Richard

Question 1

Richard is a 19 year old male who has presented to the GP surgery today having trouble passing urine and only passing small amounts which is painful, he remarks that it is also smells fishy. Richard has had these symptoms all weekend. Richard is also being monitored by the GP practice nurse as he has an exacerbation (worsening) of asthma 2 months ago due to stress and lifestyle issues

• the GP practice nurse decides to complete a full set of vital signs. At which time of the day would the nurse expect to obtain the lowest body temperature?

Answer 1

Early morning

Question 2

The practice nurse asks you to take Richards blood pressure. When deciding where to place the cuff on Richards arm, which action is the most appropriate?

Answer 2

The cuff is placed about 2.5cm above the antecubital area

Question 3

Richard is laying down on the examination table when you monitor his blood pressure. Which of the following would you expect?

Answer 3

Blood pressure will be slightly lower than this normal reading

Question 4

As there are several things happening in the clinic at the moment you need to consider clinical priority. Clinical priorities are what:

• are based on the assessment data collected
• is learning from process to inform practice
• involve preparing for and taking action

Answer 4

All of the above

Question 5

An appropriate nursing diagnosis for Richard would be:

Answer 5

Potential risk of urinary tract infection as evidenced by increased frequency of urination, reduced volumes and offensive odour

Question 6

What is the most appropriate nursing intervention?

Answer 6

Obtain a urinalysis and preform a dipstick urine test