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Implement and monitor nursing care for a person with acute health problems.
| Student information | |||
| Student name: | Student ID: | ||
| Section A – Program/Course details | |||
| Qualification code: | HLT54115 | Qualificationtitle: | Diploma of Nursing |
| Unit code:
|
HLTENN011 | Unit title:
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Implement and monitor nursing care for a person with acute health problems. |
| Section B – Assessment task details | |||||
| Assessment number: | 3 | Semester/Year: | 02/2020 | ||
| Due date: | 16/10/2020 | Duration of assessment: | |||
| Assessment task results: | This assessment task will be marked as: | ||||
| ☐ Ungraded result: Satisfactory or Not Satisfactory
☒ Other: Graded100% |
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| Section C – Instructions to students |
| Task instructions: |
| § This is an individual assessment
§ Students must achieve an overall mark of 50% to pass this assessment. § Student must meet the conditions in the marking guide to be deemed satisfactory in the responses provided. § If they meet the requirement to be eligible to a resubmission, Students may resubmit this task if deemed not successful within the enrolment period as per Holmesglen assessment procedure § Students may appeal and assessment decision according to the Holmesglen procedure § Discuss with your assessor if you feel you require special consideration or adjustment for this task § Assessment must be answered in the students own words
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| Section D – Conditions for assessment | |
| Conditions:
Closed book assessment. For further conditions, see above: Instructions to students. |
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| Equipment/resources students must supply: | Equipment/resources to be provided by the RTO: |
| § Computer
§ Brightspace login |
§ Written test paper |
| Section E – Marking Guide Student Answer Sheet | |||
| Assessment number: | 3 | Assessment title: | Acute written test- alternative exam assessment |
| Student ID: | Student name: | ||
| Unit code: | HLTENN011 | Unit title: | Implement and monitor nursing care for a person with acute health problems. |
| Date: | 16/10/2020 | ||
Case Study 1.
Mr Graydon Wong is a 45 year old admitted to your ward after a motor vehicle accident (MVA). He has sustained a fractured right femur for which he required an ORIF and a haemothorax. He has had a plaster of paris (POP) applied to his leg and chest drain inserted into his left chest.
Please answer the following questions based on the above case study.
| Questions: Provide your responses in the boxes below each question. | ||||||||||||||||||||
| Question 1: | Identify two (2) actual health issues and two (2)potential healthissues for Graydon and provide a rationale for your answer. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /8 |
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| Question 2: | Explain to Graydon the purpose of his POP? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /2 |
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| Question 3: |
Explain to Graydon why neurovascular observations are such an important assessment to do following application of POP and include one change he can report to you which will helpyou in this assessment.
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Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3 |
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| Question4: | Explain to Graydon what other nursing interventions you will be doing to ensure no potential complications arise from his POP. Your answer should include 4 points with rationale for each. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /4
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| Question 5: | On assessment you find Graydon’s right foot is cool to touch with decreased capillary refill. What complication is Graydon potential experiencing? Explain the pathophysiology of this of this condition. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /4
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| Question 6: | Why does Graydon have chest drains? How will this device support his injuries? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /3
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| Question 7: | Explain the nursing management of a patient with chest drains? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /7
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| Question 8: | On assessment of the drains, you notice that the bubbling has suddenly ceased and there has been no drainage. What might this indicate and what would you do? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /4
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| Question 9: | What type of shock is Graydon at risk of developing? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /1
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| END CASE STUDY 1 | TOTAL MARKS /36 | |||||||||||||||||||
| Case Study 2.
Mr Keith Hanney is an 43 year old male who was admitted with severe burns to his anterior and posterior torso and neck and circumferential burns to both arms after fighting bushfires.
Please answer the following questions based on the above case study.
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| Question 10: | Identify two (2) actual health issues and two (2)potential health issues for Keith and provide a rationale for your answer | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /8
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| Question 11: | What is the assessment tool used to assess burns in adults and why is it important to use this tool? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer: | Comment:
Mark /2
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| Question 12: | What early nursing interventions would you put in place to support Keith’s severe burns. Provide rationale for your answers in relation to Keith’s injuries. (Your answer should include five (5) interventions). | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /10
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| END CASE STUDY 2 | TOTAL MARKS /20
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| Case Study 3.
Mrs Edna Clough is an87 year old woman who has been transferred to your ward with a diagnoses of community acquired pneumonia. She has been sick at home for over a week and showing signs of respiratory fatigue. The medical staff make the decision to commence Edna on BiPAP.
Please answer the following questions based on the above case study.
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| Question 13: | List five (5) clinical manifestations that Edna may present with and link these symptoms to the pathophysiology of Edna’s acute condition. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /15
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| Question 14: | Edna’s family are feeling nervous about the Bipap and do not understand why Edna is needing this. Can you explain to them how Bipap may help Edna’s condition? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /2
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| Question 15: | Explain the nursing management when looking after a patient on BiPAP. Your answer should include 3 nursing management strategies with rationale. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| END CASE STUDY 3 | TOTAL MARKS /20
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| Case Study 4.
Mrs Rita Wilson is an 75 year old woman who has been transferred to your ward yesterday after having a hysterectomy. She has a past history of IHD, high cholesterol and hypertension.
You undertake your daily assessment at 8am and find the following.
Please answer the following questions based on the above case study.
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| Question 16: | Why is effective pain management so important in acute health? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /2
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| Question 17: | How will you ensure Rita has effective pain management?Provide 6 responses and link them to the case study. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| Question 18: | Name the acute renal condition Rita is suffering from. What evidence is available to support this finding? Provide rationale for your answer. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| Question 19: | Explain the pathophysiology of the acute renal condition identified in question 18. | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /4
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| You enter the room to complete your hourly rounding and find Rita unresponsive.
Please use the additional information from the case study to answer the following questions. |
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| Question 20: | What is your role as the first responder? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| Question 21: | The team leader has asked you to prepare adrenaline.
Why is adrenaline given and what is the dose that is given during a cardiac arrest? |
Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| Question 22: | The resuscitation trolley needs to be checked after Rita is transferred to ICU.
a) Whose responsibility is it to check the trolley? b) Why is it important to check the emergency trolley after Rita is transferred? |
Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /3
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| Question 23: | What acute condition put Rita at risk of this cardiac arrest? | Satisfactory response | ||||||||||||||||||
| Yes ☐ | No ☐ | |||||||||||||||||||
| Answer:
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Comment:
Mark /1
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| END CASE STUDY 4 | TOTAL MARKS /22
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Case study 1: /36
Case study 2: /20
Case study3: /20
Case study 4: /22
Total: /98
| Section F – Feedback to Student | ||
| Has the student successfully completed this assessment task? | Yes | No |
| ☐ | ☐ | |
| Additional Assessor comments (as appropriate): |
| § Click here to enter text. |
| Resubmission allowed: | Yes ☐ | No ☐ | Resubmission due date: | Click here to enter a date. |
| Assessor name: | Assessor name. | |||
| Assessor signature: | ||||
| Date: | Click here to enter a date. | |||
