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HLTAAP003 Analyse and Respond to Cerebrovascular Accident

Questions:

Yun Ding is 79-year-old man who was admitted to the emergency department with new onset left-sided facial drop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache.  These symptoms have been present for the last hour.  
A history revealed that Yun has had previous transient ischaemic attacks (TIAs) x 2 in the past year.  He has hypertension and is overweight with a poor diet (high in salt) and lack of physical exercise.
A CT scan has revealed a right-sided thrombotic cerebrovascular accident (CVA).  Treatment is commenced with tissue plasminogen activator (tPA).
Yun lives at home with his wife who is in good health.  He is left-handed.  He has a supportive family.
Performance Evidence:
HLTAAP002 – obtained correctly interpreted and used anatomical and physiological client information to check the physical health status of at least 3 different people presenting with different conditions 
HLTAAP003– There must be evidence that the candidate has: analysed the health information and planned services for least 6 different clients presenting conditions
Question 1
Knowledge Evidence: HLTAAP002 – process of metabolism, nutrition, body temperature regulation, biological maturation, inheritance and ageing
HLTAAP003 – effects of biological maturation and aging process on body systems and their components and in relation to specific health procedures provided
Question 2
Knowledge Evidence: HLTAAP002 – structure and function of human body systems and their interactions: cells, tissues and organs, major types of cell adaptation
HLTAAP003 – pathophysiology of disease associated with each body system and the impact of disease on each body system and their related structures, especially in relation to potential impact of specific health procedures provided, variations and abnormal findings of the structure and function of human body systems and their interactions: cells, tissues and organs,  structure and function of cells, including: cells/tissue requirements for survival, major types of cellular adaptation
Question 3
Knowledge Evidence: HLTAAP003 – anatomical and medical terminology when referring to the human body
Question 4
Element HLTAAP003 2. Assess client health status.  Performance criteria: 1.3
Knowledge Evidence: HLTAAP003 – recognition of the signs and symptoms of common clinical conditions and the (provisional) diagnosis of same, 
HLTAAP002 – common disorders, problems and complaints and their signs and symptoms, associated with each body system and its components relevant to the area of work
Question 5
Element: HLTAAP002 3.  Identify variations from normal physical health status.  Performance criteria 3.1, 3.4
5.    When assessing a person that you suspect has a potential cerebrovascular accident (CVA) you can use the FAST assessment tool.  
a.What does the FAST tool assess? 
b.If you suspect a person is having a CVA, what are some of the nursing actions you will undertake?  Include in your answer how you will use the FAST assessment tool.
Question 6
Element: HLTAAP002.  Obtain information about physical health status.  Performance criteria 1.3
6.    Yun has been diagnosed with a R) thrombotic CVA.
Identify at least two (2) actual or potential CVA-related problems that may impact on Yun`s Activities of Daily Living (ADL’s) 
Question 7
Element: HLTAAP003 1.  Assess client health status.  Performance criteria 1.1
Element: HLTAAP002 2.  Plan action to address identified health status. Performance criteria 2.3
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