresponding events commonly used in hospital settings.
State the code initiated in Mr. Mc.Farlane’s case scenario in Q1.
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