Nursing Questions and Answers 2022

Running Head: NURSING QUESTIONS 1
Nursing questions
Name of Student
Name of Institution
Date
Author’s note

NURSING QUESTIONS 2
Nursing questions
Question 1
Clinical reasoning cycle is particularly important in assessing the needs of the patient the first
stage of the clinical reasoning cycle is considering the patient situation. This involves analyzing
the spiritual cultural and biopsychosocial impact of the patient. In the case study provided, the
patient has undergone a bowel resection surgery. He is currently in the post-operative phase.
The patient is living alone in a retirement village. His wife died three years ago but he has a
partner who lives in the same retirement village. The patient, Ted, has two grown up children
who live far away from him. One child is overseas with a wife and a son, while the other child
lives in the city with a husband and three children. With his family far away, the patient has no
emotional support from his family. This could affect the overall healing process. In addition, the
patient is 82 years and may require assistance in living with a pouch after being discharged from
hospital
The patient has had a history of heart failure, obesity, type II diabetes, gout, and heart failure.
This indicates that the patient’s lifestyle is a contributor to his illness. In addition, the patient is
82 years and his immune system is compromised. The patient has a BMI of 37.6 which is
extremely high. This could result in complications.
The surgery that was conducted has a significant impact of Ted’s family. Due to his age, he has
no source of income. His family will have to cater for any medical costs that he will incur. The
surgery has also had an impact on his emotional state. Having a colostomy is embarrassing and
could severely affect the emotional state of the patient. The patient will require education on how

NURSING QUESTIONS 3
to care for the collection bag. He will also require education on dietary changes that will help to
reduce odor and gas.
Question 2
The second stage of the clinical reasoning cycle is processing the information. In this phase, the
past medical history of patient is analyzed. In addition, other presenting complications are also
analyzed. other findings are also analyzed based on the pathology, pharmacology, physiology,
and ethics. This helps to establish cues that will help in drawing information (Race, 2017).
The patient has had a history of heart failure, obesity, gout, and type II diabetes. He previously
underwent a colonoscopy which confirmed the presence of a malignant mass. This led to a
surgery which involved bowel section and formation of a temporary colostomy. The current
treatment plan involves, Metformin 500 mg Mane, Frusemide 40 mg mane, Captopril 12.5 mg
mane, Paracetamol 1 g QID and Allopurinol 100 mg Daily. As of today, the patient is 4 days
post-operative. After the first 48 hours of surgery, the patient was nil by mouth. He then begun a
full diet yesterday before upgrading to a light diet.
Today, the patient is feeling nauseous and has vomited twice. He was administered ondansetron
4 mg Ted also has right sided inspiratory coarse cranes and a most productive cough. The patient
has an abdominal pain which rated on a scale of 1-10, the patient reports a 4-5. He complains
that the pain worsens to 7 when there is palpitation. The patient has a distended abdomen. He
was administered PCA morphine in site to help in the pain regulation. the colostomy bag is
intact. The stoma is warm, moist, and pink it is slightly raised above the skin and can be sighted
easily. The adnominal laparotomy has a clear oppose dressing and there is minimal ooze from
the site. The patient has had no output since the surgery was conducted but he has experienced