Assignment On Clinical Intergration Speciality Practice

Running head: NRSG370-CLINICAL INTERGRATION-SPECIALITY PRACTICE 1
Nrsg370-clinical integration -specialty practice
Name
Institution

NRSG370-CLINICAL INTERGRATION-SPECIALITY PRACTICE
2
Nrsg370-clinical integration -specialty practice
Introduction
Nurses with effective clinical skills usually meet their objective of giving quality care
whereas those without end up disappointing their clients. According to Crystal (2010), there are
three reasons which prevents patients form receiving quality services in most health facilities.
These reasons includes, misdiagnosing of illness, poor treatment procedures and lack of
knowledge on best medication for the patients. All these reasons are related to poor clinical
reasoning. Alan (2015) argues that, through education, correct strategies can be implemented to
ensure patients receive quality care. Nursing practitioners must be in a position to utilize
communication skills and collaborate with other teams to achieve quality care. One of the ways
of doing this is by implementing clinical reasoning cycle. This paper will apply clinical
reasoning cycle by reviewing and planning care for a patient named Ms. Bianca. She was
presented in the hospital due to severe abdominal pain in the right side of her abdomen. This
showed that Bianca had an appendicitis. This is an inflammation that occurs on the appendix and
it’s usually finger-shaped. It protrudes in a colon hence causing pain in the right side of the
abdominal part.
Consider the patient
According to David & Sabrina (2019), nurses in this stage collect information through
talking to the patient and performing some tests. Nurses then approaches Bianca who is the
recipient of care and began to gain first impression. Ms. Bianca was brought into an emergency
room because she had a severe right lower quadrant abdominal pain for 2-3 days. She also had
nausea, fever and lack of appetite. Physical examination and the ultra sound performed on her

NRSG370-CLINICAL INTERGRATION-SPECIALITY PRACTICE
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abdomen revealed that Bianca had a perforated appendix which required emergency laparoscopic
surgery. She had a Bp of 94/45mmhg, hr 136 and temperature 38.5c. She had also been
complaining of increased nausea, feeling bloated and increased centralized abdominal pain. The
pathology outcomes revealed that Bianca had a rise in white blood cells count CRP and blood
cultures were pending.
Collection of information
From the reports collected, Bianca is under medications such as salbutamol, seretide and
sertraline. According to Jaykaran & Deepak (2012), these medicines used by Bianca are used to
treat asthma. With this type of medication, it is clearly that Bianca had a history of asthma.
Salbutamol is used to treat and prevent bronchospasm in patients with asthma. Additionally,
seretide is used to treat asthma and obstructive pulmonary diseases (Danielle, 2016). Therefore
nurses should perform some tests to see whether Bianca has obstructive pulmonary diseases.
Apart from this data collected from Bianca, She had a BP of 94/45mmhg, hr 136 and temperature
38.5c. She also complained of increased nausea, feeling bloated and increased centralized
abdominal pain. The pathology results showed that Bianca had a rise in white blood cells count,
CRP and blood cultures were pending. In the room where Bianca is hosted, an x-ray is done and
the nurses identifies edematous distention of the small and large bowels. Before anything was
done, the nurses read the consent file to Bianca and asked her whether she agrees with the
procedures they have chosen for her care.
Process information
All signs and Bianca’s data collected are being analyzed. She is suffering from
appendicitis and nursing practitioners should pay attention in assisting her to cure the illness.