Bachelor of Nursing Case Study 2022

Running head: BACHELOR OF NURSING
BACHELOR OF NURSING
Name of the Student
Name of the University
Author note

BACHELOR OF NURSING1
Criteria 1
The practices of the registered nurses involve person centered care and evidence based
care with different measures consisting of curative, preventive, formative restorative and
palliative. However the nurses also create certain professional errors which can contribute to
different serious incidents regarding health conditions of the patients (Parker & Hill, 2017). The
registered nurses have to work both in therapeutic relationships and in professional relationships
with the individuals, with the patients and also with the family members of the patient (Jones,
Shaban & Creedy, 2015).
The given case study is about an 81 year old patient who came to the general practitioner
regarding the problem of two nights of breathlessness even lying flat and shortness of breath.
After diagnoses, the patient was found to show fine crepes at lung base and increase in the
jugular venous pressure. The health condition of the patient was sill same even after she was
administered with oral Lasix. The chest x-ray report and the blood tests reported that she had
diarrhea and the tenderness on the right side of the abdomen. The patient was suffering from
dizziness and depression and was becoming anxious quickly. She was showing abnormal
respiratory rate of 40/minute, which is quite high than the normal value of respiratory rate. On
the 11 January the patient was found to unable to void, the patient was looking pale and grey and
was also suffering from clammy skin and nausea. The doctor after watching this symptom
ordered for the abdominal x-ray and the other pathology test. The patient was also suffering from
back pain and abdominal pain and the count of the white blood cells also got increased to 17.5
though the patient was not suffering from fever. Finally the patient was diagnosed with urinary
tract infection. The registered nurse was taking care her but still she was becoming weak and the

BACHELOR OF NURSING2
respiratory rate of the patient increased to 40- 44/ minute. Finally it was confirmed that the
patient was suffering from continual diarrhea.
Criteria 2
According to the standards of practices of the registered nurses, the registered nurses
should think critically and also must analyze the nursing practices properly, must engage in the
therapeutic as well as professional relationships, develop the nursing practices, prepare the
nursing plan and perform the nursing practices comprehensively (Scanlon et al., 2016). However
in the given case study, the patient had to suffer a lot because of the negligence, lack of
knowledge about the therapeutic processes as well as lack of the knowledge about the diagnoses
of the disease. According to NMBA Standards of practice 2016, the nurses must engage properly
with both the professional and therapeutic relationships but the nurse of the case study did not
maintain this.
Some professional error identified in the case study are, she was advised to do the scan
of lung when the patient was suffering from diarrhea and slight tenderness in the right side of the
abdomen. The patient was applied with digoxin and valium in order to reduce the problems of
heart and valium in order to reduce the anxiety, but the respiratory rate of the patient was still
40/mint. The respiratory rate had thus increased rather than decreasing. According to National
Safety and Quality Health Service Standards 2012 the nurses are supposed to provide the patients
with proper medications with appropriate dose. So this standard has been violated (Gilbert et al.,
2017). Previously the respiratory value was 28-30, but after the application of those medicines it
had got increased (Westra et al., 2015). So the doctors may be have applied the wrong medicines.
Even new medicines were even not administered when it was found that the medicines were not
working. The patient was suffering abdominal and lower back pain because of urinary tract