Nursing Assignment: Clinical Reasoning and Patient Care

Nursing Assignment 1
NURSING ASSIGNMENT
By Name
Course
Instructor
Institution
Location
Date

Nursing Assignment 2
Scenario 1: Miss Jane Green
The patient
situation
Miss Jane Green is a 30-year-old female who was hit by a car that ran a red light whilst she was crossing at a pedestrian crossing.
The impact caused Jane to be thrown into the curb resulting in an obvious left lower leg fracture. She has just arrived on your ward
from the emergency department. You introduce yourself to the patient and ask how she is going. She winces visibly but answers that
she is worried about her mother who is in the early stages of dementia and for whom she is the sole carer. You also notice that she
has a bad graze on her left shoulder. The time is 0800.
Collect Cues Review:
Patient assessment or new information:
Upon undertaking a further assessment of Miss Green you obtain the following new information:
Vital signs
BP: 155/90
Pulse: 107bpm
RR: 22
Sa02: 97%

Nursing Assignment 3
Temp: 36.6
Other data
GCS: 15
Pain score: 9/10 on movement. 8/10 on rest
Patient becoming anxious in regards to her mother’s welfare.
Neurovascular assessment
Capillary refill rate of >3 seconds.
Complaining of tingling in the toes of the left leg
Increased pain at rest and upon passive movement of the affected limb
Left leg appears paler than right leg

Nursing Assignment 4
Recall:
Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be
occurring before proceeding with the rest of the cycle (self-directed)
Process
Information
Interpret:
List the data that you consider to be normal/abnormal below (not included in word count)
Normal Abnormal
Temp: 36.6
Sa02: 97%
GCS: 15
BP: 155/90
RR: 22
Pulse: 107bpm
Pain score: 9/10 on movement. 8/10 on rest
Capillary refill rate of >3 seconds
Relate & Infer:
 Relate the two most significant abnormal findings to the underlying physiology/pathophysiology to justify why it is considered
abnormal in this context.
 Based on your interpretation of all the information/cues presented, form an overall opinion on what may be happening and justify
your answer (400 words).