Scenario Mr Arthur Charleston
QUESTION 1
Scenario Mr Arthur Charleston
I:Arthur Charleston is a 52-year-old Aboriginal Wiradjuri man. Birth date 7/04/2022. MRN 1020304
S:Arthur presented to the Emergency Department today following a fall at his home. Arthur has a contusion above his left eye and shows some disorientation to person, place and time and currently has a GCS of 12. Pupils are equal and reactive to light and Motor function is equal on both sides in his legs and arms
B:Arthur has a history of Type 2 Diabetes Mellitus and Hypertension. Arthur lives on his own and smokes 20 cigarettes a day. Arthur consumes 6 cans of full strength beer per day, and Arthur states he eats very little and enjoys take away meals most days. Allergies Nil Known.
Q. List three (3) methods you could use as an enrolled nurse (within your scope of practice) to assess Arthur, and briefly describe each one.
Q 2. Based on your analysis of Arthurs health information, you must now prepare a nursing care plan that demonstrates your understanding of appropriate care and consideration of his needs.
Four (4) nursing diagnosis have been included based on Arthurs presentation:
Uncontrolled diabetes due to poor nutrition
Uncontrolled hypertension due
Shortness of breath due to history of smoking
Disorientation due to fall at home and unfamiliar environment
For each of the four diagnoses, address the following questions:
What body system is affected by the condition? ( Only write the body system name)
What impact this condition could have on the patient?
What nursing care you would provide?
What the expected outcomes might be?
Q 3 You have assessed your patient as having an infectious disease. Outline your actions including 1. Who would you inform about this 2. How would you report this situation 3. What infection control precautions will this patient require? 4. What precautions (precaution means is it airborne or droplet or standard) will you use when caring for this patient including PPE, isolation of the patient, sharing of equipment. ( only one line Ans no elaboration).
Q 4. You are required to assist your patient to sit up in bed, she is unable to help herself. a) Outline you actions to complete this task. Include in your answer; What equipment you would need What other resources/ staff you need. What other factors should you consider helping move the patient b) If the equipment you need is faulty, what would your actions be? Consider in your answer; Is it safe to use this equipment? How will you report this equipment? How will other staff know this equipment is faulty? ( only one line ans)
