Mr. Bright Critical Nursing Assessment 2022

Running head; NSB 231
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NSB 231
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CORRECT nursing assessments performed on Mr. Bright
Pain assessment done on Mr. Bright is a critical nursing assessment need. Bright is told to
grade his pain on a scale of zero to ten. Pain alters the quality of life (Shetake et al., 2016). Pain
assessment is important in post-operative patients. Operation done on patients comes about with
complications such as pain in the incision site. Procedural pain is assessed with attention on the
site, intensity and quality. This is brought about by the pressure applied to the area by the
patients as they lie on their beds. Pain can be assessed in many ways. In conscious patients, they
are asked to grade the pain they are feeling on a scale of zero to ten. This is the WHO method of
assessing pain and therefore giving therapies depending on the severity of the pain. Other ways
of assessing pain are through observation of facial expressions.
Assessment for the risk of infection has been done on Mr Bright. The physical wound
assessment has also been done. The wound should be assessed for signs of bleeding and also
swelling. Incision sites are crucial areas for development of infection when care is not taken.
They should, therefore, be monitored for early detection of signs of infection such as the
development of pus. His vital signs are also important in use to determine the presence of
infection in the body. The infection comes about with alteration in the vital signs in the body.
There may be a presentation of increased temperature. These are, therefore, important in hospital
post-operative infection management. Early detection of the infection can be managed. This is
unlike late detection when the infection has spread through the body to cause complications
which comes with septicemia. The nurses have a role in assessing for the signs of infection.
Assessment for postoperative complications has been done. The primary is where the
surgery was done in the heart. There are likely to be complications with the operation done on

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this are. The coronary artery angioplasty will cause an altered function of the heart. Mr. Bright is
undergoing regular Electrocardiogram assessment. This is used to assess cardiac functioning.
Altered function of the heart will show the results of the same after the ECG examination. The
complications which would occur may include cardiac arrhythmias. Development of thrombus
intravascular causes blockage of the coronary vessels resulting in more cardiac complications.
Mr. Bright has also been connected to the monitors in the wall. They monitor the cardiac cycles
and alarm when there is a shift from the normal. Nurses should do a regular cardiac assessment
for patients who have undergone angioplasty for early detection and therefore, complication
prevention.
Elements of nursing assessment that were NOT performed on Mr Bright
The nutritional state of Mr. Bright has not been assessed. Patients who have undergone
surgery are likely to have altered nutritional state. They are advised not to take any food orally
both before and after the procedure. The nurses should, therefore, find out the nutritional state of
their clients; whether they have taken any food or not orally. The other nutritional assessment
tool is an assessment of the percentage of weight loss. Nutrition is important in the recovery of
operative patients Gillis & Wischmeyer, 2019). There are many metabolic processes taking place
in the body because of the stressful state. These metabolic processes demand replacement
through intake of adequate nutritious foods. The wound healing is also a critical process in the
body which requires a strong nutritional state (Dickerson et al., 2017). The proteins are needed
for the repair of the damaged organs during surgery. Immune boosting food should also be given
to post-operative patients. These foods will help in the development of a strong immune system
to fight the developing post-operative infection at the incision site.