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Nursing - Assignment Sample (PDF)

   

Added on  2021-05-31

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Running head: NURSING ASSIGNMENTNursing assignmentName of the StudentName of the UniversityAuthor note

2NURSING ASSIGNMENTPROCESS INFORMATIONNormal BP: 90/50Sp02: 94%Soft abdomen, no rebound tendernessBowel sounds presentAbnormal HR: 120 beats per minuteRR: 20 coarse air entry, moist productive coughTemp: 37.9 degreesIrritation, confusion, and agitation Poor skin turgor.Frequent urinationBGL 24 Relate and infer Increased blood glucose level (24) is considered abnormal in this case. It is because thepatient is type 1 diabetic. The patient has been taking increasing amount of soft drinks andcoffee to complete her thesis. Coffee and soft drinks contain too much calories and

3NURSING ASSIGNMENTcarbohydrates that increases the blood glucose level in type I diabetes. It is manifested asfrequent urination, confusion and shortness of breath as initial and later signs. With increase insugar kidneys filter more to absorb sugar, causing polyuria (Bell et al. 2015). Increased bloodglucose level in the patent is a concern as Nancy is under serious stress due to her thesissubmission. According to Buchberger et al. (2016) stress increases the level of Cortisol andAdrenaline, that raises the blood glucose level. In addition, neglecting on insulin intake at regularinterval also is the risk factor for blood glucose. In the given case Nancy has been avoidinginsulin for couple of days as it was missing in her log book, where she regularly entered herrecording for BGL and insulin regime. With lack of insulin, the body fails to convert sugar toenergy for the body cells resulting hyperglycemia and decreased insulin production by pancreaticbeta cells. The other abnormal finding in this case is the moist productive cough with respiratoryrate of 20 indicates the risk of infection. It is because the patient is already been diagnosed withviral chest infection which was managed conservatively. Inflammation in upper airways leads tochesty cough usually caused by the bacterial infections such as pneumonia or viral infections likeflu. The coughing occurs due to infection that increases congestion in lungs, restricting air entry(Casqueiro, Casqueiro and Alves 2012). Coarse entry of the air causes cough and shortness ofbreath. The signs of the infection are manifested as increased heart rate (120), respiratory rate(20), and fever (37.9). Warmer temperature in Nancy is increasing heart rate. It is the combinedaction of pyrogens that stimulates the hypothalamus to change the temperature during infection.To compensate for this heat, the blood circulation to the skin is increased with other vital signs.Nancy being type 1 diabetic is more prone to the infections as diabetes increases theinflammatory compounds like C-reactive protein that decreases lung function. According to

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