HSNS264 Integrated Nursing Practice 2 Case Study Assessment Questions and Answers for student


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HSNS264 Integrated Nursing



HSNS264 Integrated Nursing Practice 2


Task Outline:


Read the case study below and answer the three (3) questions


  1. Discuss the respiratory assessment of a child with acute Asthma. In your discussion you need to outline the underlying anatomy and physiology of respiratory system and the difference between adults and pediatric patients, and the normal and abnormal findings using the case study below. You need to include all aspects of the respiratory assessment not just the physical assessment and your discussion needs to integrate quality peer reviewed literature (journal articles).
  1. Explain the signs and symptoms reported in the case study below outlining the underlying pathophysiology of Asthma. Your discussion should cover all signs and symptoms mentioned below in the case study as well as the abnormal respiratory assessment findings outlined in the question above (Q1).
  1. Critically discuss the nursing management of a pediatric child with Acute Asthma. This question requires you to not only know and understand the topic but to be able to apply by analyses and evaluating the information presented. So in you discussion outline your priorities of care for this patient and the rationale (supported by literature), include all the relevant clinical information from the case study (make sure this focuses on the abnormal respiratory assessment finding, abnormal observations etc.), and consider your scope of practice as a 2nd year nursing student. Make sure you are clear what needs to be your priorities in order of importance (for example if the patient had an obstructed airway you wouldn’t decide to document the assessment findings in the progress notes first before managing the airway).


Case study 5 year old female: Rosie


Rosie has a history of croup as a baby but no other knows medical conditions and no medications. She has a no allergies and last saw her GP 6 months ago. Rosie’s Mother, Gale, arrive at the hospital emergency department distressed about Rosie’s breathing. Rosie has 24 hour history of feeling unwell, non-productive cough, lethargy, running nose, slight temperature and increased breathing rate. At HSNS264 Assessment 1 Marking Rubrics.docx10 October 2022, 11:29 AM y g p g gy g g p g Triage the RN notes Rosie has increased work of breathing, slight tracheal tug but no evident chest wall recession. The RN notes there is an audible wheeze on expiration. On auscultation Rosie has decreased air entry bilaterally to lung bases, and wheezing noted upper lung areas. Rosie’s RR 39, Oxygen saturation 91% on room air (R/A), BP 110/58, HR 141, Temp 37.6. Rosie appears pale, flat and tired but alert. The RN places Rosie on a bed in ED and tells her to sit or lie whatever is most comfortable for her.