Internal Code: 1HIJA
Nursing Case Study Assignment Help:
Task:
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:
1. Role responsibilities and limitations for different members of the care team in relation to checking client health status, analysing health information and providing services.
2. Concepts underpinning human anatomy and physiology, including: levels of structural organisation of body systems, human life processes, homeostasis and the relationship between homeostatic imbalance and disease.
3. Structure and function of human body systems and their interactions / variations and abnormal findings –cells, tissues and organs, cardiovascular system, blood, integumentary system, nervous system.
4. Anatomical and medical terminology – when referring to the human body and when taking measurements in different body systems.
Grading
Grading will occur following a satisfactory result. Marks will be allocated AFTER your paper has been deemed satisfactory. These marks will provide you with a graded result. If you do not achieve a satisfactory result, your paper will remain ungraded.
Unsatisfactory results
In the event of failure of an assessment the student’s progress will be reviewed and eligibility for a resit will be determined by the Course Coordinator/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.
Case Study One
Instruction- Read the case study and respond to the questions listed below.
Isabella Kaur is a 30year old female who has come to her General Practitioner (GP) because she has been feeling anxious and unwell for six weeks.
She reports that she has noticed that her hair is falling out and her skin is dry and flaking. She says she feels hot a lot of the time and is hungry and eating more but losing weight. She has also had diarrhoea.
She says she feels anxious and unable to sleep and has noticed that her heart seems to be racing.
Her General Practitioner (GP)conducts a thorough head to toe physical assessment and orders blood tests to aid in the diagnosis.
Her blood test results are: -
TSH-0.4mIU/L (normal range 0.5-4.24mIU/L)
Free T4- 30 pmol/L (normal range 10-20 pmol/L)
Free T3-16 pmol/L ( normal range 3.5-6.0 pmol/L)
Her blood test results confirm a diagnosis of hyperthyroidism, in the form of Grave’s Disease.
The nurse obtains the following data as part of the initial nursing assessment: -
HR-110
RR-26
BP-140/70
SaO2-100% on room air
Temperature-37.8
1. Provide an overview of the function of the endocrine system. You answer should include at least five (5) functions of the endocrine system.
2. Describe the pathophysiology of Grave’s Disease.
3. Provide a brief overview (no more than 50 words) of the digestive system.
4. Name three (3) body systems affected by Isabella’s hyperthyroidism. Briefly (50 words or less) explain how hyperthyroidism has affected each body system.
5. State three (3) nursing interventions you would provide to Isabella. One of the interventions must relate to Isabella’s immediate needs.
6. List three (3) risks associated with Grave’s Disease.
7. Provide a brief explanation of Isabella’s blood test results.
8. Provide a brief explanation of Isabella’s vital sign observations.
9. Name three (3) health professionals that will be involved in Isabella’s care. Explain their role in her care. One
Case Study Two
Instruction- Read the case study and respond to the questions listed below.
Nick Papas is a 70year old man with a history of Chronic obstructive Pulmonary Disease (COPD) and lymphoedema.
Nick was diagnosed with COPD ten years ago. His lymphoedema was diagnosed 2 years ago, it occurred after the surgical removal of a blocked lymph node in his right axilla.
Nick has presented to the Emergency Department (ED)of a public hospital with a one-week history of fever, a productive cough with green sputum, dyspnoea and joint pain.
The ED nurse obtains full set of vital signs and the following readings are documented: -
HR 98bpm
RR 28breaths per minute
BP 110/60
Temp 38.1
Sp02 93% on room air
The Emergency doctor has reviewed Mr Papas and asked the nurse to obtain a sputum sample. The doctor has documented that Mr Papas is to receive oxygen if the SpO2 readings are below 90%. The doctor has also prescribed the Fluvax vaccination.
10. List the main structures of the respiratory system and state the function of the respiratory system.
11. List the main structures of the lymphatic system and state the function of the lymphatic system.
12. Outline the major changes that occur in the respiratory system as we age.
13. Explain the pathophysiology of lymphoedema.
14. Define the term “COPD” and list three (3) signs or symptoms of COPD.
15. State three (3) risk factors associated with COPD.
16. Outline three (3) nursing assessments you would conduct on Mr Papas and state one (1) immediate nursing intervention that would result from your nursing assessments.
17. Name three (3) health professionals that will be involved in Mr Papas’s care. Describe their role in his care.One (1) health professional should be from the medical stream and one (1) should be from allied health.
18. Explain the concept of Artificial Acquired immunity
Case Study Three
Instruction- Read the case study and respond to the questions listed below.
Vicky Nguyen is 28 years old and the mother of two small children. She has suffered stress incontinence since the birth of her second child and has a past history of Urinary Tract infections (UTIs).
She has had three UTIs in the last two months.
Vicky has been admitted to your ward with the following symptoms: pelvic and back pain, urinary frequency, dysuria and pyrexia.
Blood tests and a midstream urine specimen have been taken and Vicky has a diagnosis of pyelonephritis.
You assess Vicky’s vital signs and document them as below: -
Hr-88
RR-24
BP-110/60
Temperature – 38
SpO2- 100% on room air.
You obtain a urine specimen for urinalysis; the results are: -
SG 1020
Ph-5
Protein-large
Blood- large
Leucocytes-moderate
Nitrites – positive
19. List the structures of the urinary system.
20. Briefly (50 words or less) outline the function of the urinary system.
21. List the structures in the female reproductive system.
22. Define stress incontinence.
23. Explain the relationship between childbirth and stress incontinence.
24. State three (3) causes of a UTI.
25. Outline the pathophysiology of pyelonephritis
26. Provide a brief explanation of Vicky’s vital signs.
27. Provide a brief explanation of Vicky’s urinalysis results.
28. Outline three (3) nursing interventions you would perform on Vicky- one of your interventions must relate to Vicky’s immediate needs.
29. Name three (3) health professionals that will be involved in Vicky’s care. Explain their role in her care. One (1) health professional should be from the medical stream and one (1) should be from allied health.
Knowledge Questions:
30. Define hydrostatic pressure
31. State the difference between osmosis and diffusion
32. State the difference between active and passive transport
33. Define respiratory acidosis
34. State one (1) cause of respiratory acidosis
35. Define metabolic acidosis
36. State one (1) cause of metabolic acidosis
37. Define pneumothorax
38. State one (1) cause of a pneumothorax
39. Define altitude sickness
40. Define decompression sickness