Journal of Human Nutrition And Dietetics

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author’s Note:

NURSING ASSIGNMENT1
Answer 1
In the provided case study, Ashanti, a three years old indigenous girl was brought to
the registered nurse (RN) at the remote clinic at Wilcannia with a compliant of rapid bowel
movement after eating and is unable to hold food. She was lethargic and cannot walk. On
observing her, it was found that she had cracked lips, dry tongue, sunken eyes, seems to be
unwell and had not passed urine for a day or so. Her observation was respiratory rate was 56,
SpO2 was 93%, blood pressure was 68/32, heart rate 182, the patient responds on
communicating, the temperature was 37.5°C, pain score was 3/10 and BGL was 3.1. From
the set of the observation, it can be stated that Ashanti was partial conscious as per AVPU
was verbal that indicates that she was only responding to verbal communication. According
to Rahmani et al. (2018), vital observation is the most reliable data that reflect the actual and
current health status of the client and need to be assessed on a constant basis in order to have
an appropriate screening and treatment. As per the Flag, her RR was 56, which is slightly
higher than normal that indicates it to be in the yellow zone, her BP was in the red zone as it
is extremely high and her BGL is also in the red zone. She was pale and is found to be unwell
on observing her without even testing her. Difficulty in breathing, low BP, and BGL indicates
that Ashanti requires rapid response team as the abnormalities in her condition was prevalent
and deteriorating from time-to-time. The major problem that she was facing as per the case
study was the bowel movement. According to Evans et al. (2017), it can be stated that the
disruption in the fluid balance in the body leads to severe problems. This is one of the most
critical factors in her case. She was not able to hold food and after every meal, she was
passing bowel. On the other hand, it was noted that she did not pass urine for a day or more,
which was worsening her case even more. Even though her past medical history was not
recorded, it can be stated that the extremely low blood sugar level indicates that she might

NURSING ASSIGNMENT2
have a medical condition related to it. She was 13 kg in weight and even though she was
given around 400 mls of juice in the morning, she did not have urine output, which is one
major concern in this case.
Answer 2
Communication with the Doctor using ISBAR handover
Introduction Hi, Dr. XYZ, I am Noan, a registered nurse from the remote clinic at
Wilcannia. I hope you are doing well. I have called you to inform
about one of my patient who is in immediate requirement of rapid
response as her vitals are in the red zone.
Situation Ashanti is a three years old indigenous girl who does not have any
medical history. She came with her mother and grandmother with a
compliant of rapid bowel movement after eating and looked pale and
unwell. Moreover, she was not passing urine for more than a day.
Background Ashanti does not have any medical history and weighs 13 kg. She is
fully immunized and does not have any underlying issues. When her
observation was recorded, it was extremely concerned as some of the
vital stats were extremely low such as BP and BGL. In addition, she
had an extremely high heart and respiratory rate that demonstrate to
be in the red zone. After her observation, it was found that
temperature was 37.5 , SpO°C 2 93%, pain 3/10; however, the
concerned stats were RR 56, BP 68/32, HR 182, BGL 3.1, and AVPU
was V.
Assessment A-G Assessment
Assessment- Gloomy and almost unconscious challenging to