Assignment on Diploma of Nursing Unit Code

CRS170
Revision 101
July 2017
Page 1 of 7
Assessment Task 2: DKA, HHA & Education in the Primary Health Care Setting
Student Version: Knowledge
Student information
Student name: Student
ID:
Section A – Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code: HLTENN025 Unit title: Implement and monitor
care for a person with
diabetes
Section B – Assessment task details
Assessment
number:
2 Semester/Year: Enter Semester/Year
Due date: Week 8 Date of submission:
Assessment task
results:
This assessment task will be marked as:
☒ Graded result: 40 marks. To be deemed satisfactory, a minimum score of 20/40
must be achieved.
☐ Other
Section D – Instructions to Students:
Task Instructions:
 Students are to answer all questions using their own words.
 Plagiarism will not be accepted.
 Answers must be typed directly onto template provided.
 Answers must be typed in Arial font size 12 and double spaced
 Due date for this assessment tsk is week 8.
 Students are allowed two attempts at this assessment task.
 Any late submissions will be deemed as a second attempt.
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx
Section C – Conditions for Assessment
Conditions:
 Students to enter their details on coversheet and answer questions on template provided.
 Cover sheet and answers to be submitted together in word doc format. No jpegs, images,
screenshots or pdf formatted work will be accepted.
 All pages must have the student’s name, ID number and signature on it, where stipulated
 Due date for this assessment task is Week 8.
 Any questions are to be addressed to the teacher.
 This is an individual assessment task (No group answers will be allowed).
 Answers to be typed using Arial font size 12 and double-spaced
 Referencing in APA 6th Style (include Reference List and in-text referencing)
 Plagiarism will not be accepted.
 A minimum score of 20/40 to be deemed satisfactory for this assessment.
 Students will be allowed two attempts to achieve a satisfactory result.
 If a second attempt is required, this is to be completed one week after the first attempt to allow for
revision.
 Students requiring a second attempt will be awarded a maximum score of 20/40 if they achieve a
satisfactory result.
 Please let the teaching staff know if special consideration or adjustment will be required before the
assessment task begins. Approval must be confirmed prior to commencement.
Equipment/resources students must supply: Equipment/resources to be provided by the
RTO:
Pen/laptop, copy of Assessment Task Coversheet
and
Worksheet
Assessment Task Cover sheet/worksheet to be
downloaded by the student, from Brightspace

CRS170
Revision 101
July 2017
Page 2 of 7
Section E – Marking Guide Student Answer Sheet
Assessment
number:
2 Assessment
title:
DKA, HHA and Education in the Primary
Health Care Setting
Student ID: Student name:
Unit code: HLTENN025 Unit title: Implement and monitor care for a person with
diabetes
Date submitted:
Questions: Provide your responses in the boxes below each question.
Question 1 Pancreatic islet cells produce glucagon, insulin and
somatostatin.
Which islet cells produce each hormone and how does each
hormone work to regulate blood glucose levels?
(0.5 marks per correct islet cell identification)
(0.5 marks per description of hormone action)
(3 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer:
1. Alpha cells secrete hormone glucagon, Beta cells release insulin, Delta
cells release somatostatin (Gruccio et al., 2016).
2. As blood glucose level decreases, then the alpha cells releases glucagon
to regulate blood sugar level; when there is a rise in the sugar level then
beta cells release insulin to manage blood sugar level; when there is a
raised level of insulin and glucagon the delta cells secrete somatostatin to
regulate blood glucose level.
Answer:
Click here to enter text.
Question 2 What is the difference between Gluconeogenesis and
Glyconeolysis?
(1 mark per definition)
(2 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer: Gluconeogenesis is a method of production of glucose from non-
carbohydrate sources, whereas the Glyconeolysis is the process of breakdown
of glycogen. During the Gluconeogenesis process molecules like amino acids
and lactic acids convert into glucose. However, during the Glyconeolysis
process, the glycogen is broken and converted to form glucose-6-phosphate.
Comment:
Click here to enter text.
Question 3 Describe, step by step, what you would need to educate a
newly diagnosed diabetic client, regarding the management
of a blood sugar level of 2.8 mmol/L.
(1 mark per step)
Satisfactory response
Yes ☐ No ☐
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx

CRS170
Revision 101
July 2017
Page 3 of 7
(4 marks in total)
Answer: If the patient is detected with blood glucose level of 2.8 mmol/L, then
that means the patient is having low blood glucose level. To manage the blood
glucose level they should:
 Eat 10-30 grams of fast-acting carbohydrate (such as fruit juice, candies,
glucose tablets).
 Foods which consist of fats and protein should be neglected as they slow
down the body’s ability to absorb glucose.
 They should avail emergency kits comprising of Glycagon as it helps in
raising the blood glucose levels.
 The patient should have someone close who is well-trained to identify low
glucose level and should be able to treat it quickly.
Comment:
Click here to enter text.
Question 4 Explain, in detail, the pathophysiology of Diabetic
Ketoacidosis. Include clinical presentation, blood glucose
and blood ketone levels confirming diagnosis.
(1 mark per detail – 10 details required)
(10 marks in total)
Satisfactory response
Yes ☐ No ☐
Answer: When there is excess amount of glucagon, there is a deficiency in
the level of Insulin which allows the body to break triglycerides and amino
acids to produce energy as an alternative of glucose. Glucagon is responsible
for the mitochondrial transformation of free fatty acids into ketones. Generally
insulin is responsible for the restriction of ketogenesis, however due to the
deficiency of insulin, ketogenesis occurs. Due to insulin deficiency there is
Hyperglycemia which causes an osmotic diuresis that cause urinary loss of
water and electrolytes. Urinary excretion of ketones compels extra loss of
sodium and potassium. The level of sodium in serum may decrease due to
natriuresis or increase in the elimination of large quantity of free water.
Sometimes there is loss of potassium in large volume. In spite of the fact that
due to a crucial loss of potassium, the initial level of potassium in the serum is
either normal or increased due to the extracellular movement of potassium in
reaction to acidosis. During the insulin therapy, the potassium level generally
decreases as all the potassium is sent into the cells. If potassium level in
serum is not diagnosed and replaced as required, serious hypokalaemia may
develop and harm the body (Brutsaert, 2019).
Clinical presentation – excessive thirst, repeated urination, nausea, vomiting,
fatigue, confusion, and many more.
High ketone levels in blood means high level of fatty acids which leads to
insulin resistance. The patient with critical Ketonaemia will require excess
amount of insulin to regulate the BGL (NICE, 2015).
Comment:
Click here to enter text.
FOR OFFICIAL USE ONLY Holmesglen: CS NURS 8-Mar-2019 D:\HLTENN025 Implement and monitor care for a person with Diabetes\HLTENN025_Assessment Task 3 GDM Worksheet_Student.docx