NURSING ASSESSMENT.

RUNNING HEAD: NURSING ASSESSMENT
NURSING ASSESSMENT
Name of Student
Name of University
Author note

NURSING ASSESSMENT1
Jonathan is a soccer player whose clinical findings were taken before after the match.
His vital signs were subject of medical interest and it differed comprehensively before and
after the match. Given his young age and its rarity to develop cardiovascular complications or
circulation disturbances – gives the pathophysiology a complex aetiology. His body
temperature is normal throughout the pre and post-game readings. But the pulse rate shows
signs of tachycardia (140 beats/minute), hyperventilation (respiratory rate – 29 breaths /
minute) and blood pressure is bit on the higher side which is 130/70. This is quite normal,
given the sports related physiological changes (Kenney et al. 2018) in the body but as
because the pre-game readings showed Jonathan’s blood pressure being on the lower side
( both systolic and diastolic ) – it becomes a case of interest from medical point of view.
The subjective data identified from the case study is that Jonathan feels ‘hot’ as in
hyperthermia (Carlson, BCCCP and Wormuth, 2019) and excessive thirst (Gizowski &
Bourque 2017) for cold water as if his body is burning. Moreover, his skin is flushed and he
is sweating vigorously. The certain ‘cues’ found while assessing this case are – 1) massive
alteration in the blood pressure values before and after the soccer game is suggestive of a
certain cardiac ‘insufficiency’ and 2) the persistence of physical discomfort like sweating,
flushing, palpitation and excessive thirst is suggestive of an underlying pathology which has
disrupted the physiological dissolution process which brings down the exercise or high
intensity activity led elevated vital signs back to normal limits. But in this case, the process is
impaired.
As a nurse, my objective is to manage the patient symptoms with a professional care.
Further diagnosis would be required to confirm the aetiology but for immediate acute
management of the medical emergency, that Jonathan has present with – a more precise
symptomatic management should be used by the nurse. Firstly, precaution must be taken that
the patient does not gets agitated which can lead to worsening of a heat stroke led

NURSING ASSESSMENT2
cardiovascular symptoms through neuro-psychological negative reinforcement. He should not
be allowed to drive or travel in a care in delicate condition because certain proprioceptive and
kinaesthetic changes can trigger much severe symptoms of heart attack. The patient must be
taken a shade without any delay and made to rest, so as not to irritate the presenting cardio
vascular symptoms. The main nursing objective is to cut down the negative stimuluses,
reinforces and excitatory trigger points for they increase the sympathetic neurological activity
leading to more severe tachycardia, increased pre load and heart congestion. This should be
managed and next, the patient must be ventilated properly and water should be given but not
much for it can shift the fluid and hemodynamics of the body. Monitoring body temperature
and blood pressure is crucial to the management of Jonathan’s symptoms. Temperature if
increases beyond the physiological limit can limit the metabolic flow of the body by
destroying the biological enzymes that catalyses all the anabolic and catabolic processes of
the body. Hence, care must be taken to reduce the bodily temperature, decrease sweating so
as to reduce any chances of dehydration and hypovolemic shock. Blood pressure
management is critical to the recovery process of Jonathan and it can be done by sleep,
relaxation and by improving cardiovascular function. Improving cardio vascular function is a
very important measure for Jonathan that will be my long term goal as a nursing professional.
Improving cardiac functionality would rely on the systematic procedure starting right from
diagnostic investigations to a well-planned multidisciplinary intervention. More
investigations would be required to understand the exact underlying pathophysiology which
has result in Jonathan’s compromised status. Hence, maintaining a state of rest, regulating
rehydration and body temperature so that it comes back within the normal physiological
range is the foremost nursing objective. Moreover, flushing of skin (Sassarini and Lumsden
2015) is a general symptom of cardiac congestive and I would take this into consideration to
start the cardiovascular nursing management. Moreover, I would be monitoring the