• Identify a patient/client nursing issue
April 1, 2019
• Critically examine ways in which nursing can impact on contemporary health care leadership and management;
April 1, 2019
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Describe and provide a rationale for your immediate nursing assessment (primary survey) and immediate interventions.

1. Analyse the data provided and explain Mr Nguyens clinical presentation, assessment findings and blood results and relate this to the pathophysiology of hypovolaemia.
(You noticed that Mr Nguyen has a reduced level of consciousness).
2. Describe and provide a rationale for your immediate nursing assessment (primary survey) and immediate interventions.
—————————————————————
——The following you dont need its to do the following week.————————————-
(The doctor reviews Mr Nguyen and decides that he is hypovolaemic.
The doctor orders: a bolus of 500mL 0.9% sodium chloride, to be followed by 0.9% NaCl solution at 125mL/hour. The doctor has also ordered 4% albumen 500ml at 125mls/hour and a unit of packed cells.)
3. Outline three SMART goals related to the fluid management.
4. Discuss the fluid order including:
? A description of the fluids and their physiological distribution
? The reasons for the order
? The evidence and research about these fluids.
5. Write a brief critical reflection describing what you have learned from this assignment.
As a professional the process of reflecting on your learning and making judgements about your own performance, abilities and future learning is important to develop. The Gibbs Reflection Cycle below provides a useful framework for you reflection. The starting point is the description and in the case of this reflection it is undertaking this assessment.


 


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