You are to choose one of the following scenarios for your 3000-word (+/- 10%) essay-based scenario:
Question 1
Fazia is a 52-year-old woman who has been taking regular Ibuprofen tablets for her rheumatoid arthritis.
Fazia has been experiencing abdominal discomfort for the past 24 hours but has continued taking her over
the counter ibuprofen to ease the pain. This morning Fazia experienced three episodes of vomiting fresh
Fazia is brought into the Medical Assessment Unit by Ambulance with a provisional diagnosis of a gastro
intestinal bleeding.
You go to see Faiza and she appears pale and looks drained and lethargic. She complains of
epigastric pain and feeling dizzy. When you check her vital signs, you find the following parameters:
• Respiratory rate: 24 breaths per minute
• Oxygen Saturations: 90% on room air
• Pulse: 120 beats per minute
• Blood pressure: 85/53 mmHg
• Capillary refill time: 3 seconds
• Temperature: 35.4 degrees centigrade
Question 2
Monty is a 44-year-old man who has a respiratory tract infection and was commenced on oral
antibiotics four days ago. He calls his GP today as he feels his condition is worse. The GP is very
concerned about his breathless condition and refers him to the medical assessment unit.
On arrival he feels very unwell, unable to speak in full sentences, looks flushed and is shivering.
Monty is diagnosed with community acquired pneumonia. His vital signs are as follows:
• Respiratory rate 28 breaths per minute
• Oxygen saturations 89% on room air
• Pulse 125 beats per minute
• Blood pressure: 87/40 mmHg
• Capillary Refill Time: 4 seconds
• Temperature: 38.7 degrees centigrade
Critically discuss, with reference to the relevant pathophysiology, the nursing assessment, priorities of care
and nursing management of this acutely unwell patient for the first 24 hours following admission.
Your answer should also demonstrate your underpinning knowledge of relevant pharmacology, psychosocial
aspects as well as any potential complications.
You are required to provide a cover sheet
• Module code and Module title
• Module Leader
• Seminar Leader
• Font Size 12 and Ariel, 1.5-line space
• Word Count declared
The essay must be submitted before: 2 pm on 18
th January 2022
This is a 3000-word assignment. The front page provided should be used.
The word count can be +/- 10% of the total and should be declared on the front page.
1.5-line spacing and double spacing between paragraphs. Font and size: Arial, 12
The assignment should be present in an academic essay format, with a clear introduction, body and
conclusion. It should demonstrate and appropriate formal academic style, avoiding contractions (e.g. don’t,
won’t, etc.) informal or spoken forms of language.
Headings and subheadings should not be included.
Your work should be written in the third person
Ensure you do not identify any individual or organisation, directly or by implication, in your work (NMC,
2018). Equally, unless crucial to the argument and or where the information is already in the public domain,
refer to organisation only in general term e.g. an NHS Trust.