Nursing and Acute Care

Running head: NURSING AND ACUTE CARE
NURSING AND ACUTE CARE
Name of the student
Name of the university
Author note

1NURSING AND ACUTE CARE
Answer 1
While working with patients suffering from critical health conditions, it is important
for the nursing and healthcare professionals to implement an accurately focused assessment
so that the complete identification of healthcare complication of the patient could be
achieved. In the healthcare process of Jenifer it was seen that she is suffering from sinus
tachycardia with elevated blood pressure and heart rate. This heart rate and blood pressure
remains elevated throughout the day and hence a detailed focused assessment so that her
complication related to her breathing complication should be conducted for accurate
intervention implementation.
I would first perform hand hygiene, patient identification with MRN number and then
after checking the room contact precautions I would provide the patient with an idea of the
process that would be conducted. After this, I would ask the patient for her health history,
smoking habit and any environmental exposure so that from her previous health condition,
nay idea about her current health complication could be drawn (Rogers et al., 2014). Further,
her chest configuration and symmetry would be checked and her respiration rhythm, pattern
and rate would be checked (McIver et al., 2015). Further, by checking her O2 saturation
would be done with a pulse oximeter so that her accessory muscles and its breathing pattern
could be understood. Besides this, her anterior and posterior lung would be auscultate so that
any adventitious sound or breathing sound could be assessed. All these assessment would be
conducted by complying with the organisations policy and ethical code of conduct. Hence,
this will be the focused assessment of respiratory concern of patient (Rogers et al., 2014).
Answer 2
After conducting the focused assessment, a series of symptoms would be obtained
that would indicate towards the worsening health condition of Jenifer. As per Jary et al.
(2014), the SpO2 level or oxygen saturation condition is very crucial and in such condition as
the percentage of SpO2 determines the amount of oxygen carried in the blood. Hence, for
example, if the SpO2 level is 98%, then it is mentioned that each of the red blood cells are
carrying 98% oxygen. Hence, the low percentage of SpO2 (73-74%) would indicate that her
red blood cells are unable to collect enough oxygen and hence, her health condition is
deteriorating (Baria et al., 2014). Hence, she should be provided with oxygen immediately so
that accurate oxygen saturation could be achieved. Besides this, while auscultate the lungs, if
crackling sound is observed, then it could indicate to the chronic obstruction in the airway