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Hi! I need your help again with another one Requirements: at least 100 words per question if necessary Describe the process of completing a primary survey on Mrs Chan. Explain 2 specific assessments that would assist you to evaluate Mrs Chan’s penetrating wound on her left leg. Review the attached vital signs (ADDS) chart and evaluate the following List each of the vital signs recorded at 0630 in the table below: Complete the ADDS score for each vital sign recorded at 0630 in the table below, then total the ADDS score. Describe the 2 abnormal signs using correct medical terminology. a) Noting the ‘Actions Required’ section of the ADDS chart, you are to explain who should accompany Mrs Chan when she leaves the ward to go to the X-ray department. b) Who do you need to inform that the patient is leaving the ward? Mrs Chan has been prescribed an IV solution of normal saline. What is a solute? What is a solvent? What is the solute and solvent in 0.9% sodium chloride (normal saline)? In your own words, explain what osmosis is and how it works in the three fluid compartments of the body. Explain why Mrs Chan’s IV solution is used for dehydration, include isotonic solution in your answer? Correctly match the terms listed below to either active or passive. No energy required Osmosis Endocytosis Requires energy Diffusion Sodium-potassium pump Describe the difference between hydrostatic pressure and colloid osmotic pressure in relation to transport of fluids across a capillary membrane. When Mrs Chan is admitted to hospital, she is found to have mild hypothermia. Explain what hypothermia is and at least three factors that may have caused this in her case. Define homeostasis and name the three compartments that make up any biological homeostatic control mechanisms. Describe three different changes that would occur in Mrs Chan’s body to regain temperature homeostasis. The four major types of cellular adaption are hypertrophy, hyperplasia, metaplasia, and dysplasia. Briefly describe each of these types of cellular adaptions. Define atrophy What does the term ‘surgical insult’ mean? Part of the EN’s role is to assist in referring clients care to the appropriate people within a multi-disciplinary team. List six different professions that may be part of a multi-disciplinary team. Who does the EN refer the patient to for test results? Explain the reason the EN cannot disclose test results to a patient. Which part of the cell (organelle) makes ATP (Adenosine triphosphate) needed for cellular energy? Briefly describe the 4 different tissues in the body. Match the illnesses below with the environmental emergency: Bends Decompression illness Heat stroke Heat exhaustion Altitude sickness Mountain sickness What are 2 elements required to ensure a cell remains healthy? References I-L1. ? C z (9 (9 z z ai (J) ?:i:I-z w I-I-0 z 0 Date Time o!:37 36 Respiratory 31-35Rate 21-30(breaths/ min) 9-205-8S4 o!:93 02 Saturation 90-92(%) 85-89S84 02 Flow Rate >51-5(L / min) < 1Write.!:200 190s 180s V 170s I 160s Blood I 150s 140s Pressure 1 130s I (mmHg) I 120s A 11 Os 100s 90s 80s 70s 60s If systolic BP?: 200, write 50s value in box 40s Write:!: 140 130s 120s 11 Os Heart Rate 100s (beats/ min) 90s 80s 70s 60s 50s If heart rate?: 140, write 40s value in box 30s :!:38.6 38.0--38.5 Temperature 36.1-37.9 (C)35.1-36.034.1-35.0S34.0 Consciousness Alert To Voice If necessary, wake patient To Pain before scoring Unres . :!:800 4 Hour Urine Output 120--799 (ml)80-119s79 Pain Score Write •-I •I Respiratory Rate 02 Saturation ADDS Scores 02 Flow Rate Systolic BP Heart Rate Temperature 4 Hour Urine Output Consciousness TOTAL ADDS Intervention I i It tD22D(o.00 D{o.:JD DlDD 150 1 s 1 DljD om 01:JD Di.DD Di.IS .!: 37 36 31-3521-309-205-8S4 :!:93 90-9285-89s 84>51-5< 1Write .!:200190s 180s 170s 160s 150s 140s 130s 120s 11 Os 100s 90s 80s 70s 60s 50s 40s Write:!: 140 130s 120s 11 Os 100s 90s 80s 70s 60s 50s 40s 30s :!:38.6 38.0-38.5 361-379 35.1-36.0 34.1-35.0 s 34.0 Alert To Voice To Pain Unres . :i:800 :JW 120-79980-119s 79s i s Write (Affix patient identification label here) URN: Dl'ft::M? ID Modifications in use I Family name: 1narw?i Given names: fr.a.JoDate of birth: S/1 /ri,sSex:? M ? F Adult Deterioration Detection System (ADDS) If any observation is in a shaded area, add up the Total ADDS Score and take the action required for that score. Score 0 Score 1 Score 2 Score 3 Emergency call Actions Required Total ADDS Score 1-3 •Record observations at least onceevery 4 hours•Carry out appropriate interventionsas prescribed•Manage fever, pain or distress•Review 02 delivery•Consider informing Team LeaderTotal ADDS Score 6-7 •Registrar to review patient within 30minutes•Request review, and note on theback of this form•Registrar to ensure consultant isnotified•Ward doctor to attend•If patient must leave ward area,Intern and Nurse must accompanypatientTotal ADDS Score 4-5 •Ward doctor to review patient within30 minutes•Request review, and note on theback of this form•Notify Team Leader•Record observations at least onceevery 30 minutes•If patient must leave ward area,Nurse must accompany patientTotal ADDS Score i:?: 8•Consider Emergency call•Registrar to review patient within10 minutes•Request review, and note on theback of this form•Registrar to ensure Consultant isnotified•If patient must leave wardarea, Registrar and Nurse mustaccompany patientEmergency call if: • • • • • • • Any observation is in a purple area Airway threat Respiratory or cardiac arrest New drop in 02 saturation < 90% Sudden fall in level of consciousness Seizure You are seriously worried about the patient but they do not fit the above criteria HLT54121 Diploma of Nursing HLTAAP002/003 Assess & Analyse Health Information (Anatomy & Physiology) Assessment Task 1 (AT1): APA References – October 2022 ©TAFE Queensland GC 2022 HLT54121: HLAAP002/003 AT1 References – October 2022 v2 Page 1 of 4 ASSIGNMENT RESOURCES GUIDE Resources outlined in this guide are: E Books in the Clinical Key for Nursing database (student login required) Clinical Skills or Clinical Overviews in the Clinical Key for Nursing database (student login required) Free access websites/website documents (no student login required – follow the relevant weblinks on page. 4 of this guide). INSTRUCTIONS Access Clinical Key for Nursing • Access the Clinical Key for Nursing database from the TQ Library Network website page • Visit the TAFE Queensland Library Network – Nursing Subject Guide and watch the video tutorial for how to access and use the Clinical Key for Nursing database. APA Referencing • Bookmark the full TQ Library Network APA Referencing Guide - available HERE • Use APA 7th edition academic referencing and follow the correct two-part format to include: o A citation for every question (as shown in the table below) o A full Reference list (as shown on page 4 of this guide) ASSIGNMENT REFERENCES Q. No. SOURCE IN-TEXT CITATION 1 Potter and Perry’s Fundamentals of Nursing. Chapter: Vital signs: Using a primary survey approach Section: The importance of nursing assessment for patient safety (Douglas, 2021). 2 AND 2 Tabbner’s Nursing Care. Chapter: Nursing assessment and management of neurological health. Section: Clinical Skill 35.2 Neurovascular assessment (Koutoukidis & Stainton, 2021). Royal Children’s Hospital – Wound assessment and management. Section: Wound assessment (Royal Children’s Hospital Melbourne, 2019). 3 a & b Tabbner’s Nursing Care. Chapter: Vital sign assessment Section: Steps in obtaining an accurate measurement of body temperature. Figure 20.4 ADDS chart (Koutoukidis & Stainton, 2021). 3c Tabbner’s Nursing Care. Chapter: Vital sign assessment Section: Respiration, and Temperature (Koutoukidis & Stainton, 2021). HLT54121: HLTAAP002/003: AT1 References ©TAFE Queensland GC 2022 HLT54121: HLAAP002/003 AT1 References - October 2022 v2 Page 2 of 4 Q. No. SOURCE IN-TEXT CITATION 4 a & b Tabbner’s Nursing Care. Chapter: Vital sign assessment Section: Steps in obtaining an accurate measurement of body temperature. Figure 20.4 ADDS chart (Koutoukidis & Stainton, 2021). 5 a & b Mosby’s dictionary of nursing, medicine and health professions Chapter: S Section: Solute, and Solvent (Harris et al., 2019) 5c Understanding Pathophysiology – ANZ edition Chapter: Fluids, electrolytes, acids and bases Section: Alterations in sodium, chloride and water balances (Craft & Gordon, 2019). 5d AND 5d Potter and Perry’s Fundamentals of Nursing. Chapter: Balancing fluid, electrolyte and acid-base status Section: Distribution of body fluids (Willetts & Schmidt, 2021). Potter and Perry’s Fundamentals of Nursing. Chapter: Balancing fluid, electrolyte and acid-base status Section: Movement of body fluids - Osmosis (Willetts & Schmidt, 2021). 5e Potter and Perry’s Fundamentals of Nursing. Chapter: Balancing fluid, electrolyte and acid-base status Section: Osmosis – Table 24-8 Isotonic solution (Willetts & Schmidt, 2021). 6 Potter and Perry’s Fundamentals of Nursing. Chapter: Balancing fluid, electrolyte and acid-base status Section: Movement of body fluids (Willetts & Schmidt, 2021). 7 Potter and Perry’s Fundamentals of Nursing. Chapter: Balancing fluid, electrolyte and acid-base status Section: Osmosis (Willetts & Schmidt, 2021). 8a Potter and Perry’s Fundamentals of Nursing. Chapter: Vital signs: Using a primary survey approach Sections: Exposure, and Hypothermia (Douglas, 2021). 8b Understanding Pathophysiology – ANZ edition Chapter: Homeostasis Sections: Homeostasis, and Regulation of homeostasis (Craft & Gordon, 2019). 8c Potter and Perry’s Fundamentals of Nursing. Chapter: Vital signs: Using a primary survey approach Sections: Exposure, and Hypothermia (Douglas, 2021). 9 Understanding Pathophysiology – ANZ edition Chapter: Altered cellular function Sections: Hypertrophy; hyperplasia; metaplasia; dysplasia. (Craft & Gordon, 2019). HLT54121: HLTAAP002/003: AT1 References ©TAFE Queensland GC 2022 HLT54121: HLAAP002/003 AT1 References - October 2022 v2 Page 3 of 4 Q. No. SOURCE IN-TEXT CITATION 10 Understanding Pathophysiology – ANZ edition Chapter: Altered cellular function Section: Atrophy (Craft & Gordon, 2019). 11 Cambridge University Press Fundamentals of anaesthesia – The surgical insult (Pinnock & Haden, 2019). 12 a & b Potter and Perry’s Fundamentals of Nursing. Chapter: Collaborating for integrated care Sections: Nurses working as part of a multidisciplinary team. (Martin et al, 2021). 12c Nursing and Midwifery Board of Australia – Enrolled Nurse - Standards for Practice. Standard 3 (Nursing and Midwifery Board of Australia, 2016). 13 Anatomy and Physiology, Adapted International Edition. Chapter: Cell structure Section: Mitochondria. (Patton & Thibodeau, 2019). 14 Understanding Pathophysiology – ANZ edition Chapter: Cellular structure and function Section: Types of tissues (Craft & Gordon, 2019). 15 Clinical Key Nursing Clinical Overview – Altitude sickness (Altitude sickness, 2022) 15 Queensland Health & Flying Doctor Services of Australia – Primary clinical care manual (Queensland Health, Royal Flying Doctor Services of Australia, 2022). 16 Understanding Pathophysiology – ANZ edition Chapter: Cellular structure and function Section: Numbered section below FIGURE 3.1 (Craft & Gordon, 2019). TAFE QUEENSLAND UNIT RESOURCES HLTAAP002/003 Assess and analyse health information Connect Learning Resources – all Topics (TAFE Queensland, 2022a). HLTAAP002/003 Assess and analyse health information Teacher presentation slides (TAFE Queensland, 2022b). HLT54121: HLTAAP002/003: Written Assessment – AT1 Reference List ©TAFE Queensland GC 2022 HLT54121: HLAAP002/003 AT1 References - October 2022 v2 Page 4 of 4 References Altitude sickness (2022, August 17). In ClinicalKey for nursing [Clinical Overview]. https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/#!/content/clinical_overview/67-s2.0-bbb90468-e403-4cb0-b468-38a050b0dc18 Craft, J., & Gordon, C. J. (2019). Understanding pathophysiology - ANZ edition. (3rd ed.). Elsevier. Douglas, C. (2021). Vital signs: Using a primary survey approach for patient assessment. In J. Crisp, C. Douglas, G. Reberio, & D. Waters (Eds.), Potter and Perry's fundamentals of nursing - ANZ edition (6th ed., pp. 325-371). Elsevier. Koutoukidis, G., & Stainton, K. (2021). Tabbner’s nursing care (8th ed.). Elsevier. Harris, P., Nagy, S., & Vardaxis, N. (Eds.) (2019). Mosby’s dictionary of medicine, nursing and health professions (3rd ed.). Elsevier. Martin, M., Jones, K., Buliak, A., Connelly, L., Murray, S., & Peters, S, D. (2021). Collaborating for integrated care. In J. Crisp, C. Douglas, G. Rebeiro, & D. Waters (Eds.), Potter and Perry’s fundamentals of nursing (6th ed., pp. 175-200). Elsevier. Nursing and Midwifery Board of Australia. (2016). Enrolled nurse standards for practice. https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx Patton, K. T., & Thibodeau, G. A. (2019). Anatomy & physiology adapted international edition. Elsevier. Pinnock, C., & Haden, R. (2016). The surgical insult. In T. Lin, R. Smith, & C. Pinnock (Eds.), Fundamentals of anaesthesia (4th ed.). Cambridge University Press. doi: https://doi.org/10.1017/9781139626798.010 Queensland Health, Royal Flying Doctor Service (Queensland Section). (2022). Primary clinical care manual (11th ed.). https://www.health.qld.gov.au/__data/assets/pdf_file/0011/1160003/PCCM_11th_ed_8June22.pdf Royal Children’s Hospital Melbourne. (2019, March). Wound assessment and management. https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_assessment_and_management/#Assessment TAFE Queensland. (2022a). HLTAAP002/003 Assess and analyse health information cluster. [Learner guide]. https://connect.tafeqld.edu.au/d2l/le/content/453127/Home TAFE Queensland. (2022b). HLTAAP002/003 Assess and analyse health information cluster [PowerPoint slides]. https://connect.tafeqld.edu.au/d2l/le/content/453127/Home Willetts, G., & Schmidt, L. (2021). Balancing fluid, electrolyte and acid-base status. In J. Crisp, C. Douglas, G. Reberio, & D. Waters (Eds.), Potter and Perry's fundamentals of nursing - ANZ edition (6th ed., pp. 825-911). Elsevier.