Introduction Imagine you are a home healthcare worker employed by

Unit HLTENN043 Implement and monitor care for a person with acute health conditions. Case Study 1. You are assessing a client aged 28 who complains of feeling a sharp pain in the lower right abdomen. Later the client had an appendectomy and has been recovering in your ward for the past 14 hours. When checking on the client, you note client is febrile and is tachypnoea. You notify the nurse in charge who says, “the client needs to be checked for sepsis immediately”. You have been asked to collect a blood specimen from the client. You have located the vein, conducted hand hygiene, and donned gloves. Briefly describe the steps you will take to collect blood specimens from the client using venepuncture. These steps must include all legal requirements regarding specimen collection, e.g., the correct labelling of blood test tubes. 2. A client aged 66 has been admitted to the hospital complaining of chest pain, which began after completing a daily jog. The client has been diagnosed with Acute Coronary Syndrome with exacerbation of angina. Describe: A) What is the pathophysiology of this condition? B) What are the signs and symptoms of angina? 3. A client aged 66 has been admitted to the hospital complaining of chest pain, which began after completing a daily jog. The client has been diagnosed with Acute Coronary Syndrome with exacerbation of angina. You are caring for this patient, and you have undertaken a set of vital signs as the client’s chest pain is worsening. The vital signs indicate an Adult Deterioration Detection (ADDS) score of 5. What actions would you undertake with an ADDS of 5? 4. You are caring for a client aged 58 who is recovering on your ward after undergoing surgery. The client has an old tracheostomy site and is conscious. A client aged 82 has attended for elective knee replacement surgery. Describe the main steps involved in performing tracheostomy suctioning for the client. You have already: explained the procedure to the client checked the client’s vital signs assembled the required equipment positioned the client in a sitting position placed a waterproof pad across his chest. Note: The client does not have a humidification or ventilation device and does not need to be hyper-oxygenated before aspiration. 5. A client aged 82 has attended for elective knee replacement surgery. What are 3 pieces of information you will provide to the client during the pre-operative stage? 6. A client aged 82 has attended for elective knee replacement surgery. The client returns to the ward. The early post-operative plan, as per the orthopaedic surgeon and physiotherapist, includes passive and active exercise routines. When checking the client during your commencement of shift, the client states that he has indigestion with back and shoulder pain. The symptoms are worsening, including severe shortness of breath. You have called the Medical Emergency Team (MET). What are three (3) things you will do while the MET is on its way? 7. A client, aged 23, is brought to the emergency department by his father. The client was hit in the head with a cricket ball while playing a match in the country. According to the father, the impact left the client totally unconscious for about 45 minutes. A Glasgow Coma Scale assessment is conducted with the following results: • Eye response: 2 • Verbal response: 3 • Motor response: 4. Based on this information, what is the likely severity of the client’s brain injury? 8. A female client aged 57 is attending the hospital today to undergo a prolapsed bladder repair. The client is now recovering in your ward. A suprapubic catheter was inserted during the surgery. Note: These questions relate to suprapubic catheter care. What are your three (3) objectives when providing care to the client with a suprapubic catheter? 9. A female client aged 57 is attending the hospital today to undergo a prolapsed bladder repair. The client is now recovering in your ward. A suprapubic catheter was inserted during the surgery. The suprapubic catheter has been in situ for 24 hours post-surgery. The client has complained about needing to void. Note: These questions relate to suprapubic catheter care. What is the likely cause of the client needing to void? Outline the main steps you would follow when emptying the client’s drainage bag, include in your answer where the drainage bag should be located.

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