NUR251: Nursing Care of a Patient with a Medical Condition - Mr Michael Blue Case Study - Nursing Assignment Help

Assignment Task:

Michael is a 75-year-old Caucasian man from Darwin. He has been admitted to the CDU medical ward with Acute Kidney Injury (AKI)secondary to dehydration. He has a 2/7 history of confusion, fatigue, decreased urine output, and decreased skin turgor. He has now been transferred to the CDU Medical ward for continuing care.

Task 1: Assessment
Based on your case scenario and in grammatically correct sentences identify:

• Three (3) priority nursing assessments you would conduct at the commencement of your shift
AND
For each assessment you have identified explain:

• Why it is necessary for the patient’s condition and nursing care?
• What consequences can occur if this assessment is not completed accurately?
• What chart or document could you use to assist with/record your assessments?

Task 2:
Based solely on the handover you have received and using the template provided, complete a nursing care plan for your patient. Your plan must address the physical, functional and psychosocial aspects of care.
Three (3) nursing problems have been provided for you. For each nursing problem on your care plan you need to identify;
• What it is related to?
• Goal of care
• Interventions
• Rationales for interventions
• Evaluation
Notes for Task 2 only
• Dot points may be used in the care plan template
• Appropriate professional language must be used – legally recognised abbreviations may be used in this task (care plan) but a KEY with full terminology must be provided after the assignment references – key will be excluded from word count tally
• Rationales must be appropriately referenced (Only rationales need referencing in the care plan)

Task 3: Patient education
Discharge planning
An important aspect of nursing practice is to effectively and succinctly communicate relevant information related to ongoing disease management or prevention of reinfection or deterioration on discharge.
Patient education and discharge planning starts on admission and you need to provide your patient with education during your shift in preparation for discharge home.
• Explain two (2) important points/topics you will need to include in your patient’s preparation for discharge to aid healing and prevent further illness.
For each education point identified provide:
• One (1) strategy to assist your patient to implement the education into their daily routine.

Task 4: Medication

• Calculate the hourly rate of the compound sodium lactate and the sodium chloride infusions. List the formula that you used.
• Choose two (2) medications that your patient has been prescribed (one (1) from their IV fluid order and one (1) from their medication order) and include the following in your discussion:

• Describe the pharmacokinetics of the fluid/medication?
• Why has your patient been prescribed this fluid/medication?
• Discuss any side effects that could affect the patient.

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