client health

Student Name Student Number
Unit Code/s & Name/s HLTAAP002 Confirm physical health status

HLTAAP003 Analyse and respond to client health information

Assessment Type Written
Assessment Name Workplace Simulated Activity – Short and long answer questions Assessment Task No. AT1
Assessment Due Date Date submitted
Assessor Name
Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature.
Student Signature Date
PRIVACY DISCLAIMER: TAFE Queensland is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of TAFE Queensland. Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor and/or TAFE Queensland for audit and/or reporting purposes. Your information will not be given to any other person or agency unless you have given us written permission or we are required by law.
Instructions to Student

You must complete this assessment task by the due date provided or you may receive an unsatisfactory (U) result.

If you are unable to meet a scheduled assessment due date, you must notify your teacher at least 48 hours prior to the due date to request an extension. All requests for extensions must be in writing on a request for extension form. Extensions are granted in exceptional circumstances only and must be supported by appropriate documentary evidence.

Academic and research misconduct

APA 7th edition style in-text referencing must be used throughout and a reference list submitted with the assessment.

Students must use their own words to answer the questions.

Assessments that use, reproduce or adapt the work or ideas of another person without due acknowledgment will be graded as unsatisfactory and considered academic misconduct. For more information, refer to the Student Rules.

Submission details

Insert your details on page 1 and sign the Student Declaration. Include this template with your submission.

Your due date for this assessment can be found in the unit study guide.

Method of submission

Assessment to be submitted via

TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/login

Username; 9 digit student number

For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspx

Instructions for the Assessor The student must demonstrate key skills and knowledge identified in the marking criteria for this assessment task.
Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide.
Scenario 1

Mrs Chan is found lying at the bottom of her stairs by her daughter at 09:00 on 14/06/2016. Mrs Chan is dressed in a nightgown; the last thing she remembers is rushing to the toilet at about 10pm. She has no memory of falling, she recalls “waking up” on the floor feeling cold because she was incontinent and her night gown was wet. She was unable to get up due to a penetrating wound to her left leg from falling on a glass coffee table that has broken and become embedded in her upper thigh. She also has pain in her hip and pelvis. Her right leg is shorter than the left and it is internally rotated.

Mrs Chan’s past medical history includes:

Urinary incontinence

Osteoporosis

Compression fractures to her spine due osteoporosis

Chronic pain

Regular medications:

Fosamax

Vitamin D

Calcium

Fentanyl patch

PRN endone

Describe the initial assessment of Mrs Chan, including the following points in your answer:

Describe the process of completing a primary survey on Mrs Chan

Primary Survey (General description of each component of a primary survey)

Primary survey on Mrs Chan: Enter in relevant details from Mrs Chan’s scenario & Q-ADDs chart where relevant.

*referencing IS required for this question

List the specific assessments that would assist you to evaluate her penetrating injury.

Identify how you would assess a penetrating injury site: List as many assessments as possible (provide at least 3)

*referencing IS required for this question

Review the vital signs chart (attached pdf) and evaluate the following aspects:

Download the document “ADDs chart for AAP002 & AAP003 assessment”

List each of the vital signs recorded at 06:30 in the table below:

List the vital sign
Respiratory Rate
O2 Saturation
O2 Flow Rate
Systolic BP
Heart Rate
Temperature
Consciousness

*referencing is NOT required for this question

Complete the Q-ADDS score for each vital sign recorded at 06:30 in the table below, then total the ADDS score.

ADDS Score

Respiratory Rate

O2 Saturation

O2 Flow Rate

Systolic BP

Heart Rate

Temperature

Consciousness

Total Q-ADDS

*referencing is NOT required for this question

List the abnormal signs and then describe the abnormality using correct terminology.

Identify which vital sign is abnormai in the first table in question 2a) In your own words, describe this abnormality. Provide numeric parameters that indicate an abnormal change in the vital sign. (in 1-2 sentences) What is the correct medical terminology for this altered vital sign? (1 word)
 
 

*referencing IS required for this question

Scenario – Further Information

Mrs Chan is seen by the doctor, who documents her assessment as follows:

82 year old lady with confusion and hyperthermia.

Air entry R=L no adventitious sounds.

Large laceration to her right thigh, glass remains imbedded in the wound.

Right leg has obvious bone deformity – requires further investigation to evaluate possible fractures.

A chest, abdominal, pelvis and hip X-ray are to be completed. Intravenous normal saline 1L is prescribed to run over 4 hours.

Note the ‘Actions Required’ section of the ADDS chart and explain who should accompany Mrs Chan when she leaves the ward to go to the X-ray department. You would need to ensure that you confirm this with the RN.

INSTRUCTIONS:

Refer to the document “ADDs chart for AAP002 & AAP003 assessment”

Refer to the table titled “Actions Required for Tertiary and Secondary Facilities”

Consider Mrs Chan’s scenario

Consider her total Q-ADDs from question 2a)

Answer the following questions:

Given Mrs Chan’s Q-ADDs score and clinical status, who is the most appropriate person to escort her down to the X-ray department? (Identify 1 team member only)

Explain why you think this team member should accompany this patient to the X-ray department. Review the scenario and Q-ADDs chart, and provide rationales (based on medical reasons or abnormal vital signs):

.

*referencing is NOT required for this question

Mrs Chan has been prescribed an IV solution of normal saline, which contains sodium chloride and water.

Explain the following concepts related to body fluid compartments and intravenous fluids:

Define the terms solute and solvent and how it relates to the prescribed solution

Question

Answer

In your own words: define the term ‘solute

In your own words: Define the term ‘solvent

 

Consider the solution that Mrs Chan is prescribed. Which component of the prescribed solution is considered the solute?

Consider the solution that Mrs Chan is prescribed. Which component of the prescribed solution is considered the solvent?

*referencing IS required for this question

In your own words, explain what osmosis is and how it works in the three fluid compartments of the body

Question Answer
Identify and define the three fluid compartments in the body. (1 sentence per definition is sufficient)

Compartment 1:

Definition:

Compartment 1:

Definition:

Compartment 1:

Definition:

Discuss osmosis IN THE BODY.

(You must mention the fluid compartments in your explanation of osmosis)

*referencing IS required for this question

Why is Mrs Chan’s IV fluid an isotonic solution?

Question Answer
What is an isotonic solution?  
Explain the rationale (benefits) for administration of an isotonic solution. (Explain if isotonic solutions cause fluid shifts between compartmetns).  

*referencing IS required for this question

Why this solution is used to treat dehydration?

Question Answer
*Include in your answer

– Which fluid compartment(s) does normal saline rehydrate first?

– Would administration of normal saline alter intracellular volume of red blood cells? Explain your answer.

 

*referencing IS required for this question

Correctly match the terms listed below to either Active or Passive transport:

No energy required

Osmosis

Endocytosis

Requires energy

Diffusion

Sodium-potassium pump

Active Transport Passive transport

*referencing is NOT required for this question

Describe the difference between hydrostatic pressure and colloid osmotic pressure (also known as oncotic pressure) in relation to transport of fluids across a capillary membrane.

Question

Answer

In your own words: define hydrostatic pressure

*In your answer ensure you discuss

What causes the fluid to move across the capillary membrane

The direction that fluid moves across the capillary membrane i.e. what compartment does it move into?

In your own words: define colloid osmotic pressure (oncotic pressure)

*In your answer ensure you discuss

What causes the fluid to move across the capillary membrane

The direction that fluid moves across the capillary membrane i.e. what compartment does it move into?

*referencing IS required for this question

References

*insert your reference list here

Use APA 7th ed format

https://library.tafeqld.edu.au/referencing

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