PRNS 1002-Nursing Skills 1-Assignment - Value 10%- (30 marks)
Answer the following questions: Question 1.
The nurse visits a 75-year-old African-American woman to evaluate healing of a pressure ulcer on her
left hip. The patient is upbeat but feels that the ulcer is taking too long to heal in comparison to others
she has had in this same area. The woman’s children are also present at the visit and inform the nurse
that they have been encouraging their mother to sit out in direct sunlight in her backyard, where she can
expose the ulcer area to light. The children read on the Internet that this is the quickest way to heal an
ulcer and feel that other treatments are not needed at this time. The patient listens to her children but
voices her disinterest in their treatment choice, stating that she prefers traditional treatments. Identify the clinical problem(s) in the case study. Provide the rationale for your answer. (2 marks) The nurse assesses the ulcer by examining the skin color and determines that healing is progressing well.
The patient has dark skin, with some areas around the ulcer that appear blue in color; no redness is
seen. Based on these statements, is the nurse making an accurate assessment? Why or why not? Provide
the rationale for your answer. (3 marks) How should the nurse address the conflict between the patient and family? Provide the rationale for
your answer. (5 marks) Instructions:
Read the following case study, choose 2 nursing diagnosis and develop a care plan utilizing the steps of
the nursing process. Remember to set 2 realistic goals for the client and develop nursing interventions
that could help meet these goals, as well as the rationale for the interventions. You may consider a shortterm goal and a long-term goal to work toward. Nursing interventions must be specific, and measurable.
Remember to prioritize.
Case study.
Mr. B has been assigned to your care for the day shift. Mr. B is a 78year old male client in the hospital
who is medically discharged. He is waiting for homecare to be initiated. He has a below the knee
amputation of the Rt. leg and has prostate cancer. As a result of the prostate cancer Mr. B is unable to
void on his own and has a Foley catheter. He has been nauseated and vomiting as a result of the
chemotherapy that he is receiving. He has been NPO for the past two days and has an IV of R/L infusing
at 100 mls/ hr. Mr. B usually is able to perform his own care and is ambulatory with prosthesis, but
because of his vomiting and resulting weakness he requires partial assistance with his bath. During his
morning bath you notice yellowish drainage around the Foley catheter. No other findings were noted. By midafternoon the client has been free of vomiting for 6 hours and is beginning to feel hungry. You
consult with his Dr. and the doctor orders the IV to be discontinued and to start the client on clear fluids.
Mr. B’s vital signs for 1000 hours are B/P 110/70, Pulse 68, RR-18, and Temp. 37°C, oxygen saturation on
room air is 98%.
Mr. B’s vital signs for 1400 hours are B/P 118/74, Pulse 70, RR-18, and Temp. 36.8°C, oxygen saturation
on room air is 96%.
The Dr. requested that the client be weighed. You did so and the client’s weight is 70 Kg.
Mr. B’s intake for dinner: 250 mls apple juice, 250 mls 7-up, 500 mls water, 500mls clear soup broth and a
bowl of Jell-O.
Nursing Care Plan:
Nursing Diagnosis: (4marks) Nursing Goal(s): (4 marks) Nursing Interventions and Rationale (8 marks) Evaluation: (4 marks)

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• 1505809269-PRNS 1002-Assignment_2017 3.docx