92430 Assessment And Therapeutics In Health Care 1

92430 Assessment And Therapeutics In Health Care 1

Free Samples

92430 Assessment And Therapeutics In Health Care 1

.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}

92430 Assessment And Therapeutics In Health Care 1

0 Download6 Pages / 1,355 Words

Course Code: 92430
University: University Of Technology Sydney

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia


The intent of this assessment is to prepare students to be able to-

Identify and differentiate between normal and abnormal vital signs.
Develop an awareness of clinical practice and a beginning understanding of clinical reasoning. ?
Assess and utilise academic and evidence-based resources.

Students will be required to watch two short videos. Students will then need to complete a table and answer critical thinking questions based on the videos.
Video A:

Video B:

Complete the following table using information from the assessment resources and Video A.
Consider the patient situation
Collect cues and/or information
Complete the following table using information from Video A

(vital sign)

Use your own words supported with references

Factors that may affect this cue
Use your own words supported with references

Normal range (adult)

Terminology used to describe abnormal cue

Patient’s vital sign

Respiratory rate






Oxygen saturations






Heart rate (pulse)






Blood pressure












Critical thinking questions
Assessment is a key component of nursing practice, required for planning and provision of person centred care. The Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice (2016) consist of seven standards and Standard 4 – Comprehensively Conducts Assessments states: “RNs accurately conduct comprehensive and systematic assessments. hey analyse information and data and communicate outcomes as the basis for practice”.
Identify four (4) errors made by the nursing student in Video B and describe how these errors may contribute to inaccurate measuring and recording of patient vital sign

Outline the importance of accurate documentation and how it relates to Standard 4 of the Registered Nurse Standards for Practice (2016)
What have you learned from this assessment? How will it inform your clinical practice?


Clinical reasoning

Clinical Reasoning Cycle

Consider the patient situation

In this section, provide a relevant and concise description of your observation of the context and patient situation.  

The patient is Sandra Smith, a 33-year-old female who presented with per vaginal bleeding. She has an IV cannular in her left hand with a normal saline IV fluid running at 125mls per hour. She has menstrual pads in situ and has been on bedrest since admission.

Collect cues and/or information

Record current information (eg handover, patient history etc,  

She is passing 500mls of bleed per hour. She has a past history of endometriosis, hypotension and childhood asthma. Previous procedures included laparoscopic incision of endometrial tissue, colonoscopy, and appendectomy. On assessment important positives included elevated heart rate at 100 bpm, respiratory rate at 29, temperature of 38.50Cand a pale diaphoretic appearance with pain of 8/10. She also has not passed urine since admission.

 Collect cues and/or information continued

Gather new information – In the video, the nursing student gathers the current vital signs – record this information
Recall knowledge – What do the vital signs measured by the nurse in the video mean

(vital sign)

Use your own words supported with references

Factors that may affect this cue
Use your own words supported with references

Normal range (adult)

Terminology used to describe abnormal cue

Patient’s vital sign

Respiratory rate

This is the measure of a persons breathing per minute with one respiration being an inspiration and a corresponding expiration (Flenady, Dwyer and Applegarth, 2016)

Metabolic acidosis due to inadequate perfusion causes a hyperventilation as the patient tries to eliminate excess acid (Mikhail, 2015).

12 -20 breaths/minute


29 breaths per min

Oxygen saturations

This is a measure of the amount of oxygen in blood hence the level that is delivered to tissues (Jubran, 2015).

The metabolic acidosis make is hard to maintain a high oxygen saturation
(Fein, 2014).

97 – 100%


95 %

Heart rate (pulse)

This is the measure of the how fast the heart is beating with one cycle being diastole plus the corresponding systole. It is measured by palpating the radial artery for radial pulse (Oh, Hong & Lee, 2016).

Due to blood loss and low perfusion, there is a sympathetic nervous system stimulation which causes the release of catecholamine; adrenaline and norepinephrine (Kreimeier, 2016). This causes vasoconstriction, increased heart rate (above 100 bpm) and increased heart contractility. With this, there is adequate cardiac output which increases the tissue perfusion.

60 -100 bpm


110 bpm

Blood pressure

His is the measure of the pumping force of the heart against the resistance of the blood vessels (Guyton, 2015)

The blood pressure remains normal as compensation is occurring. There is activation of the renin-angiotensin-aldosterone system that leads to increased anti-diuretic production which in turn causes water retention. However, with increasing blood loss the pressure will fall as vasodilation due to anaerobic respiration occurs (Hinkle & Cheever, 2013)

130 to 90/85


100/60 mmHg


This is a measure of the bodies hotness or coldness and gives an indication of the bodies core temperature (Kushimoto et al, 2014)

Brain hypoperfusion due to haemorrhage resets the core body temperature imparing normal thermoregulation (Balk, 2015).

36.5 to 37.20C



Critical thinking questions
Identify four errors made by the nursing student.

Error 1

During blood pressure measurement, the student placed the blood pressure cuff below the cubital fossa, at the upper forearm instead of the required position just above the cubital fossa. This error leads to overestimation, underestimation or even guessing of values since the correct sounds cannot be heard correctly (Handler, 2009).

Error 2

During pulse rate measurement the thumb was used to measure which is incorrect. The thumb having its own pulsation interferers with the pulse being measured making the reading inaccurate (Glynn and Drake, 2014).

Error 3

The method of measuring respiratory rate was incorrect as she made the patient aware of the process. The awareness of breathing by the patient makes the reading inaccurate compared to if the rate was counted while the patient is un aware (Glynn and Drake, 2014)

Error 4

Inappropriate documentation protocol as the student did not record her results after every measurement but waited till the end of the assessment to do so. This is not standard practice as she could forget the correct readings and instead document incorrect figures (Fuller, Fox, Lake, & Crawford, 2018).

Importance of accurate documentation

The standard 4 provides for comprehensive assessment to guide decisions. Inappropriate documentation of assessments will impair this principle. If an assessment is done but not documented accurately, it renders the assessment inaccurate and an inaccurate assessment should not be used to inform nursing practice (Stevens & Pickering, 2010).  The assessment won’t be holistic, relevant or accurate (Collins et al, 2013). As a general rule in nursing, something not documented is considered not done. Good documentation is also crucial for clinical communication. Working in partnership with others to assess, prioritize and manage patients is required by the standards of practice no 4. This involves handover reports, patient information, previous assessment and results. This ensure continuity of care without loss of information (Stevens & Pickering, 2010). Another requirement of the standard is the assessment of resources available to inform planning. This involves accurate documentation of all available resources, the management of this resources and their use.

What have you learned from this assessment? 

The lessons learned in this assessment are numerous. The first important lesson is the use of the clinical reasoning cycle in the approach and management of a patient. This systematic approach as used in this assessment is more holistic, appropriate and simple to follow. The cycle follows eight simple steps that if applied to different clinical scenarios help in the management of patients. The second lesson is the importance of vital signs measurement in the assessment of patients, the identification of normal and abnormal vitals, and how errors in the measurement can greatly affect these readings. From this, good clinical skills in the measurement of vital signs need to be learned or improved to provide quality measurements. Also, the importance of vital signs will not be underestimated. The third lesson is the importance of accurate documentation in provision of quality nursing care and meeting nursing standards of practice. With this information, implementation of good, concise and regular documentation shall be a priority in the clinical setting. The final lesson is the use of evidence-based research in clinical practice and the importance of evidence-based resources in clinical nursing. This will help inform my clinical reasoning in the clinical area. 

Balk, A., (2015). Pathogenesis and management of multiple organ dysfunctions or failure in severe hypovolemia and hypovolemic shock. Critical Care Clinics, 16(2), 337–351
Collins, S. A., Cato, K., Albers, D., Scott, K., Stetson, P. D., Bakken, S., & Vawdrey, D. K. (2013). Relationship Between Nursing Documentation and Patients’ Mortality, American Association of Critical-Care Nurses, 22(4), 306-313.
Fein, A. M., (2014). Acute lung injury and acute respiratory distress syndrome in sepsis and septic shock. Critical Care Clinics, 16(2), 289–313.
Flenady, T., Dwyer, T., & Applegarth, J. Accurate respiratory rates count: So should you! Australasian Emergency Nursing Journal, 20(1), 45-47.
Fuller, T., Fox, B., Lake, D., & Crawford, K. (2018). Improving real-time vital signs documentation. Nursing Management, 49(1), 28-33.
Glynn, M. & Drake, W. (2014). Hutchinson’s Clinical Methods: an integrated approach to clinical practice. London: Elsevier.
Guyton, A. C. (2015). Textbook of Medical Physiology. (13th ed.). Philadelphia: W. B. Saunders
Handler, J. (2009). The Importance of Accurate Blood Pressure Measurement. The Permanente Journal, 13(3), 51-54.
Hinkle, J.L, Cheever, K.H. (2013). Brunner and Saddarth’s Textbook of Medical and Surgical Nursing, (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Jubran, A. (2015). Pulse oximetry. Critical Care, 19(1), 272.
Kreimeier, U. (2016). Pathophysiology of fluid imbalance. Critical Care, 8,2: S3–S7
Kushimoto, S., Yamanouchi, S., Endo, T., Sato, T., Nomura, R., Fujita, M. et al. (2014). Body temperature abnormalities in non-neurological critically ill patients: a review of the literature. Journal of Intensive Care, 2(1), 14.
Oh, D.-J., Hong, H.-O., & Lee, B.-A. (2016). The effects of strenuous exercises on resting heart rate, blood pressure, and maximal oxygen uptake. Journal of Exercise Rehabilitation, 12(1), 42-46
Stevens, S., & Pickering, D. (2010). Keeping good nursing records: a guide. Community Eye Health, 23(74), 44-45.

Free Membership to World’s Largest Sample Bank

To View this & another 50000+ free samples. Please put
your valid email id.


Yes, alert me for offers and important updates


Download Sample Now

Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.

UploadUnique Document

DocumentUnder Evaluation

Get Moneyinto Your Wallet

Total 6 pages


*The content must not be available online or in our existing Database to qualify as

Cite This Work
To export a reference to this article please select a referencing stye below:


My Assignment Help. (2020). Assessment And Therapeutics In Health Care 1. Retrieved from https://myassignmenthelp.com/free-samples/92430-assessment-and-therapeutics-in-health-care-1.

“Assessment And Therapeutics In Health Care 1.” My Assignment Help, 2020, https://myassignmenthelp.com/free-samples/92430-assessment-and-therapeutics-in-health-care-1.

My Assignment Help (2020) Assessment And Therapeutics In Health Care 1 [Online]. Available from: https://myassignmenthelp.com/free-samples/92430-assessment-and-therapeutics-in-health-care-1[Accessed 18 December 2021].

My Assignment Help. ‘Assessment And Therapeutics In Health Care 1’ (My Assignment Help, 2020) accessed 18 December 2021.

My Assignment Help. Assessment And Therapeutics In Health Care 1 [Internet]. My Assignment Help. 2020 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/92430-assessment-and-therapeutics-in-health-care-1.

.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}


Thank you for your interest
The respective sample has been mail to your register email id


$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1

Account created successfully!
We have sent login details on your registered email.



If you are taking any kind of nursing course, you will definitely require writing clinical reasoning cycle assignment at least once in your academic life. Did we tell you that MyAssignmenthelp.com has professional experts who have practical experiences in nursing? Expect the best quality work from these individuals. MyAssignmenthelp.com is considered to be the best essay writing service to provide excellent writing help service to each student. We assure that you’ll get a plagiarism-free essay from our end.

Latest Healthcare Samples

div#loaddata .card img {max-width: 100%;

5N1794 Safety And Health At Work
Download :
0 | Pages :

Course Code: 5N1794
University: University College Cork

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Ireland

Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration 

400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :

Course Code: 400837
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Australia Minchinbury Management University of New South Wales 

PUBH6304 Global Health
Download :
0 | Pages :

Course Code: PUBH6304
University: The University Of Newcastle

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
United States Newark Management University of New York Masters in Business Administration 

CON 321 Health Related Research
Download :
0 | Pages :

Course Code: CON321
University: University Of Southern Maine

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…

BL9412 Public Health
Download :
0 | Pages :

Course Code: BL9412
University: University Of The West Of England

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United Kingdom

According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 


Our Essay Writing Service Features

Qualified Writers
Looming deadline? Get your paper done in 6 hours or less. Message via chat and we'll get onto it.
We care about the privacy of our clients and will never share your personal information with any third parties or persons.
Free Turnitin Report
A plagiarism report from Turnitin can be attached to your order to ensure your paper's originality.
Safe Payments
The further the deadline or the more pages you order, the lower the price! Affordability is in our DNA.
No Hidden Charges
We offer the lowest prices per page in the industry, with an average of $7 per page
24/7/365 Support
You can contact us any time of day and night with any questions; we'll always be happy to help you out.
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$3.99 Outline
$21.99 Unlimited Revisions
Get all these features for $65.77 FREE
Do My Paper

Frequently Asked Questions About Our Essay Writing Service

Academic Paper Writing Service

Our essay writers will gladly help you with:

Business Plan
Presentation or Speech
Admission Essay
Case Study
Reflective Writing
Annotated Bibliography
Creative Writing
Term Paper
Article Review
Critical Thinking / Review
Research Paper
Thesis / Dissertation
Book / Movie Review
Book Reviews
Literature Review
Research Proposal
Editing and proofreading
Find Your Writer

Latest Feedback From Our Customers

Customer ID:  # 678224
Research Paper
Highly knowledgeable expert, reasonable price. Great at explaining hard concerts!
Writer: Raymond B.
Customer ID: # 619634
Essay (any type)
Helped me with bear and bull markets right before my exam! Fast teacher. Would work with Grace again.
Writer: Lilian G.
Customer ID: # 519731
Research Paper
If you are scanning reviews trying to find a great tutoring service, then scan no more. This service elite!
Writer: Grace P.
Customer ID: #499222
Essay (any type)
This writer is great, finished very fast and the essay was perfect. Writer goes out of her way to meet your assignment needs!
Writer: Amanda B.
Place an Order

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:

Powered by WhatsApp Chat

× How can I help you?