How to Answer Want Text Citations Questions (Complete Guide)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to want text citations and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves want text citations. A strong answer should include explanation, application, and examples.

Original Question

I WANT IN TEXT CITATIONS AS WELL AS REFERENCE LIST AND NO PLAGIRISM PLEASE Scenario 1: At 1315, Emma Jones, 32, is admitted to your ward from home (via the emergency department) with a left Colle’s fracture, (fractured left distal radius) following a fall; she has a past history of childhood measles, wisdom teeth extraction, and morphine allergy; she is on the oral contraceptive pill, and no other medications. Her left arm is being elevated with a sling and supported by a pillow to reduce swelling, but her fingers and hand are puffy. On arrival to the ward, she has manageable pain; she is fasting prior to the surgery on her wrist, with her scheduled theatre time for 1600. Her husband is present. 1. Think about the information given in the case study, and identify what observations/physical assessments/tests Emma needs on admission and Why? 2. Apart from the mild swelling noted in the emergency department handover, all Emma’s admission vital signs are unremarkable. Where would you document them? Give two (2) forms of documentation. 3. When you checked Emma’s wrist and hand, you noticed that her wedding ring was tight because of the swelling. How do you act on this and why? 4. When you check on Emma at 1400, she tells you the pain is increasing. Are there any special precautions you should take when giving Emma pain relief? At 1455 Emma’s husband comes up to you at the nurses’ station to tell you that she is experiencing worsening pain. 5. When you assess Emma, you notice that the swelling is much worse. What other assessments should you do? What are you assessing for (list at least two (2)) elements you are assessing for)? Emma tells you her pain is increasing from her elbow down to her fingertips and gradually getting worse over the last half hour, and is now severe, from her mid-forearm down. She says her skin feels tight, and her hand is now pale, cool, too swollen for her to wriggle her fingers, she has pins and needles in her fingertips and reduced sensation; when you press on her fingertips, it takes several seconds for the colour to return. 6. Analyse the information given in the case study, and identify the reason that is most likely causing Emma’s increased pain and these new signs? 7. How should you act? Emma returns from theatre at 1745, following an open reduction and internal fixation (ORIF) of her fractured wrist, and a fasciotomy (a surgical incision into the fascia tissue to release pressure). Any surgery, however well performed, is an insult to the body and results in trauma and potential complications. 8. In addition to pain, what two complications of surgery is Emma at greatest risk of, and how would they most likely manifest (list at least two (2) signs of each complication)? Scenario 2: Judith Mason is a previously well 79-year-old woman who has been living independently at home. According to her son, who has brought her into the hospital, she was her usual self when he spoke with her last night, but when he visited her this morning she was confused, disoriented, and hallucinating. Her vital signs are: T⁰ 37.8C, RR 18, SaO2 97% on air, PR 88, BP 105/70 Her GCS is 13: she obeys directions, and spontaneously eye-opens, but is disoriented to time and place; her pupils are equal and reactive, her limbs have equal strength, and she has no difficulty speaking or swallowing. Mrs. Mason’s medical history is confined to four healthy pregnancies, an appendectomy when she was 20, and a fractured ankle in 2005 after a mechanical fall. She takes no regular medication or supplements, was a light smoker until 1974 (when she quit), and she drinks a glass of wine most days. She has been diagnosed with a urinary tract infection. 9. Think about the information given in the case study and identify test/s that would confirm this diagnosis of urinary tract infection? 10. Think about the information given in the case study – which, if any, of her assessments are abnormal or unexpected? What is the most likely cause of these alterations? 11. Looking again at Mrs. Mason’s neurological assessment, what are two other conditions that could cause these results? Why are they unlikely? 12. If Mrs. Mason were 30, and every other factor was unchanged, how would her clinical picture differ? Why? 13. Mrs. Mason is usually very well for her age, with no comorbidities or regular medication. Does this mean she is less vulnerable to age-related complications this admission? What kinds of complications are more common in patients aged above 60 during an acute admission? Name a minimum of two age-related complications. 14. When you help Mrs. Mason to transfer from the emergency trolley to her bed, you notice that she is unsteady on her feet. a) What additional assessment do you need to perform? Give at least one (1) assessment. b) What precautions will you take to reduce risk related to her unsteadiness? Give at least five (5) assessments c) Who should you refer her to? List two (2) healthcare professionals 15. Name three (3) types of documentation you need to complete for Mrs. Mason on admission Scenario 3: Vikram Kaur presents to the emergency department with 24/24 of nausea, vomiting, abdominal cramps, and diarrhea; he is 23, has no significant history, and is not taking any medications or supplements. His vital signs are: T 37.4, HR 110, RR 16, BP 105/70, SaO2 97% on air. His girlfriend Jasmine is with him and tells you she had the same symptoms a day or so ago, though not as severely, and feels fine now. 16. What do you think is wrong with Vikram? What information leads you to this conclusion? 17. What is the main issue for Vikram? How would you assess this? 18. What health information does Vikram’s treating team need? Separate them into nursing assessments and clinical investigations. At least two nursing assessments and one clinical investigation should be covered. 19. Name two (2) forms of nursing documentation needed to complete for Vikram. 20. Vikram is admitted to hospital. Name four (4) measures that will be undertaken, and explain why these measures are needed. Scenario 4: Karen is a 38-year-old female in previous good health who presented with an 18/12 history of a breast lump that increased over time. Following a mammogram and fine needle biopsy (FNP), she was diagnosed with breast cancer; subsequent investigations revealed she carries the BRCA gene – this is associated with particularly aggressive breast cancer, and Karen decided to have a bilateral mastectomy. Medical history Childhood asthma Never smokes, tea-total Allergic to penicillin Medications Nil No supplements or complementary therapies Family/social history • Father died age 62 from MI, mother and three sisters are healthy • Divorced with 2 daughters (aged 10 and 11) • She is employed as an occupational therapist • Aunt passed away 3 years ago due to breast cancer Preoperative teaching given included: • Active range of motion and immediate post-op limitations of drains • Shoulder exercises • Psychosocial considerations Karen returned to the ward today at 1235. Vital signs on return to ward: T⁰ 36.4 C, PR 76, BP: 114/74, RR 16. She has 2 x drains on suction that are patent and draining; her dressings are dry and intact with no ooze/strike though evident. Karen has been prescribed IV antibiotics for 24/24 (first dose given intra-operatively at 1100), then changed to oral. She reports 6/10 pain under her armpit on movement, which subsides to 2/10 at rest; PRN analgesia given with good effect. Plan: await surgical review, to be seen by breast physio. 21. Briefly (50-60 words) describe the pathophysiology (including metastasis risk) and risk factors of breast cancer. 22. Analyse the information given in the case study, and identify which, if any, of her assessments are normal/abnormal or unexpected? Is there anything about her treatment interventions that warrants your review? What consideration of any contra‐indications in relation to health assessment findings you should take into account? 23. Think about the kinds of problems that can develop after this sort of surgery. Using a problem solving approach, create a care plan addressing Karen’s needs related to her diagnosis and surgery. You must include 3 nursing diagnoses, with goals, interventions (at least two interventions for each diagnosis), and evaluations for each. Problem Goal Intervention Evaluation Scenario 5: Alvin Floyd, a 53-year-old man presented with symptoms of uncontrolled diabetes mellitus (polyuria, polyphagia, polydipsia, and unexplained weight loss). He had been in good health until about two months ago when he started to feel weak and tired more rapidly than usual. On questioning, he admitted to getting up two or three times a night to urinate. He also is often thirsty at those times and drinks a glass of water each time. His weight had been average through high school, where he had been on the football team. After leaving school, he had gradually gained weight over the years. His appetite remained excellent but he now was losing weight and becoming weak. On questioning, Alvin reports that noticed cuts on his hands are taking much longer than usual to heal, his vision is blurry, and he’s developed dark patches under his arms. Medical history Appendectomy 1972, hypertension, gastroesophageal reflux Nil known allergies Has never smoked, social drinker (<2/week) Note: BMI 33 Medications Esomeprazole 40mg, oral, mane Ramipril, 10mg, oral, mane No supplements or complementary therapies Family/social history ● Both parents are deceased - father at age 69 (stroke), mother aged 62 (ESRF, 3y of HDx) ● Mother Dx T2DM age 48, Cx by renal failure and R) forefoot amputation ● Alvin was her primary carer for her later years ● Married, lived at home with wife and one adult child ● Two other adult children (family is supportive and close) ● Works as an auto mechanic On admission Alvin's vital signs are: T⁰ 36.5, PR 76, RR 18, BP 142/78, SaO2 97%, BGL 26mmol/L Lab results ● Urinalysis: glucose ++++ otherwise NAD ● HbA1C 16.4% ● Total cholesterol 243 mg/dL, HDL 20mg/dL, triglycerides 416 mg/dL 24. Based on the information provided, does Alvin have type 1 or type 2 diabetes? Why do you think that? 25. What is HbA1C? 26. Analyse the information given in the case study, and identify which, if any, of his assessments are normal/abnormal or unexpected? What is the most likely cause of these alterations? 27. Give a brief (50-60 words) overview of the pathophysiology of diabetes mellitus type 2. 28. Explain the causes of Alvin's symptoms related to his diagnosis. You must identify at least four symptoms and their causes 29. Name at least two professionals you would refer Alvin to. 30. Name three aspects of his post-discharge management that Alvin needs education about.

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