NRS312 : Essential Nursing Care: Managing the Deteriorating Patient - Medical Science Assignment Help

Assignment Task:

Task:

Scenario: Mr Jason Swan

Background
Mr Jason Swan is a 37 year old man, admitted to the Acute Medical Unit of a large rural hospital in NSW for chemotherapy. Jason is a truck driver who lives with his wife Sarah and his three young children.

Twelve months prior to his admission, Jason was diagnosed with Acute Myeloid Leukaemia (AML) and commenced on chemotherapy.
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The intravenous (IV) chemotherapy has concluded and Jason remains in hospital for further monitoring and observation.
Michelle, the registered nurse (RN) caring for Jason enters the room to assess his vital observations. Michelle is a ‘Transitional Registered Nurse’, completing a 12 month program immediately post gaining her registration as an RN.

Vital Observations:
• BP 118 / 80 mmHg
• HR 95 bpm
• RR 12 bpm
• Temp 36.7°C
• SpO2 99% (RA)
• Alert
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Sarah arrives and sits beside Jason while Michelle continues to enter the observations into the computer (close to the bed). Sarah asks her husband if had slept well and had a good night. Jason explains that the food at the hospital was not agreeing with him. Shortly after this conversation Jason reaches for an emesis bag and vomits a small amount of vomitus. Michelle checks the volume (100mls) and records this in the medical record. Michelle discards the vomit into the clinical waste (outside of the room) and returns to offer Jason an anti-emetic that is charted (ondansetron, intravenous, 4mg) and also ensures there is another emesis bag within reach.

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