HLTENN011 HLT54115 Diploma of Nursing:

Internal Code: 1IIEG Task 1:

WRITTEN ASSESSMENT This written assessment will assess your understanding of the following acute health problems including:

  • acute renal disorders
  • acute gastrointestinal disorders
  • acute neurological disorder
  • acute pain
  • acute respiratory disorders
  • acute unconscious state
  • angina
  • burns
  • cellulitis
  • deep vein thrombosis, venous thromboembolism
  • dehydration
  • fractures

Student Assessment

  • haemorrhage
  • head injury
  • myocardial infarction
  • renal calculi
  • sepsis
  • shock
  • holistic approach to care in the acute care environment including nursing interventions and outcomes
    • clinical manifestations of acute disease states and illnesses requiring complex nursing interventions
    • emergency management protocols for first aid procedures and cardiac and respiratory arrest
    • pre- and post-operative nursing management
    • equipment used in acute care environments
    • post-operative pain management strategies

Post-anaesthetic and post-operative observations, which may include:

  • level of consciousness and awareness of deterioration when the person is not regaining consciousness
  • fluid intake – intravenous (IV), central venous catheter (CVC), total parenteral nutrition (TPN), oral, nasogastric (NG)
  • complications of acute bed rest
  • risk assessment of patient’s stability on their feet
  • how to perform complex interventions including:
  • tracheostomy suctioning
  • underwater seal drainage (UWSD) tube management
  •  intercostal catheter care

How to monitor a person with medical devices including:

  • continuous positive airway pressure (CPAP) and Bilevel positive airway pressure (BiPAP)
  • peripherally inserted central catheter (PICC)/midline management

Principles of surgical nursing and associated surgical procedures and related terminology including:

  • elective/emergency surgery
  • general, local, epidural and spinal anaesthetic and peripheral nerve block
  • amputation
  • open reduction
  • hip replacement
  • craniotomy
  • tonsillectomy
  • appendectomy
  • laparotomy
  • hysterectomy
  • prostatectomy
  • cataract extraction
  • Internal bleeding due to trauma.

Written Assessment Task 1: Q1 Explain all following acute health problems. List at least two signs and symptoms and two causes (each).

  1. acute renal disorders
  2. acute gastrointestinal disorders
  3. acute neurological disorder
  4. acute pain
  5. acute respiratory disorders
  6. acute unconscious state
  7. angina
  8. burns
  9. cellulitis
  10. deep vein thrombosis, venous thromboembolism
  11. dehydration
  12. fractures
  13. haemorrhage
  14. head injury
  15. myocardial infarction
  16. renal calculi
  17. sepsis
  18. shock

Q2 Enlist key principles of surgical nursing. Explain briefly following surgical procedures/terminology.

  1. elective/emergency surgery
  2. general, local, epidural and spinal anaesthetic and peripheral nerve block
  3. amputation
  4. open reduction
  5. hip replacement
  6. craniotomy
  7. tonsillectomy
  8. laparotomy
  9. hysterectomy
  10. prostatectomy
  11. cataract extraction
  12. internal bleeding due to trauma.

Q3 Describe how a holistic care approach is applied to acute care environment including nursing interventions and outcomes. Q4 List two actual and potential health issues for a patient undergoing R) total hip replacement. State the risk assessment needed to be done prior to ambulation including patient’s stability on their feet. Q5 Describe briefly and list at least four purpose, complications and nursing management of the following procedures:

  • I/V Intravenous fluid intake
  • Central venous catheter (CVC)
  • Total parental nutrition (TPN)
  • Nasogastric tube feed/fluid intake

Q6 A) Briefly outline the pre- and post-operative management of a patient undergoing any surgery.

  1. B) List 6 common pre- and post-operative management of a patient undergoing appendectomy.

Q7 List three indications and complications associated with Peripherally inserted central catheter (PICC)/midline. Outline the nursing management of a client with PICC line. Q8 Explain strategies to manage post-operative pain. Q9 A) Explain what post-anaesthetic and post-operative observations are made on a patient after a surgical procedure/surgery.

  1. B) In terms of a patient who is not regaining consciousness, how would you assess their level of consciousness and what signs and symptoms of deterioration you need to monitor.

Q10 Explain how an oral fluid intake is observed, measured and documented. What tools/charts are used (provide example or sample chart). Explain why is it important to observe this and its purpose? Q11 Outline emergency management protocol for following:

  • Any 2 first aid procedures
  • Cardiac arrest
  • Respiratory arrest

Q12 Identify and explain two complications associated with associated with acute bed rest. Q13 List clinical manifestations of at least 6 acute disease states and illnesses requiring complex nursing interventions. Explain briefly the nursing management for each disease state and illness. Q14 Name four critical nursing care aspects of tracheostomy suctioning to ensure client’s safety and comfort. Q15 Explain briefly nursing care management of patient with intercostal catheter. Give two reasons of intercostal catheter insertion. Q16 List four nursing management/safety checks and considerations for a patient with under water chest drainage tube? Q17 List three indications and 3 complications of CPAP and BIPAP therapy. Explain nursing management of a patient on CPAP and nursing management of patient on BIPAP. Q18 Enlist at least 6 equipment used in acute care environments. Outline the function and purpose of each equipment. ASSESSMENT TASK 2 – CASE REPORT The case report should include:

  1. Brief introduction (few lines)
  2. Preliminary assessment of your patient in discussion with related multidisciplinary team members.
  3. Identify and explain two acute and two potential health issues of your patient presenting with an acute health problem.
  4. presenting complaint and diagnoses
    1. Include pathophysiology of patient’s acute health problem and its discussion with patient, family or carer.
  5. Information gathered regarding past medical and health history including medications, family and personal history and document on table 1 below. Write what changes in conditions you report and to whom within multidisciplinary team.

Table 1: Patient’s Map of life Medical Diagnosis Past medical and health history Sign and symptoms Current medications Family History Personal history

  1. Impact of acute health problem on the patient, family and significant others
  2. Include identification of actual and potential health issues b. Physical and psychological impact on activities of daily living 7. Detail the patient’s acute care plan and interventions including:
  3. therapeutic interventions (include pre-and post-procedure care) as per organisations policy and procedure b. how you contributed to the planning and delivery of care for the patient with registered nurse and other members of the health team c. Explain how you prioritized and modified nursing care using critical thinking and problem-solving approaches to reflect changes in patient’s condition. List interventions and number them as prioritized.
  4. Discharge planning including:
  1. Health education provided and how you contributed to the health education of the patient to assist them to regain optimal function. b. Psychological support identified and provided due to the impact of acute health problems.

Assessment Task 2: Case Report checklist Trainer/assessor to document the Student’s skills, knowledge and performance as relevant to the unit activity. Indicate in the table below if the learner is deemed satisfactory (S) or not satisfactory (NS) for the activity or if reassessment is required.

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