$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

Nursing: Clinical Reasoning Cycle

tag 23 Downloads5 Pages 1,205 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT


Discuss about the Nursing for Clinical Reasoning Cycle.




The clinical reasoning cycle is the process with the help of which nurses and other clinical staffs process patient information and undertake appropriate nursing activities based on the patient’s information (Salminen et al. 2014). The clinical reasoning cycle was developed by Levett Jones to help nurses in developing and exploring their clinical reasoning skills, which can have a significant positive impact upon the patient outcomes. In this assignment, a 20 years old patient has been focused to explore the cycle.

Clinical Reasoning Cycle

Consider the patient situation- The current patient is a 20 years old young woman Miss Lucy Wu. Miss Lucy is currently suffering from pneumonia. She is feeling tired, fatigued and having chest pain, while coughing. She has also reported the she is not willing to eat or drink. Currently her vital signs are- BP 140/70 mmHg, pulse 70 beats/minute, temperature 37.5ºC and respiratory rate 16 breaths/minute. In addition, she also declared that she is extremely sweating. She also reported that overnight she undergone a few episodes of vomiting and shaking chills; she vomited a large volume of greenish-yellow fluid, upon which she was brought to the emergency department.

Collect cues- The patient Miss Lucy is a university student. She is a second year student of Bachelor of Business in the University of Tasmania. She is a single overseas student. She is the member of a Chinese family, living in Shanghai, China. Currently she lives in the Inverest apartments in Launceston, Tasmania. She has past history of tuberculosis and hay fever 10 years ago. She is also a hypertension patient for last 2 years and she is currently on medication. She is also allergic to aspirin and comes out in hives. According to her social history, she is a non-smoker, but drinks 1 to 2 standard white wines every night. She started to feel unwell after returning from Launceston.

Process information- reviewing the information present for Miss Lucy; it has been revealed that she has allergic symptoms. Miss Lucy is currently suffering from pneumonia, the source of which is assumed to be her visit to her home, i.e. Shanghai, China. However, she does not smoke; thus, it has no influence upon worsening her respiratory system. Lucy has previous inflections with tuberculosis and hay fever, along with the allergic symptoms, her respiratory system has become sensitive towards infection by microbes (Marcum 2012). She has vomited a large amount of greenish yellow fluid, upon feeling sick in her stomach. Her symptoms became prominent upon reviewing her clinical signs of fatigue and tiredness, after returning from her hometown.

Identify problems/issues- The key problem in the current case of 20 years of Miss Lucy is pneumonia. She is having several episodes of vomiting and shaking chills overnight, which are the key signs of pneumonia. The other key signs include tiredness, chest pain while coughing, unwillingness to eat and drink and excessive sweating. The reason behind the health problem is a bacterial infection, known as Streoptococcal pneumoniae. Her temperature was high at 0600 hours; pulse rate was 110, which was slightly high and temperature was 39 ºC, which is also high. However, these vital signs were under control, when monitored again at 0730 hours, as her pulse was 70 and temperature was 37.5 ºC. Therefore, all over her signs are normal, instead of the coughing, fatigue, sweating and chest pain, all of which are the symptoms of pneumonia.

Establish goals- For ensuring the best nursing care to the patient, Miss Lucy; goals should be set according to her heath issues. Reviewing her current condition and previous health history, the following goals would be developed for her:

  • To monitor her vital signs over every 30 minutes
  • To assist in effective airway clearance
  • To encourage patient to drink and eat adequately
  • To educate patient regarding her health issue and care procedures (Marcum 2012)
  • To manage acute pain

Take action- Based on the above mentioned goals, the nursing actions would be undertaken for each goal. For instance, her vital signs including temperature, RR, BP and pulse rate would be measured frequently. The rate and depth of respiration would be assessed by auscultation of lung field (Blais 2015). To help her breathing, her head would be elevated on the bed and position would be changed frequently. Lucy would also taught regarding deep breathing exercise. To assist her with her chest pain, relaxation techniques or breathing exercise would be taught and comfort measures like back rubs, position changes, quite music and massage would be provided (Ishida et al. 2012). Chest pain would be measured frequently, but aspirin would be avoided to eliminate the chance of allergy (Audétat et al. 2013). To eliminate the risk of fluid deficiency, Lucy would be encouraged to consume at least 3000 mL/day. As she is unwilling to eat or drink, she would be advised to drink small amount of fluid over frequent intervals. If necessary, IV fluid supplement would be administered, upon getting consent from the appointed physician (Herdman 2011). In addition, a health promotion program would be arranged for her, to enhance her knowledge regarding pneumonia, importance of adherence with the therapy and prevention measures.

Evaluate outcomes- Reviewing Lucy’s health issue and the interventions undertaken by the nurse, it has been evaluated that Lucy would have significant positive health outcomes with effective recover (Alfaro-LeFevre 2012). The outcomes would be in favour to the patient, ensuring her faster recovery.

Reflection- Undertaking the clinical reasoning cycle, while dealing with the case of Miss Lucy Wu, the importance of the process has been understood. In addition, it has also been demonstrated that effective nursing skills and competencies as well as reviewing the in-depth information of the patient are required for gaining effective health outcomes for the patients (White and Ewan 2013).


It has been revealed from the assignment that clinical reasoning cycle is a systematic cyclic process, through which nurses collection information about the patient, collect and analyze background information, identify the issue, plan and implement interventions, evaluate an reflect on the process through the problem solving and critical thinking approach, which has been done for Miss Lucy effectively in the assignment.


Reference List

Alfaro-LeFevre, R. 2012. Applying nursing process: the foundation for clinical reasoning. Lippincott Williams & Wilkins.

Audétat, M. C., Laurin, S., Sanche, G., Béïque, C., Fon, N. C., Blais, J. G., and Charlin, B. 2013. Clinical reasoning difficulties: a taxonomy for clinical teachers. Medical teacher, 35(3), e984-e989.

Blais, K. 2015. Professional nursing practice: Concepts and perspectives. Pearson.

Herdman, T. H. (Ed.). 2011. Nursing diagnoses 2012-14: Definitions and classification. John Wiley & Sons.

Ishida, T., Tachibana, H., Ito, A., Yoshioka, H., Arita, M., and Hashimoto, T. 2012. Clinical characteristics of nursing and healthcare-associated pneumonia: a Japanese variant of healthcare-associated pneumonia. Internal Medicine, 51(18), 2537-2544.

Marcum, J. A. 2012. An integrated model of clinical reasoning: dual?process theory of cognition and metacognition. Journal of evaluation in clinical practice, 18(5), 954-961.

Salminen, H., Zary, N., Björklund, K., Toth-Pal, E., and Leanderson, C. 2014. Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning. Journal of medical Internet research, 16(1), e3.

White, R., and Ewan, C. E. 2013. Clinical teaching in nursing. Springer.


Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2018). Nursing: Clinical Reasoning Cycle. Retrieved from

"Nursing: Clinical Reasoning Cycle." My Assignment Help, 2018,

My Assignment Help (2018) Nursing: Clinical Reasoning Cycle [Online]. Available from:
[Accessed 29 March 2020].

My Assignment Help. 'Nursing: Clinical Reasoning Cycle' (My Assignment Help, 2018) <> accessed 29 March 2020.

My Assignment Help. Nursing: Clinical Reasoning Cycle [Internet]. My Assignment Help. 2018 [cited 29 March 2020]. Available from: possesses 3000+ highly skilled cheap essay writers, who respond to students' popular search 'can someone do my essay at a cheap rate online'. They evaluate student's requirements and fulfill them perfectly. Hence, students don't need to waste their time in searching, 'who will write my essay at cheap rate'. They can straight convey their requirements and have the paper written by highly qualified experts.


Save Time & improve Grades

Just share your requirements and get customized solutions on time.

We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits




Overall Rating



Our Amazing Features


On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.


Plagiarism Free Work

Using reliable plagiarism detection software, only provide customized 100 percent original papers.


24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.


Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.


Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 4/5

3076 Order Completed

99% Response Time

Emily Wei

Doctor of Philosophy (Ph.D) in Civil Engineering

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

234 Order Completed

100% Response Time

Samantha Ji

PhD in Chemistry with Specialization in Organic

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

265 Order Completed

97% Response Time

Ken Campbell

MSc in Electrical Engineering

Wellington, New Zealand

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1265 Order Completed

97% Response Time

James Cook

Masters in Management

Wellington, New Zealand

Hire Me

FREE Tools


Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.


Essay Typer

Get different kinds of essays typed in minutes with clicks.


GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.


Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.


Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability




Your Approx Earning

Live Review

Our Mission Client Satisfaction

I had a good mark was done professionally and referenced ...


User Id: 356772 - 28 Mar 2020


student rating student rating student rating student rating student rating

A very good job done. However, it took the expert so long to get it right. Remember my due date for this project was 22nd of March, 2020 and I got the right delivery on the 28th of March,2020.


User Id: 375353 - 28 Mar 2020


student rating student rating student rating student rating student rating

They are genuine. And respond to all the queries quickly .And I received my assignment within specified time.


User Id: 388721 - 28 Mar 2020


student rating student rating student rating student rating student rating

Unable to provide the full feedback now as Lecturer have not responded. As of now, I am satisfied with the service provided and hope to have a good response from Lecturer. TQ


User Id: 331877 - 28 Mar 2020


student rating student rating student rating student rating student rating
callback request mobile
Have any Query?