Nursing Assignment: Assessment Frameworks and Nursing Problems

Running head: NURSING ASSIGNMENT
NURSUNG ASSIGNMENT
Name of the Student
Name of the University
Author note

NURSING ASSIGNMENT1
Table of Contents
Part A...............................................................................................................................................2
Part B...............................................................................................................................................2
Part C...............................................................................................................................................8
References......................................................................................................................................11

NURSING ASSIGNMENT2
Part A
The data and cue available are described below:
Neurological- Both the subjective and objective symptoms are normal.
Cardiovascular- The objective symptoms were shortness of breath, sweating and anxiety. The
subjective symptom is increase in heart rate.
Respiratory- The objective symptom is breathlessness and the subjective symptoms are
respiratory rate 25, concentration of oxygen saturation – 94% on room air, high heart rate of 105,
high blood pressure of 150/80 and temperature 37.8.
Musculoskeletal- The objective symptom is his right arm is supported in a sling and the
subjective symptoms are three fractures on the right side of his ribs and dislocation of the right
shoulder.
Gastrointestinal – Both the subjective and objective symptoms are normal.
Integument- The symptom that was observed was that because of the accident the patient had a
significant bruising on the right upper thigh. The patient was suffering from pain because of this.
Endocrine- Both the symptoms are normal
Psychosocial- The objective symptom was that she was under severe stress and anxiety and the
subjective symptom was that his blood pressure had increased.
Part B
The nurse identify the possible nursing problems from the clustered cues and focus on how to do
the assessments. This means undertaking much more assessments on the patients for identifying

NURSING ASSIGNMENT3
and differentiate more problems. This also involves monitoring the progress of the existing
problems.
(i) The actual and potential nursing problems and their rationales from the clustered cues
are described below:
Problems Cues with rationales
Pain The pain score is 4/10. The pain scale
measures the intensity of pain or other
features and this is necessary to assist the
patient with better management and
treatment of pain and patient screening. This
value of pain helped in determining the
severity of pain of the patient and also
helped in determining the accurate
diagnoses of the patient. The patient was
suffering from pain because of the injury
that he had after falling down at the place of
his work. The patient had suffered from
musculoskeletal problems because of the
injury after the accident.
Fluid and electrolyte imbalance The patient was sweating a lot and
excessive sweating causes imbalance of
fluid and electrolyte in the body.
Stress and anxiety. The way the patent was talking in the video