Question 1 (300 words)
With reference to the determinants of cardiac output and blood pressure, and the clinical information in the case study, explain the underlying pathophysiology of Wei’s low blood pressure.
(3 marks)
Question 2 (500 words)
Wei is showing signs of cyanosis. Drawing on your understanding of oxygenation and perfusion and with reference to the clinical information in the case study.
A. Identify whether Wei has a central or peripheral cyanosis problem and explain the underlying physiology
B. Explain the clinical assessment findings that would indicate the opposite of your response to part a (eg, if you selected central, what clinical data could you collect that would indicate peripheral cyanosis)
(5 marks)
Question 3 (1000 words equivalent)
Using the table below, develop a nursing care plan for Wei based on the information in the ISBAR handover. Your care plan must include:
• Four (4) nursing problems related to Wei’s current clinical condition and hospital admission • Of the four problems, at least one actual and one potential must be included
For each nursing problem, identify:
• Evidence from the case study to support the problem statement
• Two nursing interventions for each problem, supported by reference to relevant literature and/or practice standards and guidelines
• A single-sentence intended outcome (consider the SAMRT goal criteria when developing your singlesentence)
Nursing problem Evidence to support the problem statement Nursing intervention 1 Nursing intervention 2 Intended outcome
1.
2.
3.
4.
(10 marks)
Question 4 (500 words)
Wei has been reviewed by the medical team and has been scheduled for an insertion of a Permanent Pacemaker (PPM) tomorrow. With reference to the clinical information in the case study, relevant literature and/or practice standards and guidelines:
A. Identify two risks associated with the procedure
B. Identify two independent nursing interventions to manage the risks associated with the procedure and explain how each will address the risk
C. Identify two collaborative interventions to manage the risks associated with the procedure and explain how each will address the risk
(5 marks)
Question 5 (200 words)
The next morning when you are undertaking a venepuncture to collect blood for the ordered pathology tests, Wei very softly tells you that he is concerned that he may have a sexually transmitted infection (STI) and asks whether you can do a few extra tests for “down there”.
How would you respond to Wei? In your response you must consider:
A. The scope of practice of the registered nurse B. Respect for the patient’s privacy and dignity
C. Exploration of the patient’s concerns and risks
(2 marks)
Wei is showing signs of cyanosis. Drawing on your understanding of oxygenation and perfusion and with reference to the clinical information in the case study. A. Identify