NRSG355 Written Assessment

Running head: NRSG355 WRITTEN ASSESSMENT 1
NRSG355 Written Assessment
Name
Institution
Date

NRSG355 WRITTEN ASSESSMENT 2
Q1: Prioritization and delegation
Issue Priority Action and rationale
An elderly female post-
operative patient collapses to
the floor and is unconscious.
She has had facial surgery.
- I will attend her first
-I will personally care for her
because she is in a critical
condition
-I will move the patient to
an open place in which
there is free air circulation
in order to get fresh air and
with little or without any
distraction.
-I will ensure all tight
clothing are loosened.
-I will conduct ABCD.
Open the Airway through
chin tilt. Facilitate her
Breathing in order to
remove any obstructive
objects. Circulation
through applying chest
compressions. Check for
any Disability.
-check for the vital signs,
that is, the respiratory rate,
the heart pulse rate,
temperature and her blood
pressure (Campbell,
Gilbert, & Lausten, 2010).
-I will give her intravenous
fluid, normal saline water
in order to maintain
electrolyte balance.
-will also administer
oxygen since she has
breathing difficulties. Then
will check her oxygen
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NRSG355 WRITTEN ASSESSMENT 3
saturation.
-I will catheterize her to
monitor her urine output
and input (Siviter, 2013).
Mr. Smith’s visitor has
fainted.
-will assign the patient to
AIN since the patient may not
be in a critical condition.
-AIN should make sure
that the patient rests in a
flat position on his/her
back.
-put the patient at a
recovery position by
ensuring the patient’s legs
are at an elevation angle in
order to facilitate
restoration of blood
flowage to the brain and
flow of any other fluids
from the patient’s openings
(Weller, 2012).
-AIN to try alert calls by
calling out the patient’s
name while shaking
her/him to check whether
s/he is conscious or
unconscious.
-AIN to loosen all the tight
clothing if there is.
-AIN to assess the patient
and conduct ABCD
-Open the Airway by chin
tilting to promote air
flowage in and out.
Breathing in order to push
out any obstructive objects
out of the breathing
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NRSG355 WRITTEN ASSESSMENT 4
system. Do chest
compressions on the
patient to facilitate
Circulation (Casey &
Wallis, 2010).
-monitor the clinical vital
signs; temperature, oxygen
saturation, the pulse rate,
respiratory rate, blood
pressure
One of the staff toilets has
blocked and is overflowing
and waste is pouring out
rapidly.
- I will delegate the duty to
AIN.
- AIN should arrange as
fast as possible to have the
situation put into control
and the toilet repaired.
-AIN to get in touch with
the relevant people such as
plumbers to come over
immediately and have the
problem rectified. Hospital
cleaners to assist in the
process.
Mr. Esposito is scheduled to
leave the ward now for his
cardiac catheterization and
he has still not received his
preoperative medication.
- I will assign the duty to the
ward clerk
- the ward clerk to prepare
patient’s file and forward it
to the relevant medical
professional, who shall
administer Mr. Esposito
preoperative medication.
-the clerk should also
prepare the patient’s inter-
ward transfer forms to
facilitate movement of the
patient to the theatre room
for the cardiac
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