HLTENN011 Implement and monitor care for a person with acute health problems Assessment 2022

HLTENN011 Implement and monitor care for a person with
acute health problems
HLT54115 Diploma of Nursing
ASSESSMENT TASK 1 - QUESTIONING
Instructions for
completion
 You are required to answer all questions correctly in Assessment
Task 1 – Questioning. You are to complete this assessment in
your own time with access to resources.
 Responses to the questions can be typed or submitted
handwritten
 Written responses must be legible and in pen NOT pencil
 It is important to proof read your answer paper, to avoid
grammar and spelling mistakes.
 Please use only APA format of referencing. Do not copy and paste
text from any of the online sources. SCEI has a strict plagiarism
policy and students who are found guilty of plagiarism, will be
penalized
 Write your name, student ID, the assessment task and the name
of the unit of competency on each piece of paper you attach to
this assessment document
 You are required to submit this assessment to your
trainer/assessor by the due date
DUE DATE The trainer/assessor will inform you of the due date
HLT54115 Diploma of Nursing
HLTENN011 – Version 3.2 January 2019

Q1. Explain the etiology and outline at least TWO (2) clinical features for each the
following acute health problems.
a) Acute Kidney Injury occurs because of dehydration, injury or blood loss.
Kidney Malfunction and swelling in feet and ankles.
b) Acute gastrointestinal disorders Caused due to infection and symptoms
are constipation and bloating.
c) Ischemic stroke occurs due to narrow down of arteries and symptoms
are drooping face and weakness of arms
d) Complex regional pain syndrome (CRPS) occurs due to abnormal
central nervous system. Symptoms are high pain and inflammation in
Nerves.
e) Asthma occurs due to increase in eosinophils number and symptoms
are breathing problems and airway inflammation
f) Acute unconscious state: due to issues in rhythm of heart and low
blood sugar. Features: person looks like sleeping, and is alive.
g) Angina Pectoris: Due to ischemia of arteries and characterized by pain
in chest and SOB.
h) Cellulitis occurs due to bacterial infection of skin. Features: Redness
and pain in skin.
i) Dehydration occurs due to not adequate intake of water. Features are
vomiting, and diarroea.
j) Haemorrhagic Shock: Occurs due to Bleeding from wounds and internal
bleeding. Features: Weakness, pale skin and unconsciousness.
k) Concussion: falls, motor vehicle accidents are the causes of this
problem. Features are loss of memory and headache
l) Myocardial infarction: Causes high BP and Diabetes. Features:
Tightness of chest and SOB.
m) Nephrolithiasis: Causes are Sedentary lifestyle, high BP. Features: pain
on urination, vomiting.
n) Bacterial Sepsis: Bacterial infection causes it. Features are rapid pulse
and low temperature of body.
Q2 a. List the eight (8) key principles of surgical nursing.
1. Assessment, implementation and planning and evaluation of care
2. Managing electrolyte balance and fluids
HLT54115 Diploma of Nursing
HLTENN011 – Version 3.2 January 2019

3. Nutrition
4. Pain
5. Infection control
6. Wounds
7. Anxiety and stress
8. And management of possible body image (Nurse Key, 2017).
b. Explain briefly the following surgical procedures using correct surgical
terminology. (30-40 words each)
a) Elective/emergency surgery: Elective surgery is pre scheduled and does not
require any medical emergency. Emergency Surgery is unplanned and
requires immediate surgery.
b) General, local, epidural and spinal anaesthetic and peripheral nerve block:
General anaesthesia is full loss of consciousness, local anaesthesia includes
sensation loss in only some part of body, epidural anaesthesia is numbing of
nerves delivering blood to lower extremity and spinal anaesthesia is injected
through injection in spinal cord and is a type of local anaesthesia and stays
for 3-5 hours; while peripheral is regional anaesthesia where injection is given
to a block of nerves.
c) Amputation is limb removal due to surgery, illness or trauma
d) Open reduction is a surgery done to fix the breakage of bones.
e) Hip replacement is a surgery to remove the joint that is painful
f) Craniotomy is the surgery done to remove the skull part
g) Tonsillectomy is a surgery to remove the bone flap from the skull for some
time
h) Appendectomy: Surgery to remove the appendix
i) Laparotomy: Surgery to make incision in abdominal cavity
j) Hysterectomy: Surgery to remove the uterus
k) Prostatectomy: Surgery to remove the prostate
l) Cataract extraction: The surgery to remove the eye lens having cataract
m) Internal bleeding due to trauma. Excessive bleeding from internal body
organs like liver or spleen.
HLT54115 Diploma of Nursing
HLTENN011 – Version 3.2 January 2019

Q3 TooTooWadadi is a 16-year-old Maori boy from New Zealand who was rushed to
the Emergency department this morning with testicular torsion. After an
initial blood work he was shifted to the operating room. The surgical
procedure completed at 12 noon and the patient was shifted to the post
operative ICU.
 What is the significance of holistic nursing care ?
Outline the application of holistic nursing in the treatment of Too TooWadadi
considering his age, gender and specific culture.
Identify the warning sign and check the issue without any delay in pre-assessment.
Differential diagnosis of testicular torsion is done to diagnose the illness. Affected
testis is untwisted to check restoration of blood flow and sutures are placed to
prevent the torsion in future. The possibility of testicular tumors should be checked
for the child as the problem has been found considerably high for male children of
age 0 to 16 years old.
Q4 Mrs. KabitaKandel , a 55 year old female was admitted in the female general
ward. She was diagnosed with bilateral osteoarthritis of the hip and has been
posted for a Total hip replacement. She has a family history of type 2 Diabetes
Mellitus and also coronary artery disease. The anaesthetist reviewed the blood work
and after consultation with the patient, gave the clearance for surgery. The surgery
took place at 9 am the next day and the patient was shifted to the post operative
room at 12 noon. The doctors have ordered to commence patient mobilization at 8
pm today.
Name any two (2) Risk Assessments that are required to be performed to ensure
patient’s stability on feet before mobilization.
Pelvic tilt test and Pelvic rotation test (Voight & Robinson, 2010).
Q5A Briefly outline the purpose, complications and nursing management of the
following procedures:
 I/V Intravenous fluid intake is needed for routine maintenance, fluid
resuscitation, replacement and redistribution. When prescribing for IV fluids
HLT54115 Diploma of Nursing
HLTENN011 – Version 3.2 January 2019