Developing a Nursing Problem

DEVELOPING A NURSING PROBLEM 1
DEVELOPING A NURSING PROBLEM
By Student’s Name
Course
Instructor
Institution
City, State
Date

DEVELOPING A NURSING PROBLEM 2
Introduction
With reference to case scenario 1, we learn that Carol Jones has an age of 45 years and many
times she is away from home on business trips. Carol Jones has come to a clinic in the outskirts
of Flinders Ranges in South Australia (Levett-Jones, 2013, p.34). The reason behind her
appearance in the clinic is because of breathless feelings and nausea. We also learn that Carol
Jones is mildly tachycardic and her BP is 170/93 mmHg. The assurances by the GP at Flinders
Rangers are that Carol should make effort and follow up with her regular GP when she returns
home. However, before Carol leaves the health center she experiences some breathlessness.
When she is further tested, her blood pressure is found to be 160 bpm which is irregular.
Looking at her history, we learn that she is a consultant engineer who is specialized in
structures that are concrete and that are used for the construction of bridges. It is because of this
reason that she is normally required to travel between different countries to supervise
construction activities. Carol Jones has a busy lifestyle and many times her dietary intake is
always on the run. She also takes alcohol during lunchtime and evening which she claims helps
her relax after a hectic day. She further denies the usage of recreational drugs (Levett-Jones,
2013, p.34).
Cues collection
Carol Jones experiences episodes of breathlessness and nausea which forms her main
concerns; it is also evident that Carol has an appearance of pale color in her skin, her pulse rate is
160 bpm which is irregular, and she is also mildly tachycardic (Levett-Jones, 2013, p.34). She is
alert and responds accordingly by speech and hands as well. Her BP is 170/93 mmHg.
Information processing

DEVELOPING A NURSING PROBLEM 3
Normal (not concerning) Abnormal (concerning)
Responds accordingly and she is alert – she can
explain herself.
HR - 160 bpm
Mildly tachycardic
Pale skin color
breathlessness
Nausea
Stress
Problem identification
From the cues identified in the above scenario, which includes experiencing breathlessness
and nausea by Carol Jones, her skin turning pale in color, experiencing mildly tachycardic, and
an abnormal pulse rate of 160 beats per minute which is high (Levett-Jones, 2013, p.34). The
problem identified from the above cues is;
1. Heart attack
This is a sickness that happens when the heart doesn’t get enough blood (Banharak, Zahrli, and
Matsuo, 2018, p.18). The heart muscle receives oxygen and nutrients from the blood. When it
occurs that there is not enough blood flowing to the heart muscle, what results is damage or
death to the heart muscle. This becomes dangerous and deadly as well. The heart disease is
related to breathlessness due to over-pumping of the blood by the heart. This as well increases
the number of heart beat per minute. Due to over-pumping of blood, the blood is not fully