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Holmesglen 19-Feb-18 U:\HSB\Programs - Courses\NURSING\Course Delivery & assessment\2018\Stage 2\HLTAAP003 - Analyse health information\Assessments\Analyse assessments\Clinical Scenario 2 and...

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Holmesglen 19-Feb-18 U:\HSB\Programs - Courses\NURSING\Course Delivery & assessment\2018\Stage 2\HLTAAP003 - Analyse health information\Assessments\Analyse assessments\Clinical Scenario 2 and Answers\Analyse
Clinical Scenario 2.docx
lk
CRS176
Revision 101
July 2017
Page 1 of 8
Assessment Task Three : Clinical scenario 2.
Student Version: Report, Project, Portfolio
Student information
Student name: . Student ID: .
Section A – Program/Course details
Qualification code: HLT54115
Qualification title: Diploma of Nursing
Unit code:
HLTAAP003
Unit title:
Analyse Health and respond
to client information
Section B – Assessment task details
Assessment number: 3 – Clinical Scenario 2 Semeste
Year: 1 / 2018
Due date: 16/04/2018 Duration of assessment: 4 weeks
Assessment task
esults:
This assessment task will be marked as:
☐ Ungraded result: Satisfactory or Not Satisfactory
☒ Other (eg points): Graded
Section C – Instructions to students
Task instructions:

Knowledge Evidence required for this assessment
The candidate must be able to demonstrate essential knowledge required to effectively complete tasks
outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in
the context of the work role. Includes knowledge of:
 role responsibilities and limitations for different members of the care team in relation to analysing
health information and providing services
 variations and abnormal findings of the structure and function of human body systems and their
interactions: Urinary, Endocrine and Lymphatic Systems
 Be able to use co
ect anatomical and medical terminology when refe
ing to the human body.
Grading
Grading will occur following a satisfactory result. Marks will be allocated AFTER your paper has
een deemed satisfactory. These marks will provide you with a graded result. If you do not achieve
a satisfactory result, your paper will remain ungraded.
Failure
 In the event of failure of an assessment the student’s progress will be reviewed and eligibility for a
esit will be determined by the Course Coordinato
Program Manager as per departmental policy
listed in the student handbook. Where relevant, remediation may be offered prior to a resit.
 A student who successfully passes a resit shall be awarded a PX for ungraded assessments or 50%
for graded assessments.


Holmesglen 19-Feb-18 U:\HSB\Programs - Courses\NURSING\Course Delivery & assessment\2018\Stage 2\HLTAAP003 - Analyse health information\Assessments\Analyse assessments\Clinical Scenario 2 and Answers\Analyse
Clinical Scenario 2.docx
lk
CRS176
Revision 101
July 2017
Page 2 of 8
Section C – Instructions to students
Task instructions:
Answer the questions listed in relation to the following case study.
Clinical Scenario 2
Betty White, an 80 year old woman is admitted from an aged care facility with a suspected Urinary
tract Infection (UTI). She is confused, feverish and incontinent of urine which has an offensive
odour. She also had a fall prior to admission and has cuts and a
asions. She is not normally
confused and does not have a dementia diagnosis. She takes oral medications for her Diabetes
and is regularly monitored by her GP.

She also has a history of:

east cancer
 right mastectomy
 lymphoedema in the right arm
 Type 2 diabetes
 Grave’s Disease

Her vital signs are as follows
BP 145/90
Temp 38.2 C
RR 20
HR 82
SaO2 97%

Q1. List any further nursing actions you could perform to determine whether she may have a Urinary Tract
infection (UTI).
XXXXXXXXXX2 marks)

Q2. Identify two possible things, not normally in urine that could show up in a dipstick test with a Urinary
Tract infection (UTI). XXXXXXXXXX2 marks)


Q3. What findings listed in the case study would support a diagnosis of a Urinary tract Infection (UTI)?
XXXXXXXXXX3 marks)
Q4. What could you teach Betty that could help reduce the incidence of future Urinary tract Infection
XXXXXXXXXX2marks)
Q5. Explain what the cause of the lymphoedema in her right arm could be and why. XXXXXXXXXX2 marks)
Q6. When taking Betty’s BP, why should you not use her right arm?
What may taking her BP on her right arm cause? XXXXXXXXXX3marks)
Q7. What is a normal blood suga
glucose level (BGL/BSL)? What would you expect might happen to
Betty’s BGL if she has a Urinary tract Infection (UTI)? Think about what happens to BGL when an individual
has an
infection. XXXXXXXXXX2 marks)
Q8. List the signs and symptoms you may observe if Betty was to experience a hypoglycaemic episode.
Answered Same Day Apr 14, 2020 HLT54115

Solution

Anju Lata answered on Apr 16 2020
141 Votes
1. Pathological analysis of urine sample can be done to check the presence of any WBC, RBCs or bacteria in urine. In severe cases cystoscopy of urinary bladder can also be done to check exact level of infection inside the urethra and the bladder. The urine analysis may exhibit presence of pus cells, blood, or any other kind of cells which will be a clear indication of Urine Infection. The color and odor of urine sample depicted through pathological tests may also specify exactly which bacteria has caused the infection (Urology Care foundation, 2018).
6.     Betty’s vital signs show relatively high BP and she has a history of lymphoedema in right arm. So, it is better to measure her BP from the left arm. Due to fluid retention, she might have different BP in her left and right arm. Measuring BP from right arm may not give accurate results of Blood flow in rest of the body.
9. In Type 2 Diabetes, either the body (pancreas) produces an insufficient amount of insulin to satisfy the requirements of the body or the body cells (like fat cells and liver) do not respond to the insulin, even though it is present in sufficient amount. Consequently, the body fails to produce adequate stores of energy in the body. The symptoms of diabetes 2 involve fatigue, incontinent and increased...
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