Identification Mrs. Rhonda McKenzie, 75 years old.

Identification Mrs. Rhonda McKenzie, 75 years old. Situation Rhonda is in the emergency department, presenting with shortness of breath and discomfort in the upper back. Background Allergies: – glyceryl trinitrate Medications: metformin 500mg BD, aspirin 100mg OD, atenolol 100mg OD, sliding scale actrapid before meals (the dose is dictated by the BSL reading). Past history: stable angina, type 2 diabetes mellitus Last ate & drank: last night, cold pizza Events: Rhonda presented to the emergency department at 4am as she was feeling short of breath, had pain between her shoulder blades, and could not sleep. She was triaged a category 4 and has only now been brought through to a bed. Assessment Temperature = 36.2°C Pulse rate = 125 beats per minute Respiratory rate = 30 breaths per minute Blood pressure = 105/80 mmHg Oxygen saturation = 90% on room air GCS = 15, fatigued, light headed BGL = 12.5 mmol/L Rhonda weighs 95kgs, and she is 163cm tall. Inspection – pale facial colouring, clammy skin Palpation – slight peripheral oedema, delayed capillary refill (4 seconds) Percussion – no dullness or hyperresonance in the lungs Auscultation – air entry equal into both lungs Subjective information Rhonda lives in her van with her dog Max. The van is parked at the beach, and she ran out of petrol a week ago. Rhonda is recently homeless, as her landlord sold the house she was renting and she cannot afford to rent another place locally as the costs have gone up. Rhonda has received multiple parking fines and has not had money to pay for her medications, and she also ran out of her atenolol, aspirin, and actrapid last week. Two years ago Rhonda left her husband Mike, as it was an abusive relationship. She has no children or immediate family available to support her. Rhonda is a recipient of the aged pension; she has no superannuation. Rhonda is anxious about Max (her dog) as he is in the van. Recommendations Please complete the required investigations for the patient, and a doctor will be around after the handover. Part 1. Using the information in the ISBAR handover to answer the following questions. Conduct a focused assessment of the neurological system. • What information from the case scenario informs the neurological assessment? • What information do you need to complete the neurological assessment? • What neurological system investigations are required for this patient? • If the function of the neurological system has changed, why? Conduct a focused assessment of the respiratory system. • What information from the case scenario informs the respiratory assessment? • What information do you need to complete the respiratory assessment? • What respiratory investigations are required for this patient? • If the function of the respiratory system has changed, why? Conduct a focused assessment of the cardiovascular system. • What information from the case scenario informs the cardiovascular assessment? • What information do you need to complete the cardiovascular assessment? • What cardiovascular investigations are required for this patient? • If the function of the cardiovascular system has changed, why? Conduct a focused assessment of the renal system. • What information from the case scenario informs the renal assessment? • What information do you need to complete the renal assessment? • What renal investigations are required for this patient? • If the function of the renal system has changed, why? Conduct a focused assessment of the gastrointestinal system. • What information from the case scenario informs the gastrointestinal assessment? • What information do you need to complete the gastrointestinal assessment? • What gastrointestinal investigations are required for this patient? • If the function of the gastrointestinal system has changed, why? Conduct a focused assessment of the integumentary system. • What information from the case scenario informs the integumentary assessment? • What information do you need to complete the integumentary assessment? • If the function of the integumentary system has changed, why? What other factors need to be considered in the care of the patient? (Think about the social determinants of health) 2 NUR331 Session 6, 2022Task 2 Information Booklet Please refer to NUR331 Task 2 Response Template for the detailed questions that you need to answer. Part 1 This part presents a series of questions to respond to in a short answer format. Completing these short answer questions will lead to the completion of the body systems assessment of the patient and an identification of the pathophysiology of the patient’s condition. Additionally, questions guide an assessment of the lifestyle and social factors of the patient, and their patterns of healthcare use. The Unfolding Scenario Investigations The RN captured an electrocardiogram (ECG) from the patient (Figure 1). The RN interprets the ECG on the way to showing it to the Emergency Consultant. The RN identifies ST elevation in leads V2, V3, V4, and V5.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."