Nursing Assignment: Patient Assessment, Care, and Health Education

This nursing assignment solution addresses a wide range of topics relevant to patient care and assessment. It begins by identifying patient care requirements, emphasizing the importance of understanding normal and abnormal body physiology and forming interpersonal relationships. The assignment covers vital signs like body temperature, blood pressure, respiratory rate, and pulse, including interpreting abnormal readings. It explores various assessment tools, such as the Glasgow Coma Scale, and discusses nursing interventions for conditions like asthma and hip replacement. The document also includes health education strategies for patients with diabetes and asthma, along with discharge planning guidelines. Furthermore, it delves into fluid balance, medication administration, and the recognition of various clinical manifestations, providing a holistic approach to patient care. It also presents Erikson's stages of psychosocial development and its applications in nursing practice. Overall, the assignment solution provides a comprehensive overview of essential nursing concepts and practices.

Diploma In Nursing 1
DIPLOMA IN NURSING
By Name
Course
Instructor
Institution
Location
Date

Diploma In Nursing 2
Question 1
To recognize current and future patient care requirements
Involves the recognition of normal against abnormal body physiology of the patient
Provides a chance to form an interpersonal relationship with the patient, hence able to discuss
health care concerns with the nurse
Identifying the patient's strengths provides the nurse information about the abilities, skills, and
behaviours the patient can use during treatment and recovery process
Question 2A
Network with the family when developing a care plan
Seek advice on client’s care preferences
Establish current family’s dynamics in decision making
Determine the client’s ability to perform self-care
Question 2B
A system of total patient care under consideration of emotional, physical and spiritual desires of
a person, the person’s illness response and the effects of the ability in meeting self-care needs

Diploma In Nursing 3
Question 3
Continuity
Safety
Quality
Completeness of the content
Question 4
Body temperature
Blood pressure
Respiratory rate
Heart pulse
Question 5
Hypothermic 37.5 – 39.0 0C
Afebrile 35.0-36.00C
Hyperthermic 36.2 -37.5 0C
Question 6
False
The patient will likely bite down on the thermometer

Diploma In Nursing 4
Question 7
Tachycardia
Question 8
Blood sugar
Emotional stress
Physical activity
Adrenal hormone levels
Question 9
Pulse rate
Strength
Rhythm
Question 10
Wrist
Knee
Neck
Groin
Question 11
Bradycardia

Diploma In Nursing 5
Question 12
Rhythm
Depth of ventilation
Breathing rate
Quality of breathing
Question 13
12-60
Question 14
Perfusion during monitoring
Dysfunctional haemoglobin
Interference making readings unavailable
Irregular signals
Question 15
Sp02 of 94% to 99%
Question 16
The maximum arterial pressure during contraction of the left ventricle of the heart

Diploma In Nursing 6
Question 17
The lowest arterial blood pressure of a cardiac cycle that is occurring diastole of the heart
(Graneheim, Uh & Lundman, 2014).
Question 18
Hypertension
Question 19
Microbes
Question 20
Has a volume of between 750-2000 ml/hour
Mostly pale yellow to deep amber in color
Is odorless
Has a special gravity of 1.003-1.032
Question 21
Dyspnea
Question 22
Hypoglycaemic attack

Diploma In Nursing 7
Question 23
BMI= weight (kilograms)/ Height2 (metres)
Question 24
Obese
Question 25
4.0 to 6.0 mmol/L when fasting to 7.8 mmol two hours after fasting
Question 26
Stages Conflict to be
resolved
Examples
Oral-Sensory (birth to 1
year)
Trust vs. mistrust Feeding
Developing a logic of trust when their
handlers provide care, affection and
reliability. Without this, mistrust occurs
Musculo-Anal
(1-3 Years)
Autonomy vs. shame
and doubt
Toilet training
Developing a sense of independence.
Success results to autonomy feelings
whereas failure brings shame
Locomotor-Genital
(3-5 Years)
Initiative vs. guilt Exploration
Children assert power and control over the
environment. Success brings a sense of

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purpose while lack of it will result to a
sense of guilt
Latency
(6 -11 Years)
Industry vs.
inferiority
School
Young ones should cope with new
academic and social demands. Sense of
competence yields results whereas failure
brings a feeling of inferiority
Adolescence
(12-18 Years)
Identity vs. role
confusion
Social relationships
Teens begin to develop a logic of personal
identity. Success will result to the ability to
remain true to yourself, whereas failure
results to confusion
Young Adulthood
(19-35 Yrs)
Intimacy vs. isolation Relationships
Youths begin to develop intimate and
loving relationships. success results to
strong relationships and failure leads to
isolation
Middle adulthood (40
to 65 yrs)
Generativity vs.
stagnation
Parenthood and work
Adults foster things that will outlive them.
success will lead to feelings of usefulness
whereas failure results to miniature
envelopment in the world
Maturity (65 to death) Ego integrity vs.
despair
Life reflection
Looking back to life and feeling a sense of

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contentment. Success results to feelings of
wisdom but failure brings regret, despair
and unpleasantness
Question 27
A client with diabetes- education and self-management; complications; treatment; monitoring;
examination
Client with dyspneic – interview, observation and analysis
Client complaining of pain on micturition – appraisal of factors that influence expression of pain;
describing pain and its effect; awareness of barriers that affect pain management
A client who has fallen – screening; considerations
A client who has a plaster cast- cast protection; general instruction to the client
Question 28

Diploma In Nursing 10
Total intake =1260
Total output=650
This forms a positive fluid balance
Question 29
Pregnancy testing
Monitor disease progression and reaction to therapy

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Routine medical evaluation
Evaluating particular symptoms
Question 30
Bradycardia is a heart rate less than sixty beats a minute.
Tachypnea involves a rapid and faster respiration
Cyanosis refers to the discoloration of the skin and membranes of mucus.
Hypotension is a term referring to low blood pressure.
Question 31
Jaundice refers to the yellowish color of the skin as a result of yellow pigment.
Pallor is the color deficiency of the skin or face which results from illness or shock from
emotions.
Turgor refers to the elasticity degree of the skin normally used to determine dehydration level.
Petechial refers to the purple or red spot on the skin resulting from bleeding.
Question 32
Subjective data
Question 33
Holistic assessment is a patient assessment process evaluating the domains i.e. physical,
emotional, sexual, financial and cultural demands of a patient.

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Question 34
Glasgow coma scale characteristics
 Reliability
 Validity. Involves construct validity, concurrent validity and predictive validity and
 Responsiveness
Question 35A
Vomiting and diarrhea assessment strategies.
Determination of whether it is anew onset of diarrhea
The assessment should accurately determine the frequency, duration, symptoms severity and
pattern of both the diarrhea and vomiting.
35B
In an event where a referred patient is allergic to a medication, during admission assessment, I
will clearly indicate and record the exact allergic medication and the prescribed stat dose as
advised by the medical officer.
Question 36

Diploma In Nursing 13
Discharge plan requirements for a hip replacement patient
Return duration guidelines. This illustrates the frequency and duration in which the patient visits
the hospital after replacement of the hip (Orem et al, 2012).
Placement of a dry dressing on the incision on a two days interval
Removal of the hip stitches by the relevant staff who placed them
Consistent use of support for a certain duration of time regardless of comfort in not using them
Consistent placement of a pillow between legs for a 6 weeks period
Showering 4 days after surgery
Avoiding driving in the first 6 weeks of surgery
Taking of narcotic medication as sparingly as possible
Question 37A
Steps for 180/105bp measurement
Redoing the measurement experiment after a rest and calming.
A confirmation of medication taking as prescribed previously.
Checking of other conditions that might encourage or worsen the situation.
Improvement on drugs that reduces the blood pressure levels.
Adoption of good living habits that reduces the blood pressure levels.
37B

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Causes of high blood pressure
Consumption of drugs
High weights and stress
Question 38
Health education for asthma patient
Strictness and adherence to asthma action plan.
Consistent vaccination against influenza and pneumonia
Identification and avoidance of asthma triggers
Strict monitoring of breathing patterns
Taking of medication as prescribed
Paying attention to increasing quick inhaler use.
Question 39
A relative NO. Zoe has got a different cell composition characteristics, eating habits and living
environment from his or her siblings during their childhood stages.
Question 40

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References

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Orem, D.E., Taylor, S.G. and Renpenning, K.M., 2012. Nursing concepts of practice.
Graneheim, U.H. and Lundman, B., 2014. Qualitative content analysis in nursing research:
concepts, procedures and measures to achieve trustworthiness. Nurse education today