Highlights
Scenario 1 – Mrs Chan
Mrs Chan has been bought in by ambulance following a fall at home, where she fractured her hip. She believes she fell around 10pm last night, and was unable to get up to seek help. Her daughter found her still on the floor this morning at 6.00am and called the ambulance.
Mrs Chan’s past medical history includes:
Urinary incontinence
Osteoporosis
Compression fractures to her spine due osteoporosis
Removal of a Stage II melanoma in 2006
Regular medications:
Fosamax
Vitamin D
Calcium
Fentanyl patch
PRN Endone
Question 1
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 components that make up any biological homeostatic control mechanism
Describe at least four different changes that would occur in Mrs’s Chan’s body to regain temperature homeostasis.
Further Information:
Mrs Chan had a Stage II melanoma removed in 2006 and the tissue was sent to pathology for testing. The pathology report came back stating the tumour showed signs of dysplasia.
Question 2
The four major types of cellular adaptation are hypertrophy, hyperplasia, metaplasia and dysplasia. Briefly describe each of these types of cellular adaptation
Define atrophy
What does the term ‘surgical insult’ mean?
Question 3
Part of the ENs role is to assist in referring clients care to the appropriate people within a multi-disciplinary team.
List six (6) different professions that may be part of a multi-disciplinary team.
Which part of the team has the role of interpreting test results in order to formulate a diagnosis?
Why does the EN need to know the purpose of blood collection?
Can an EN disclose pathology results to their client? Give a reason for your answer.
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