SCENARIO ONE - CARDIOVASCULAR PATHOPHYSIOLOGY

Mr Adams is a 58-year and gentleman who was admitted to Ward B AT 11.00 hours via the Accident & Emergency Department with acute chest pain that was described as ‘crushing’ in nature, which radiated to his left shoulder and around his jaw area. On admission he was clammy, pale and extremely anxious. His vital signs were recorded as BP 160/90, P 134/min Respiratory rate 12 / min and Oxygen Saturation on air 91%. He was dyspnoeic at rest and complained of nausea.

 

He is accompanied by a work colleague. Mr Adams is married and has 2 daughters, aged 18 and 20. He is presently employed as a business executive in an IT unit.

You have been assigned his named nurse during his stay on Ward B.

 

At 14.00 hours his BP was recorded as 110/60, P 62/ min with a ST elevation noted on the ECG. His main concern was his wife’s reaction to his illness as she is presently being treated for depression.

 

Critically discuss the priorities and management of care from admission until 22.00 hours. Justify your nursing actions in light of the evidence base for practice.

 

SCENARIO TWO

David Nelson is a 16-year-old man who was admitted to the Accident & Emergency following an accident whilst playing football. He was ‘kicked in the right side of his chest’ and is now complaining of severe pain on inspiration with increasing difficulty in breathing. A chest X-ray in the department revealed a right-sided haemopneumothorax with 2 rib fractures.

 

David is awaiting the arrival of his parents but the surgical insertion of a chest drain is imperative.

 

On admission his vital signs were recorded as BP 95/55, P135/min, Respiratory Rate 26/min, shallow & irregular respirations & oxygen saturation 89% on room air.

 

Critically discuss the priorities and principles of nursing & medical management in light of the evidence base for practice

 

SCENARIO THREE - SURGICAL PATHOPHYSIOLOGY

Mr. Norman Wright is a 70-year-old retired teacher. He lives with his wife aged 68 years in a semi-detached house near Lancaster. They have three sons and five grandchildren between the ages of 15 and 20 who live in Manchester.

 

Mr. Wright likes to walk around the Lancaster University ground and he thoroughly enjoys meeting with his retired friends.

 

One morning, whilst preparing to go for his daily walk he suddenly develops pain in his abdominal region. His wife finds him lying on the front porch in a state of collapse. She immediately calls for an ambulance.

 

On admission to the hospital he is found to be in a state of shock. He is experiencing abdominal pain, nausea and lack of energy. He is later diagnosed with an acute intestinal obstruction.

 

With reference to your knowledge of normal and disordered physiology, explain the possible causes of intestinal obstruction. Also, explain the clinical features that Mr. Wright may exhibit.

 

With reference to evidence-based practice, critically discuss the pre-operative preparation (including the physical, socio-psychological and spiritual dimensions) that Mr. Wright is likely to have in order that post-operative complications might be minimised.

 

SCENARIO FOUR

Mrs Broadbent is a 52 year-old lady with a history of Type I Diabetes Mellitus. She was admitted to the Day Surgical Unit for an oesophagoscopy. At 1pm she returns from the endoscopy unit, she is drowsy and her clinical observations were recorded as B/P 140/90, pulse 90/min and respirations 20/min. she appears a little pale and sweaty.

 

Discuss the priorities and management of Mrs Broadbent during the first two hours following this procedure.

 

Later, at 3pm, Mrs Broadbent complains of severe mediastinal pain accompanied by dyspnoea and cyanosis. Her B/P is now 90/60, pulse 135/min and respirations 30/min.

 

Discuss the immediate nursing and medicinal interventions which may be required.

 

SCENARIO FIVE

Mr Smith is a 27 year-old bricklayer who is admitted to the Accident and Emergency Department at 1pm following a 20-foot fall from some scaffolding. His colleague who accompanied him says he was conscious at the time of the fall. On arrival to Accident and Emergency he is unconscious, has a laceration to his scalp, which is bleeding profusely but there are no other external signs of injury. His vital signs were recorded as B/P 160/80, pulse 50/min, respiratory rate 30/min and he has a Glasgow comma score of 9.

 

With reference to the pathophysiological changes, explain the clinical manifestations of head injury.

 

Critically discuss the priorities and management of care which will be required in the Accident and Emergency Department up to Mr Smith’s transfer to ITU at 5pm. Mr Smith is newly married.

 

Mr Smith has been transferred to ITU where he remains unconscious and has required intubation and ventilation. Following ventilation Mr Smith’s right pupil becomes fixed and dilated, his B/P rises to 180/120 and his pulse falls to 40.

 

Identify the implications of these observations.

 

SCENARIO SIX

Mrs Smith, a 39 year-old married lady, is admitted to the gynaelogical ward at 1600 hours following an Antenatal Clinic visit. She is 8 weeks pregnant and is loosing red blood and clots PV.

 

Identify and discuss medical investigations and the physical and psychological care she will require in the first 12 hours of her admission. Justify your nursing actions in light of the evidence base for practice.

 

At 0430 hours, Mrs Smith complains of severe abdominal pain with further passage of blood clots. She feels dizzy, nauseated, her B/P is 70/50, pulse 140/min.

 

Describe the immediate nursing and medical interventions needed.

 

Mrs Smith is in a collapsed state. She has a history of Pelvic Inflammatory Disease. She has not responded to the intervention. It is suspected that she has an ectopic pregnancy. She is to be prepared for an emergency operation.

 

Discuss the implications of Pelvic Inflammatory Disease and why ectopic pregnancy may be suspected.

 

Identify the pre-operative care of Mrs Smith until she is 6 hours post operation.