Assessment 1B - Response template

Assessment 1B - Response template

Student Name Date Course HLT54115 Diploma of Nursing

Subject Code and Title ACC114 Acute care

Unit(s) of Competency HLTENN011 Implement and monitor care of a person with acute health problems

Performance criteria, Knowledge evidence and Performance assessed PC: 1.1, 1.2, 2.1, 2.2, 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 4.1, 4.2, 4.3, 4.4, 5.1, 5.2, 5.3

PE: 1

KE: 1.3, 1.4, 1.6, 1.10, 1.11, 1.12, 1.13, 1.14, 1.17, 1.18, 2, 3, 4, 5, 6, 7, 8.1, 8.2, 8.3, 8.4, 9.1, 9.2, 9.3, 10.2, 11.1, 11.2, 11.3, 11.4, 11.5, 11.6, 11.7, 11.8, 11.9, 11.10, 11.11, 11.12

Title of Assessment Assessment task 1B - Case study

Type of Assessment Case study with short answer questions

Submission Assessment due at the end of Module 4 on Sunday 23:59 of week 8

Assessment 1B: Short answer questions

For this assessment, you must review the scenario provided and respond to the questions below. Some of the information you need will be in this overview, while the majority of the knowledge you will need to answer these questions will come from what you have learnt in all of the modules of this subject.

Scenario Mr Jason McFarlane

I: Jason is 17 year old male

S: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA.

B: Jason has no significant medical or surgical history. He has an allergy to Morphine.

Social History (SHx):

Lives at home with mother, step-father and siblings.

Recently completed high school, waiting to hear if he has a place in university

Recently obtained his drivers licence

Has a girlfriend Lucy

Spends a lot of time playing computer games, is not very physically active.

A: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O2 Sats 97% on room air (RA), BP 130/85, HR 110, Temp 37, and pain 6/10.

R: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon.

Question 1

Outline your nursing actions for preparing Jason for theatre. Include in your answer:

What information is required to complete a pre-operative checklist, what nursing assessment should be completed, what education/ information would you give to Jason and his family?

Response:

Question 2 (word count no more than 100 - 200 words)

What is the current best practice in the prevention of venous thrombosis (VTEs) following major surgery?

Reference required

Response:

Question 3 (word count no more than 200 words)

Outline the difference between elective and emergency surgery.

Reference required

Response:

Question 4

Describe the following anaesthetics:

Reference required.

Type of anaesthetic Description

Local anaesthesia Spinal anaesthesia Epidural anaesthesia Peripheral nerve block General anaesthetic Reference:

Question 5

Write a description below of the surgical procedures:

Reference required.

Type of surgery Description

Tonsillectomy Cataract extraction Laparotomy Amputation Prostatectomy Craniotomy Hysterectomy Open reduction and internal fixation Hip replacement Appendectomy Reference:

Question 6

Jason has returned from Theatre after having an ORIF (R) tibia, repaired under spinal anaesthesia. Outline what the immediate post-operative care would be when Jason returns to the ward. Discuss the enrolled nurses responsibilities of caring for a patient on return to the ward post anaesthetic.

Reference required.

Response:

Question 7

Two hours after being admitted to the ward, Jason complains that the analgesia does not seem to be working.

What assessment could you do to determine Jasons pain?

What would you do in the situation that Jasons pain is not relieved? Who do you notify?

What are some non-pharmacological methods that can be used to help with Jasons pain?

Reference required.

Response:

Question 8

Describe the following post-operative complications:

Reference required.

Complication Description

Haemorrhage Deep vein thrombosis Sepsis Hypovolemic shock Dehydration Reference:

Question 9

A percutaneous indwelling central catheter (PICC) has been inserted into Jason for long term IV antibiotics and for fluid maintenance. What is the role of the enrolled nurse to prevent infection of the site and in the management of IV fluids?

Reference required

Response:

Question 10

Jason has been on prolonged bed rest due to his surgery and injuries from the MVA.

Discuss the possible complications associated with prolonged bed rest.

What information would you provide to Jason and his family to prevent these complications?

How would you ensure Jason is stable on his feet when he is able to begin mobilising? What member of the MDT would assist you with this?

Reference required.

Response:

Question 11

Jasons breathing difficulties from his fractured ribs have impaired his chest movements and he is now de-oxygenating despite having O2 administered at 10L/min via a Hudson mask. An X-ray shows that he has a pneumothorax. The doctor inserts an intercostal chest tube attached to an UWSD (under water seal drain)

Outline the care requirements for an UWSD, consider in your answer:

What are the monitoring requirements for an UWSD?

What are the possible signs of deterioration for a client with an UWSD?

The scope of practice for an EN caring for a client with an UWSD;

What education would you provide to Jason and his relatives relating to the UWSD?

Reference required.

Response:

Question 12

When you enter Jasons room to attend to his routine observations, you find that he is unresponsive.

What is your response to this situation?

Outline 2 members of the MET and discuss the roles and responsibilities of each?

Reference required.

Response:

Question 13

It has been determined after the emergency response that Jason has had an acute brain haemorrhage. He is unconscious and requires a tracheostomy and a nasogastric tube to be inserted for NG feeds.

Outline your care of a tracheostomy tube. In your response consider:

care of the tracheostomy including suctioning and dressing changes

your scope of practice as an EN caring for a client with a tracheostomy

Reference required.

Response:

Question 14

A nasogastric tube (NGT) is commonly inserted to provide nutritional support to individuals.

Describe the care required prior to using the NGT?

What actions do you take if you think the tube is blocked?

Describe your steps when giving a NGT feed.

Reference required.

Response:

Question 15

List three (3) nursing interventions that an enrolled nurse can do to care for the unconscious patient. Reference required.

Response:

Question 16 (no more than 100 words)

Discuss why it is important to check and know how to use all emergency equipment.

Response: