This is an individual assignment worth 20% of the final grade and is due on week 6 (beginning of the class). You are expected to submit a professionally completed assignment with the required sections as outlined below. The completed assignment must be submitted via Dropbox followed by a hard copy to your professor. All hardcopy documents must be stapled and compiled as one single document. No other electronic submissions of the assignment are accepted except via Dropbox.
Marks will be deducted for late and/or incomplete submission and assignments handed in via mailbox or email.
WHAT YOU NEED TO DO?
- PART 1—Answer all the questions asked in the scenario not exceeding 5 pages. All answers must be cited with credible sources. Refer to required sections for further guidelines.
- PART 2—Create a comprehensive Nursing Care Plan not exceeding 2 pages. Refer to required sections for further guidelines.
REQUIRED SECTIONS
- Answers to all the questions (PART 1):
- Typed and double spaced.
- Not exceeding 5 pages.
- Grammatically correct with proper sentence structure.
- APA
- A comprehensive Nursing Care Plan (PART 2):
- Typed (single spaced).
- Not exceeding 2 pages.
- Grammatically correct with proper sentence structure.
- Relevant format (only chart format is accepted).
- Other documents:
- A cover page with student’s and professor’s names.
- A copy of the case study scenario.
- Reference page (for Case Study and NCP).
- Copies of rubrics (for Case Study and NCP).
CASE STUDY SCENARIO
Mr. McLaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal pain and general weakness. He reports that he drinks “one bottle of scotch whisky every week for the past one year, and one to two cans of beer during the weekends.” For the past three months, his condition has started to deteriorate. His wife claims that “he has not been eating well for the past three months”. Mr. McLaren reports he has passed dark red stool on three occasions – the last one being just one day before coming to ED. On examination, Mr. McLaren has an enlarged abdomen with tenderness upon palpation. He also presents with the following clinical manifestations: peripheral edema, pale yellow skin color, dry mucus membranes and body weakness. The physician suspects that Mr. McLaren has hepatic cirrhosis. His vital sign findings include: Temperature 37.8 Celsius, BP 94/52, Pulse 110, Oxygen saturation 94%. From your nursing classes, you know that some of the treatments Mr. McLaren may receive are paracentesis, ultrasound and CT scan of the abdomen, as well as vitamin K administration.
PART 1: Questions
- Based on the patient’s diagnosis and the examination data, what potential complications are suspected for the patient to have and what are the possible treatments for these complications? Explain your answers. (list at least two potential complications)
- What additional information would you like to obtain regarding the bleeding episodes? Explain your answer.
- What laboratory work or diagnostic tests would you like to investigate in this patient? Why?
- McLaren is going to undergo a paracentesis to relieve the ascites. What are 3 nursing considerations you need to make for a patient undergoing a paracentesis?
- What kind of diet is recommended for the patient while he is at the hospital? Explain your answer.
- Discuss at least 3 initial nursing interventions that you would start for the patient. Explain your rationales for each nursing intervention.
PART 2: Nursing Care Plan
- Identify one nursing problem (actual nursing diagnosis) based on the case study and formulate a comprehensive Nursing Care Plan. Ensure to include evaluation criteria (how will you evaluate if the goals were met).
Good Luck
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