Nursing assignment

Topic background:
The most common treatment used in healthcare is the administration of medication.
Medicines contribute to significant improvements in health when used appropriately.
Unfortunately, medication administration can also be linked to an increase in adverse events
potentially causing harm to patients whilst increasing healthcare costs. As nurses are
primarily involved in the administration of medications across health care settings, it is their
duty to the patient to know the actions and indications of all medications they administer,
including dosage ranges, adverse reactions and the implications for the patient.
Instructions for this assessment task:
• Read the patient information and questions carefully
• Familiarise yourself with the online material on CloudDeakin and the material
covered in the seminars
• Draw on theoretical concepts of the principles of quality use of medicines,
legal/ethical requirements, and the nurse’s role in patient education
• Access relevant contemporary literature to support your discussion. References
should mainly include refereed journal articles.
2
Assignment case study:
It is the 10th of August, 2130hrs.
Mr Ivan Horvat, an 82 year old male, was admitted to the emergency department of Deakin
Hospital yesterday, the 9th of August for investigation of palpitations and dizziness. On
admission to the emergency department, Mr Horvat explained that it felt like his heart was
“racing and bouncing” in his chest.
Mr Horvat has the following medical history:
• atrial fibrillation (AF)
• hypertension
• hyperlipidaemia
• depression
• and has recently been diagnosed with gastroesophageal reflux disease (GORD)
When you meet Mr Horvat, you take his observations and find:
Temperature: 36.7 degrees Celsius (tympanic)
Pulse: 108bpm (irregular)
Respirations: 16 breaths/ min at rest
Blood pressure: 98/60 mmHg
SpO2: 96% on room air

Height: 179cm
Weight: 78kgs
Blood test results from this morning:
• indicate that Mr Horvat is currently experiencing moderate renal impairment.
• INR 2.9
QUESTIONS
Q1. Assess Mr Ivan Horvat’s medication chart. With consideration to the case scenario,
identify and explain two (2) significant risks that may be associated with the use of these
medicines. (Approximately 600 words)
Q2. With consideration to the case scenario, describe the strategies a nurse may implement to
prevent and/or manage the risks identified in Question 1. (Approximately 600 words)
Q3. Prior to discharge, Mr Horvat requires medication education related to the use of digoxin.
Describe the education you will provide to ensure Mr Horvat’s safe use of this newly
prescribed medicine at home.
3
Presentation requirements:
Title Page:
Include the following information on separate lines; Title of Paper (bold font),
Student Name/s, University/Institution Name, Unit Code and Name, Facilitator
Name, Due Date, Word count.
Formatting of Title Page: Centred text alignment and double-line spacing.
Font:
Writing is to be in an accessible font. Examples of these include;
12-point type size Times New Roman.
11-point type size Georgia.
11-point type size Calibri.
11-point type size Arial.
Ensure the same font is used consistently throughout the entire paper.
Spacing:
Double-line spacing (Do not insert extra lines between paragraphs or the reference
list entries.)
Page numbers
Page numbers to be provided on all pages except front page. Place page number in
the top right hand corner
Margins
2.54 cm at the top, bottom, left-hand, and right-hand sides of the page (default page
margin).
Paragraph indents
Indent the first line of each paragraph 1.27 cm (using the tab key or paragraph tool).
Exceptions: title page (centred alignment), titles and headings, table titles and notes,
references (hanging indent)
(Consult with APA 7 style manual for specific detail).
Justification of text
All text needs to be aligned to the left, not justified (right margin remains uneven)
Word Count
Assignments must be no more than 10% of the indicated word count, not including
title page, in-text citations and reference lists