country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

HLT54115 Diploma Of Nursing

tag 0 Download12 Pages / 2,992 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT
  • Course Code: HLT54115
  • University: Australia Institute Of Business And Technology
  • Country: Australia

Question:

Nursing assessment is the first stage of the nursing process. State four reasons why a nursing history is performed on admission?

Explain why it is important to involve your client and/or their family whilst conducting nursing assessments?

What is meant by holistic care?

What is a holistic assessment?

 

Answer:

Introduction

Nursing history is performed at the time of admission in-order to understand the patient’s past medical illnesses which serves as a guide for the patient care. It helps to understand about their cultural values and beliefs so as to plan care based on it. It helps us to understand about the present signs and symptoms so as to plan care based on the patient’s needs. It helps the nurses to provide more appropriate care directly based on their features. Moreover, it helps nurses to develop therapeutic communication with patients as well as relatives, which helps to render a complete holistic care to the patient (Douglas, 2012). By understanding the physiological, psychological, spiritual, cultural and social aspects of patient, nursing assessment can be framed accurately allowing the nurses to plan appropriate patient- centered care.   

Nursing assessments should be conducted directly in patient by observing him/her so as to identify patient needs and problems. Collecting the history directly will give an accurate and more appropriate subjective data. Involving family in nursing assessment will help them to understand the patient’s problem as well as to gain cooperation from them throughout the nursing care. This will help the nurses to plan apt nursing care to both the patients (problems) as well as for family coping.   

Holistic care is the total or complete care rendered to the patient. This involves addressing not only the physiological and psychological needs of client but also their sociological, spiritual, developmental as well as cultural needs (Douglas, 2012).

List 4 points relating to the documentation guidelines that you must comply with when recording any information.

The documents should be clear, legible, concise, accurate and appropriate. Date and time should be written on every document in order to avoid bias. The involved nurses should document for her/ him not by others. Overwriting or erasing should never be done. Only the facts should be entered. 

You are asked to take vital signs on a client. State 4 indications to complete vital signs

1). Vital signs should be assessed at the time of admission of the clients in a hospital or health care facility. 2). Assessed as routine process in a health care organization according to the doctor’s order or institutional policy. 3). Before and after a surgery or diagnostic (invasive) procedures. 4). Before, during as well as after administering medications to patients that could affect cardio-vascular, temperature- control measures or respiratory functions.      

 

Match the appropriate term with the correct temperature range

Hyperthermic

37.5 – 39.0 0C

Afebrile

36.2 -37.5 0C

Hypothermic

 

35.0- 36.0 0C

It is recommended to take a confused person’s temperature via the oral route

Answer: False

 

Because the confused patient may bite down the thermometer. 

 

Tachycardia

is an abnormal pulse rate greater than 100 beats/minute

List 4 factors that affect body temperature

1). Age  

2). Increased exercise or physical activity

3). Hormonal changes

4). Stress level

When taking a client’s pulse, what 3 characteristics must be assessed?

The rate, rhythm, strength and equality of the pulse should be assessed.

List the 4 most common sites for taking a pulse measurement.

1).Radial- assessed on the thumb side of forearm or wrist

2). Apical- assessed on 4th to 5th inter-costal space at mid- clavicular line (left).

3). Ulnar- forearm’s or wrist’s ulnar side

4). Carotid- palpated along the sterno-cleidomastoid muscles’ medial edge in neck (Douglas, 2012).   

The term for a pulse rate below 60 beats per minute is a Bradycardia

When taking a client’s respirations, what 3 characteristics must be assessed?

Respiratory rate- by observing the number of full respirations (inspiration and expiration) in a minute

Respiratory rhythm- involves determination of breathing pattern by observing the chest/ abdomen  

Ventilatory depth- is determined by observing the degree of chest wall movement or excursion (Douglas, 2012).

A normal respiratory rate for a child is 20- 30 breaths per minute.

List four factors which may affect pulse oximetry

The light from external sources may interfere with the ability of pulse oximetry in processing reflected light (Lewis, 2013)

Patient movement may interfere with light processing.

Intravascular dyes can absorb light similar to deoxyhemoglobulin and can lower oxygen saturation artificially.

Carbon monoxide (from smoke inhalation) can elevate SPO2 artifically by absorbing light as like oxygen. 

List the normal range of pulse oximetry in a healthy adult.

Normal range is from 95 to 100 percent in adults.

 

Define systolic blood pressure (SBP)

It is the maximum pressure that is exerted by the blood on the vessel walls at the time of ventricular systole (when the left-sided ventricle forces blood into aorta). The normal range of SBP in healthy adults is 90- 140 mmHg (Douglas, 2012).

Define diastolic blood pressure (DBP)

It is the minimum pressure exerted by the remaining arterial blood at the time of ventricles relaxation, just before the commencement of left-sided ventricular contraction. The normal range of DBP in healthy adults is <90 mm/Hg (Douglas, 2012).

An elderly client has a blood pressure of 184/102.  

The elderly client has stage- 3 Hypertension as his/her systolic BP is above 180 mmHg and diastolic BP is above 100 mmHg. It shows that the client is at an increased risk fro developing myocardial infarction and stroke and hence the nurse should notify this client’s blood pressure to senior staffs and physician for further management.  

A client has a urinary tract infection.  The client will have an increased level of White Blood cells present in his urine.

Outline the normal characteristics of urine.

Color                         : Pale yellow to deep amber. When the urine quantity

                                    increases, the color will be pale while if the urine quantity        

                                    decreases, the color will be deep yellow  

Odor                          : mostly odorless

Urine-Volume            : 750 to 2000 mL/ 24 hr

pH                             : 4.5 to 8.0

Appearance              : clear without deposits  

Specific- gravity        : 1.003 to 1.032

Osmolarity-urine       : 40 to 1350 mOsmol/ kg

Uro-bilinogen            : 0.2 to 1 mg/ 100 mL

WBCs                       : 0 to 2 HPF  

Leukocyte- esterase : Nil

Protein                      : Nil or trace

Bilirubin                    : <0.3 mg/ 100 mL

Ketones                    : Nil

Nitrates                     : Nil

Blood                        : Nil

Glucose                    : Nil

The medical term for shortness of breath is

Dyspnea

A client’s blood glucose level prior to breakfast was 3.1mmol/l. Result is

It indicates that the client is in hyperglycemic state as his/ her fasting glucose is less than that of the normal glucose level of 3.89- 6.66 mmol/L  

The correct formula to calculate the body mass index (BMI) is which of the following

BMI is a simple index that is used to measure weight relating to height of a person. It is used to calculate the obesity, overweight or underweight of a person. It is the best method as compared to the traditional height- weight measurement. It is measured by dividing weight (Kg) by height (meter- squares) of a client.

BMI= weight (Kg)/ height*2 (m2). The BMI of less than 20 indicates underweight and above 35 indicates overweight of a person (Park, 2017).

A client with a BMI of 33.4 is considered to be

Obese Class- I grade with moderate risk for co morbidities as cardiovascular diseases, diabetes and hypertension.

Blood glucose target ranges may differ depending on age, duration of diabetes and medications.  Normal level is

Fasting glucose (blood) levels: 70 to 120 mg/dl or 3.89 to  6.66 mmol/L

Post- prandial blood glucose levels: 110 to 140 mg/dl i.e. less than 7.8 mmol/L  

Erikson’s eight stages of development

 

Stage

Example

Oral- Sensory Stage (from birth to one year)

Baby will understand that things as well as persons exist even if they can’t visualize them. Here trust develops.

Musculo- Anal Stage

(1 to 3 yrs)

 

Child will learn to become self sufficient in their daily activities such as eating, toileting, running and talking. Or else may doubt their abilities.

Locomotor- Genital Stage

(3 to 5 yrs)

 

Child will try to take adult-like activities but at times over-stepping their limits may cause guilt.

Latency Stage

(6 to 11 yrs)

 

Child will learn to be competent as well as productive but sometimes may feel inferior if something went wrong.

Adolescence Stage

(12 to 18 yrs)

 

Adolescents will figure out themselves as ‘Who am I?’ but sometimes confused about their roles to play.

Young Adult Stage (19 to 35 yrs)

 

Young people seek friendship and love with other person but at times may become isolated.

Middle adult Stage (40 to 65 yrs)

 

Middle adult will be productive and perform needful work, but may become stagnant at times.

Maturity Stage (65 till death)

Older people will make sense of their lives Or despairing at goals that was not achieved.

 

Outline the specific assessment technique(s) you would use to assess the following clients:

A client who has fallen and is suspected of having a head injury

The important part of assessment involves performing GCS score assessment, neurological status assessment as well as determination of CSF leak. In GCS scoring, eye opening and best verbal along with best motor response should be graded. The highest grade is 15 and lowest grade is 3 (Lewis, 2013). 

 

A client who is dyspneic

Standard spirometry should be used to assess the level of dyspnea. Dyspnea can also be graded by using Borg- category- ratio scale from 0 to 10 to note the level of shortness of breath encounter by the client. 

A client with diabetes

Regardless of types of diabetes, the client should be diagnosed by ruling out if

  • Fasting glucose: more than 126 mg/dL or 7.0 mmol/ L
  • Random sugar:  >200mg/dL or 11.1 mmol/ L
  • Two hours- glucose tolerance test:  >200mg/dL

A client who is complaining of pain on micturition

Complete urinalysis should be done to rule out the causative organism for urinary tract infection as pain in micturition mostly occurs due to UTI both in males and females.

A person who has a plaster cast on their arm post a recent fracture

Peripheral pulses (distal pulse) should be checked once in 2- 4 hours to assess the blood flow to the arm as the plaster cast may obstruct the blood flow.

A fluid balance chart has been ordered for Mr. Leech (UR 0123456789) DOB: 30/06/1949. Complete FBC on the following page below using the following information:

0730 hrs — orange juice 150 mL, milk 140ml

1350 hrs — cup of tea 250 mL, water 100 mL

1030 hrs — cup of tea 180 mL

1430 hrs — voided 250 ml

1115 hrs — water 120 mL

1630 hrs --- vomited 150ml, bile stained fluid

1230 hrs — cup of tea 120 mL jelly 200 mL

1800 hrs --- Bowels open – loose, approximately 100mls

1230 hrs — voided 150 mL urine

 

The Total intake for the day is

1260

The total output for day is

520

Is Mr Midler in a positive or negative fluid balance?

+740

Mr Midler is in a positive fluid balance

What can a urinalysis reveal?

Urinalysis is used to assess the overall health of a person;  to diagnose a medical illness or disorder (urinary tract infections, renal disorders, diabetes and hypertension) and to monitor a medical condition. Pregnancy testing as well as drug screenings was also done through urinalysis. 

 

Provide a definition for the following terms

Bradycardia

It is a condition in which a person’s heart rate is below 60 beats per min

Tachypnea

It is a condition in which the respiratory rate is more than 20 breaths per minute.

Cyanosis

It is a bluish discoloration of the skin due to decreased oxygenation of tissues. It could be central or peripheral cyanosis.

Hypotension

It is a condition in which the blood pressure drops below 90/60 mmHg

Provide a definition for the following terms

Jaundice

It is condition with yellowish discoloration of the skin, eyes, tissues, as well as body fluids due to the deposition of bile pigments

Pallor

Pallor indicates pale color of a person’s skin which may be caused by diseases, emotional stress, shock, use of stimulants and/or anaemia, that results in decreased oxyhaemoglobin causing visible pallor in the skin eye (conjunctivae) and mucous membrane.

Turgor

Turgor also called as skin turgor is the degree of elasticity of a person’s skin. Assessing skin turgor helps to determine the dehydration, or fluid status in a person.

Petechial

It is a smaller reddish/ purple colored spot (1–2 mm) on the skin that occurs due to minor bleeding from damaged capillaries.

When completing a nursing assessment, data that is the client’s perception, ideas and sensations is known as

Subjective data

Holistic assessment is practiced in nursing to provide foundations for client based on the nursing process. Through this holistic care assessment along with therapeutic communication and history collection (objective & subjective data), the staff-nurses will be able to render efficient client- centered care.

3 characteristics of a Glasgow Coma scale

  • Eye opening
  • Best verbal- response
  • Best motor- response 

Part A

 

Admission assessment of a 4 year old with vomiting and diarrhea

The child should be assessed for his appearance (unwell), altered responsiveness, decreased urine output, pallor or mottled skin and colder extremities. The child should be categorized under dehydration grading to know the extent of dehydration from no clinical symptom to clinical dehydration and shock (Lewis, 2013).

Part B

While undertaking the nursing admission, you note that the General Practitioner has stated in the referral that the child is allergic to a medication, however the Medical Officer has written up a stat dose.  What are your actions?

Notify the concerned medical officer immediately about the patient’s allergy. Then raise mplement computer alerts for particular drug allergy. Wear the patient with medical bracelet indicating teh drug’s name. Then add the data to the PCEHR.

Discharge care plan for Mrs. Marjorie, 83 year old who underwent hip replacement.

Discharge plan for Mrs. Marjorie should include the entire course of care given to the patient, medications to be taken with dose, frequency and route, physical activities (mild/ moderate), diet restrictions along with follow-up instructions (Douglas, 2012). 

Part A

You have just completed a blood pressure measurement of your client. It was 185/105. List the steps you would take;

If the patient is found to be severe hypertensive, I will make the patient to lie down on the bed. I will check BP of the patient every 15 minutes. I will inform to the concerned staff nurse and then to the physician for further management.  I will raise the side rails of the bed to enable safety so as to prevent patient fall.

Part B

List 2 likely causes of this high reading

This could be due to any previous history of cardiovascular, renal diseases or hypertension. It could be due to decreased venous return due to ageing process. 

Health education for Jess, 19yrs male with asthma

Jess should be educated about the anatomy and physiology of the respiratory system. He should be instructed about deep breathing and coughing and diaphragmatic exercises, method of using inhalers and peak flow meter and the importance of taking regular medications (Lewis, 2013).  

Milestone- 7 month old Zoe

I will explain her that mile stones can vary a little between children and it cant be similar in all children, except in few variations were the milestone is greatly varied causing developmental delay. The stages of development may vary to some extent but not to a greater extent.

Mrs Joan Smith is a 61 year old lady (UR 333666) was admitted to your ward for day surgery.

Document the following admission observations accurately on the graph observation chart provided.

1400 hrs T – 36.7, P – 100, R – 22, B/P – 140/90.

Weight is 68 kg

Urinalysis reveals a ph  of 8.0, positive for leucocytes and SC 1015

 

Reference

Douglas, C. (2012). Potter and Perry’s Fundamentals of Nursing- Australian version. (4th edition). Elsevier: St. Louis, Missouri

Lewis, S.M., Heitkemper, M. M., & Dirksen, S.R. (2013). Medical Surgical Nursing: Assessment and Management of Clinical Problems. (9th ed.). Missouri: Mosby.

Park, K. (2017). Park’s Textbook of Prevention and Social Medicine. (24th ed.). Jabalpur:   m/s Banasardidas Bhanot. 

Download Sample

Get 100% money back after download, simply upload your unique content* of similar no. of pages or more. We verify your content and once successfully verified 100% value credited to your wallet within 7 days.

Upload Unique Document

Document Under Evaluation

Get Credits into Your Wallet

*The content must not be available online or in our existing Database to qualify as unique.

Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2020). Diploma Of Nursing. Retrieved from https://myassignmenthelp.com/free-samples/hlt54115-diploma-of-nursing.

"Diploma Of Nursing." My Assignment Help, 2020, https://myassignmenthelp.com/free-samples/hlt54115-diploma-of-nursing.

My Assignment Help (2020) Diploma Of Nursing [Online]. Available from: https://myassignmenthelp.com/free-samples/hlt54115-diploma-of-nursing
[Accessed 10 July 2020].

My Assignment Help. 'Diploma Of Nursing' (My Assignment Help, 2020) <https://myassignmenthelp.com/free-samples/hlt54115-diploma-of-nursing> accessed 10 July 2020.

My Assignment Help. Diploma Of Nursing [Internet]. My Assignment Help. 2020 [cited 10 July 2020]. Available from: https://myassignmenthelp.com/free-samples/hlt54115-diploma-of-nursing.


You can now automatically cite your documents in MLA style by using free MLA citation generator from MyAssignmenthelp.com. You will not have to check through each line to cite your documents manually. The MLA citation maker tools will do that for you. Besides using the citation machine, if you want to know proper MLA format and other essentials, you can talk to our experts. They will give you their superior guidance to referencing help you understand the various aspects of the MLA style citation and format.

Latest Management Samples

ISYS1055 Database Concepts For Decomposition And Functional Dependency

Download : 0 | Pages : 3
  • Course Code: ISYS1055
  • University: RMIT University
  • Country: Australia

Answer: Answer to Question 1: The candidate key for the doctor table is Rego. The candidate key for Patient Table is ID. The appointment table has candidate key, ID. The tables are already in third normal form. All the attributes in the database are atomic. Each of the tables has primary key. There is no non-functional dependency or transitive dependency. Answer to Question 2: Functional Dependency: The given custID has been presented as ...

Read More arrow Tags: Australia Melbourne Accounting Accounting theory and accountability University of Melbourne 

ACC203 Management Accounting Method

Download : 0 | Pages : 10
  • Course Code: ACC203
  • University: Elite Educational Institute
  • Country: Australia

Answer: 1. Explaining how the management accountant can help contribute design and operations of the new management accounting system for the new hospital: Being the management accountant relevant skill is needed by the individuals for adequately conducting operations. The same skills of a management accountant can help in designing and operating the new management accounting system for the new hospital. In addition, the management accounting...

Read More arrow

HI6026 Audit, Assurance And Compliance For Australian Security Exchange

Download : 0 | Pages : 9

Answer: Introduction Auditing is the process to examine the financial statements of the business entities in order to find out any material missstements in them. While auditing the statements, the responsibility of the auditors is to take into consideration the major risks of material misstatements and to take necessary steps to reduce them. On the other hand, Australian Security Exchange (ASX) has provided the companies with eight principles i...

Read More arrow Tags: Australia Campsie Management University of New South Wales 

NUR4232 Protecting Your Clients In The Conduct Of Research

Download : 0 | Pages : 21
  • Course Code: NUR4232
  • University: National Center For Biotechnology Information
  • Country: United States

Answer: Introduction Evidence-based models use a process for framing a question, locating, assessing, evaluating, and repeating as needed. PICO (T) elements include: Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome, and (optional) Time element or Type of Study. The question for this study is as follows: In patients aged 60 years and above (P), what is the effect of being administered the influenza vaccine (I) on contra...

Read More arrow

CP5639 Conceptual Modelling For Attributes And Different Relationships

Download : 0 | Pages : 5
  • Course Code: CP5639
  • University: James Cook University
  • Country: Australia

Answer: Discussion This report discusses the solution for the conceptual modelling of the Joanne Myers Apartments. Conceptual modelling involves following a few steps in order to achieve the final conceptual model for the database. The first step is thoroughly studying the case study to get information on all the entities and their attributes and different relationships that exist between the entities. After identifying the entities, the next...

Read More arrow
Next
watch

Save Time & improve Grade

Just share Requriment and get customize Solution.

question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

1,359,015

Orders

4.9/5

Overall Rating

5,081

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1896 Order Completed

95% Response Time

Herman Berens

MSc in Psychology

London, United Kingdom

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 4/5

3076 Order Completed

99% Response Time

Emily Wei

Doctor of Philosophy (Ph.D) in Civil Engineering

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

134 Order Completed

95% Response Time

Thomas Nelson

MS in Information Systems Technology with Specialization in Database Administration

New Jersey, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

203 Order Completed

97% Response Time

Richard Alpert

PhD in Psychology

London, United Kingdom

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

perfect work from consultants and they have better knowledge to make assignments.

flag

User Id: 458046 - 09 Jul 2020

Australia

student rating student rating student rating student rating student rating

This is a well constructed essay, shows the expert actually did watch my video attachment and did a great job!!!

flag

User Id: 417511 - 09 Jul 2020

Australia

student rating student rating student rating student rating student rating

Thank you for being helpful. i appreciate your commitment. my professor is yet to grade the assignment

flag

User Id: 450271 - 09 Jul 2020

Australia

student rating student rating student rating student rating student rating

DID AWESOME WORK. NEVER BEEN MORE IMPRESSED WITH ALL THE HELP THE EXPERT GAVE ME AND MY ASSIGNMENT HELP. I WILL DEFINITELY BE COMING BACK FOR MORE IF NEEDED.

flag

User Id: 292731 - 09 Jul 2020

Australia

student rating student rating student rating student rating student rating
callback request mobile
Have any Query?