NSB334 - Epidemiology/Pathophysiology of Disease Nursing, Mr. Dwight & Mrs. Duke Case Study - Nursing Assignment Help

Assignment Task -                 
 

QUESTIONS

1.  Mr. Dwight had a history of bowel cancer. Identify (2) signs and symptoms that support the diagnosis of bowel cancer. Discuss how these signs and symptoms support the diagnosis? Justify your response with evidence.                                                                  
2. Mr. Dwight is to have a Hartmann’s procedure with the formation of a colostomy. With your knowledge of the anatomy and physiology of the procedure:
Name four (4) essential pre-operative topics of education you should provide to Mr. Dwight.                                                                                                                                                                              
Explain how you will approach this education - name and briefly discuss two (2) specific educational strategies will you use?                                                                                                                                    
How would you evaluate the effectiveness of your education?                      

3. Mr. Dwight had a colostomy following a bowel obstruction. List four (4) signs or symptoms of bowel obstruction?                                                                                         
4. Mr. Dwight may require a blood transfusion because of post-operative bleeding, intra-operative blood loss, or later, during his chemotherapy treatment. 

Name four (4) adverse effects you might see when administering blood products and justify why these may occur?                                                             
Review Standard 7 of the NSQHS. Using the NSQHC standard and relevant literature, and state (6) actions required of the registered nurse if an adverse or suspected adverse reaction to blood products occurs. 

5.  a)  Provide a rationale for why Mr. Dwight required a nasogastric tube inserted?                             
b) The Registered Nurse (RN) you are working with checked the position of the nasogastric (NG) tube by injecting 20mLs of air and auscultating the stomach using a stethoscope. This is an outdated method that is no longer considered safe or definitive for checking the position of an NG tube. Utilizing an evidence-based approach what is considered a definitive check for the position of the NG that the RN can perform in the ward?                                                                   
                   
6.   Referring to the NSQHS Standards and evidence provide a succinct explanation why bedside handover is an expectation in contemporary care.                                 

7. Consider nurse initiated oxygen. Explain the rationale for the application of nurse initiated oxygen and how and when you would apply oxygen without a medical order.     
8. Provide three evidence-based reasons for using a communication framework such as SBAR.                                                                                                       

 9. Outline the nursing considerations and specific care required when administering Frusemide to a patient.                                                                                          
10.  Effective and accurate clinical assessment skills are imperative for the nurse working with Mr. Dwight at all times. Identify two (2)  clinical priority problems for Mr. Dwight during his admission to the Emergency Department (ED) with regard to fluid and 

12. Based on your goal in Q11, using evidence, state and describe (2) interventions (nursing, collaborative or pharmacological) that would assist to achieve Mr. Dwight's goal.                                                                                                             

13. Using evidence, provide and justify two (2) methods of how you would evaluate the outcomes for your interventions in Q 12.                                                    

14. You have completed the module on cancer on your NSB334 BB site. Mr Dwight has had cancer for 6/12 at the time of his ED presentation. Identify two (2) psycho-social issues that may present at the time of a cancer diagnosis or recurrence and discuss the issues briefly. Outline why it is important to address these psycho-social issues for treatment outcomes.   
 

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