Mr. Hardy has ‘hypertension’ which means high blood pressure. List the parameters for blood pressure ‘in normal range’ and the range/s for hypertension. 1.2 You have performed vital signs on Mr. Hardy. Mr. Hardy has a respiratory rate of 26. This is a significantly high respiratory rate. Answer the following questions: a)What reporting structure would you need to follow in order to ensure that this information is relayed appropriately? b)Identify your scope of practice in this situation. List your role responsibility in comparison to a Registered Nurse (RN) role. 1.3 Explain and discuss the following three (3) health care professionals’ scope of practice/role in the care and management of Mr. Hardy. Diabetic Educator Physiotherapist General Practitioner 1.4 Mr. Hardy has a significant medical and social history. List four (4) factors that could have contributed to his cerebrovascular accident (stroke). In your answer ensure that you provide each factor with a brief explanation of how/why it could impact on Mr. Hardy’s condition. 1.5 The term pathophysiology explains the processes within the body which result in the signs and symptoms of a disease/s. The ‘relationship’ is the causative factor/s that work together in our bodies. Mr. Hardy has a history of hypertension and has now suffered a cerebrovascular accident. Discuss in at least 200 words the relationship between these conditions, their pathophysiology, and the role that hypertension has possibly played in the development of the stroke. (15 marks) Cardio vascular system: Central nervous system, the brain: 1.6 A functional deficit is a sign or a symptom of illness in a body system or as a whole. Mr. Hardy has several functional deficits. In at least 50 words, summarise two (2) deficits Mr. Hardy has that necessitate nursing care. 1.7Mr. Hardy is your client for this shift. Mr Hardy’s care plan highlights the nursing interventions that need to be implemented on your shift. Outline two (2) nursing interventions that you need to provide Mr. Hardy and discuss possible barriers to performing these. 2.1 If the observations listed below are considered the normal parameters (range) for adults, identify and list Heather’s abnormal observations. T: 36.2 – 37.3 degrees Celsius HR: 60 – 100bpm RR: 16 – 24bpm BP: 120/80mmHg Blood glucose Level (BGL) normal range 4-8mmol/L Ward urinalysis: a normal urine specimen would not smell fruity and would have no ketones or protein in the urine. 2.2 In relation to Mrs Bishop’s admission observations, identify the reporting line you would follow to notify of her abnormal results. 2.3Given Mrs Bishop’s recent weight gain, her two (2) year reported history of high blood glucose levels, her symptoms on admission and her observations, what do you consider to be her condition? 2.4 Discuss the inter-relationship between Mrs Bishop’s two (2) year history of hyperglycaemia (elevated blood glucose) and the impact that would have on the following body systems: Body SystemProlonged hyperglycaemia Cardiac system Cardio vascular system – Hypertension Nervous system Urinary system Sensory systems, the eye 2.5 Identify and briefly explain the role of three (3) health professionals who would be involved in Mrs Bishop’s care. (100 words or less) 2.6List two (2) contributing factors that may have impacted upon the development of Heather’s condition – Type ll Diabetes 2.7The term pathophysiology explains the processes within the body that result in the signs and symptoms of a disease. In relation to Heather, what caused her elevated blood glucose levels and what occurred as a result? (Explain why Heather’s breath smelt like acetone and her urine showed large amounts of ketones) 2.8Summarise two (2) main functional deficits (signs and symptoms of illness) in Heather’s body systems necessitating nursing care and or monitoring (50 words or less). 2.9Within your scope of practice as an EN/Division 2, outline two (2) appropriate nursing interventions that would be indicated in this scenario (20 words or less). 2.10Identify two (2) health care professionals within the multidisciplinary team who need to be consulted in regards to Heather’s care. Summarise the roles they play and include how their roles differ to the EN role (150 words or less).
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