Assessment Clinical Reasoning Assignment Help: How to Answer This Question

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Structure your response with introduction, analysis, and conclusion.

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Original Question

HNB2003 Assessment 2 Clinical Reasoning Cycle Case Study Mohamed Salah, a 48 year old male who is a recent immigrant from the Middle East is admitted with a history of epigastric pain, vomiting and occasional black bowel movement for further investigation. He is scheduled for an upper endoscopy this morning. On admission, Mr Salah appears pale and reports of increasing substernal pain, especially 2- 3 hours after eating. He currently avoids alcohol and is taking over-the-counter (OTC) antacids. He complains of increasing fatigue with exercise and has a smoking history of 1 packet of cigarettes per day for 20 years. Physical examination Height 165 cm tall; weight 63.5 kg His vital signs are: • HR: 102 beats per minute • BP: 135/90 mmHg • RR: 18 breaths per minute • Temp: 37°C • SpO2 99% on room air • Pain scale: 6/10 • Temp: 37°C Diagnostic study • Endoscopy reveals a duodenal ulcer • Hb 10.2 g/dL; Hct 30% • Histology of biopsied tissue reveals Helicobacter pylori infection Treatment plan • Omeprazole 20 mg bd × 10 days • Clarithromycin 500 mg bd × 10 days • Amoxycillin 1 g bd × 10 days You receive Mr Salah after his endoscopy. He asks you if the procedure will work and this will be the end of his problems. Please find the questions below: 1) CONSIDER THE PATIENT: • Describe or list facts, context, objects or people 2) COLLECT CUES: • Review current information (eg patient Hx • Gather new information (eg patient Ax) • Recall knowledge (eg physiology, pathophysiology and medications): References needed here • Specific cultural consideration 3) PROCESS INFORMATION Interpret the information. Ask yourself WHY…why am I seeing these signs and symptoms? Why are these blood results and vital signs abnormal? Why are these medical orders requested? Reference here to support your work 4) PRIORTISE PLAN IF CARE: PRIORITY NUMBER PROBLEMS: Identify five high priority problems for your case study patient and provide a underlying reason (related to what?) for each priority problem (can be an actual or potential nursing problem) GOALS: What do you want to happen for each problem stated ACTIONS: List all the nursing actions/interventions/ assessments that are relevant for this problem with rationale wherever possible OUTCOMES: what is the desired outcome and how will you evaluate this 1 2 3 4 5 REFER

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