Skin And Muscle Skeleton Questions 2022

Running head: SKIN AND MUSCLESKELETAL COMPLAINS
SKIN AND MUSCLE SKELETAL COMPLAINS
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Answer to Question 1:
The patient would share any localised muscular pain that he might be suffering by
working overhead. Too much work can cause strains in the muscles in the legs and shoulder
in people who are constantly working (Palmer & Goodson, 2015). Due to the work pressure,
he will be suffering from anxiety which might result in shortness of breath and sweating
(Bandelow, Michaelis & Wedekind, 2017). Because the patient is suffering from flatulence,
he might experience constipation and have an irritable bowel. In addition to this, the patient
also complains of indigestion. The patient would share about heartburn, abdominal pain,
nausea, acidic taste in the mouth and bloating (DeVault, 2016). These are some of the most
common symptoms that have been observed in patients when complaining of indigestion and
flatulence. The patient has undertaken vasectomy in the past which has decreased his
testosterone levels. It has been observed that low testosterone levels in a man may cause
fatigue (Saad et al., 2017). In addition to this, the patient has also undertaken previously
cholecystectomy in which the gall bladder of the patient is removed. This process has several
side-effects like acidity, indigestion and constipation.
Answer to Question 2:
Objective data had been obtained in the form of lab results and blood pressure. The
patient is complaining of chest pain which can lead to a heart attack. For this, cardiac
troponins (I and T), natriuretic peptides, creatine-kinase MB and creatine kinase blood tests
need to be conducted (Sandhu et al., 2017). When a patient suffers from a heart attack, these
proteins are released into the body whose presence can help in treating the heart damage.
There can be chances of pulmonary oedema in a patient who is suffering from an acute heart
attack (Sabatine & Cannon, 2015). There will be visible swelling on the hands and legs of the
patient which can be tested by blood tests and cardiac catheterization. The heart rate and the

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respiratory rate of the patient needs to be conducted to help assess the condition of the heart
and the lungs. Assessment for the fatigue by asking questions on stress, sleep disorders,
imbalanced nutrition intake and depression. This help in critical analysis of the patient in
determining the cause of the fatigue.
Answer to Question 3:
As per the National Guidelines, an electrocardiogram should be conducted on the
patient within 10 minutes of their arrival in the hospital. It is stated that if the symptoms keep
on recurring, the test should be conducted in intervals to check the progress of the symptoms.
As per the NMC code, the nurse should be prioritising people with their needs (Read The
Code online, 2018). The needs of the patient should be acknowledged by the nursing
professionals to reduce the issues faced by the patient. The nursing professional should be
practising effectively with including evidence-based practice to enhance the quality of care
provided to the patients. The safety of the patient needs to be prioritized highly to provide the
care to the patient. The usage of patient safety enables professionals to ensure the minimum
spread of infections among the patient while ensuring maximum safety. The medical
professionals will be the first ones to discover an infection in a patient (Read The Code
online, 2018). It is their responsibility to ensure the safety of the patient with keeping in mind
the other patients in the hospital of a suspected spread of infection. The nursing professional
must communicate with the patient as well as their family to build trust and professionalism
among the nurses and the patients.
Answer to Question 4:
The patient had complained of fatigue and chest pain for which tests are to be
prescribed by the doctor to assess the medical condition efficiently. An electrocardiogram is
an efficient test that should be conducted to understand the complications in the heart. This

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test can help in understanding whether an individual is suffering from a heart attack or not
(Common Tests for Heart Failure, 2017). In this case, the patient suffers from repeated chest
pain. This test will help in analysing the root cause of the chest pain. In addition to this, an x-
ray will be suitable to assess the condition of the lung with the size and shape of the heart
with major blood vessels. This test helps in successful detection of lung problems like
collapsed lung. Telemetry observation should be conducted in addition to an MRI test. These
will help in the critical evaluation of the patient on the basis of their orientation. In adverse
situations like these, computed tomographic angiography (CTA) is recommended (Common
Tests for Heart Failure, 2017). It is observed to improve the diagnostic analysis in patients
suffering from chest pain.
Answer to Question 5:
As a nurse, after encountering a patient with these symptoms, looking for a consult is
evident. It is the duty of the nurse to present the patient with the probable illness that might
be underlying by the symptoms that they have shared. After the symptoms have been shared
by the patient, the nurse offers a consultation with a specialized doctor for specific treatment.
In this case, the patient has been experiencing chest pain which frequently disappears when
he takes a break from working. It is not in initial stages that he would be recommended to
consult a cardiologist. He will be recommended for a general physician who will be
prescribing for some tests to be conducted to finally conclude where the problem may lie
(Vinson et al., 2017). It is after this, the patient will be directed to a specialized doctor who
will be assessing the test results and deduce a recovery plan for the patient. The specialized
medical professional will ensure on-point diagnosis and treatment of the patient considering
their symptoms as reported by the registered nurse.