NUR250 Medical Surgical Nursing 1


Task 1: Patient assessment

On admission to the ward, the nurse focuses on collecting specific cues and information relevant to the person’s
condition at the time. This second step in the Clinical Reasoning Cycle assists the nurse to recognise patient deterioration and assists the nurse in planning care and to facilitate mutually established goals. The nurse will
continually assess and re-assess the patient throughout the continuity of care.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice
Identify 3 specific nursing assessments that you would conduct as a priority on David’s admission to your
ward to assist with planning his nursing care and identify potential problems and further deterioration of his
cardiac function.
For each assessment you have identified explain:
How specifically you will conduct the assessment
Why the assessment is specifically relevant to David’s care during your shift.

Task 2: Care planning

Based solely on the handover you have received and using the template provided, develop a care plan for three (3)
nursing problems identified and included in the template. These nursing problems cannot be changed and a care
plan needs to be developed for each.
Your task is to identify for each of the 3 nursing problems:
The underlying cause or what the nursing problem is related to
Goal of care
Specific bedside nursing interventions you will do
The rationales for your nursing interventions and actions
Indicators that your plan is working
Read beyond the set texts to prepare the nursing care plan. JBI and Nursing Reference Centre may be used
for the care plan (but not the other tasks) along with appropriate journal articles.
Online nursing care plans are NOT acceptable and will not be accepted as references.
Dot points may be used in the care plan template
Rationales must be appropriately referenced

Task 3: Medication management

Three important aspects of medication management by registered nurses is for the nurse to understand why a
patient has been prescribed specific medications, understanding the nursing responsibilities and how to monitor the
patient to ensure they are responding to prescribed medications as they should.
In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice,
Briefly explain why David has been prescribed:
o Frusemide orally 40mg twice daily
o Digoxin orally 62.5 mcg daily
o Ramipril orally 5mg twice daily

Identify and explain
o The specific nursing responsibilities associated with administering each medication
o How you will monitor David for expected, side and adverse effects of each medication.

Task 4: Patient education

Patient education starts on admission and continues throughout care. Patient education should be aimed at;
improving or increasing the patient’s knowledge; influencing their attitude to alter their behaviours or attitudes;
and/or to prepare the patient for discharge.
Health education should be focused on the individual patient and individual strategies to improve the patient’s
health and wellbeing.
When caring for David you recognise David may need further education on the following topics in relation to
maintaining his cardiac output:
o Physical activity guidelines
o Smoking cessation
o Stress minimisation
o Reducing excess fluid volume
Select one (1) of the topics above and, in grammatically correct sentences and topic paragraphs,
Identify the specific information you will explain to David about the topic including recommendations on
what he needs to do.

o Why the topic is an important aspect of David’s care
o How you will ensure that David knows and understands why it is important and knows what he
needs to do

Task 5: ISBAR handover

An important legal requirement of nursing practice is to effectively and succinctly communicate relevant
information, actions and outcomes related to patient care and provide an accurate reflection of the health status of
the patient, their responses to care and the patient’s perspective.
Using the ISBAR format and information from the handover:
Provide a written handover that clearly and succinctly outlines the important information that staff need to
know about David for continuation of nursing care.
Your handover must:
Adhere to the legal and professional nursing standards for documentation
Demonstrate person-centred care
Be in appropriate professional language
Contain NO abbreviations or nursing jargon
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