HLTEN505A - vetres

HLT07 Health
Training Package
HLTEN505A
Contribute to the
complex nursing care of
clients
Learner resource
Version 2
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Training and Education Support
Industry Skills Unit
Meadowbank

HLTEN505A Contribute to the complex nursing care of clients
Acknowledgments
The TAFE NSW Training and Education Support Industry Skills Unit, Meadowbank
would like to acknowledge the support and assistance of the following people in the
production of this learner resource guide:
Writers:
Rhonda Albani Kathryn Austin Dorothy Barnes Kylie Brennan
Sherryl Dismorr Elaine Foss Beth Rutherford Sue Spozetta
TAFE NSW
Reviewers/Editor:
Liz Bougaardt
Amanda Culver
Wendy Howe
TAFE NSW
Project Manager:
Amanda Culver
Project Coordinator
Training and Education Support, Industry Skills Unit, Meadowbank
TAFE NSW
Acknowledgements are also given to all TAFE NSW teachers of the Enrolled Nurse
Education Program.
Enquiries
Enquiries about this and other publications can be made to:
Training and Education Support Industry Skills Unit, Meadowbank
Meadowbank TAFE
Level 3, Building J,
See Street,
MEADOWBANK NSW 2114
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Tel: 02-9942 3200 Fax: 02-9942 3257
© The State of New South Wales, Department of Education and
Training, TAFE NSW, Training and Education Support Industry Skills
Unit, Meadowbank, 2010.
Copyright of this material is reserved to TAFE NSW Training and Education
Support Industry Skills Unit, Meadowbank. Reproduction or transmittal in
whole or in part, other than for the purposes of private study or research, and
subject to the provisions of the Copyright Act, is prohibited without the written
authority of, TAFE NSW. Training and Education Support Industry Skills Unit,
Meadowbank.
ISBN 978-1-74236-163-5
Developed by Training & Education Support Industry Skills Unit, Meadowbank
© TAFE NSW 2010

HLTEN505A Contribute to the complex nursing care of clients
Table of contents
Introduction ....................................................................................... 7
1. General introduction ............................................................................. 7
2. Using this learner guide ........................................................................ 8
3. Prior knowledge and experience ............................................................10
4. Unit of competence overview ................................................................10
5. Assessment ........................................................................................15
Section 1
Introduction and essential knowledge required to
contribute to the complex nursing care of clients ......... 17
Section 2 Circulatory, blood and lymphatic systems ..................... 19
Section 3 Gastrointestinal system ................................................ 65
Section 4 Respiratory system ..................................................... 103
Section 5 Endocrine systems ...................................................... 133
Section 6 Urinary system ........................................................... 153
Section 7 Reproductive systems ................................................. 171
Section 8 The nervous system .................................................... 187
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Section 9 Special senses ............................................................ 223
Section 10 Musculoskeletal system .............................................. 241
Section 11 Integumentary system ............................................... 271
Reference List................................................................................. 289
Resource Evaluation Form .............................................................. 291
Developed by Training & Education Support Industry Skills Unit, Meadowbank
© TAFE NSW 2010

HLTEN505A Contribute to the complex nursing care of clients
Section 1 Introduction and essential
knowledge required to contribute to the
complex nursing care of clients
The following list outlines the essential knowledge required of an enrolled nurse to
contribute to the complex nursing care of clients.
Organisational policies and procedures including workplace health and safety
legislation
Review microbiology and infection control
Review activities of daily living
Ethical guidelines including confidentiality and duty of care
Referral options and resources available in community and health care setting
Review communication skills, interviewing, mediation, negotiation, conflict
resolution, non-judgemental attitude
Learners are to familiarise themselves with these topics before commencing this unit.
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HLTEN505A Contribute to the complex nursing care of clients
Section 2
systems
Circulatory, blood and lymphatic
2.1 System review/terminology/diagnostic tests
Review anatomy and physiology notes and text related to circulatory, blood and
lymphatic systems.
Activity 1
Using related text or the internet, revise your knowledge of the anatomy and
physiology of the blood and lymphatic system. Match the following words with the
statements below:
red bone marrow
leucocytes
six
carbon dioxide
erythrocytes
haemoglobin
fifty-five
oxygen
haemoglobin
pathogens
thrombocytes
plasma
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HLTEN505A Contribute to the complex nursing care of clients
Activity 1 (continued)
The liquid part of blood is known as
Red blood cells are called
White blood cells are called
Elements that play a part in blood clotting
include platelets, or
Oxygen is transported by a substance in
red blood cells. This substance is called
The appearance of pus at a body site
indicates that the leucocytes are actively
involved in destruction of
An important gas that is transported by the
blood from the lungs to all parts of the
body is
The gaseous waste product carried by the
blood to the lungs is
The iron-containing protein in red blood
cells is a compound called
The connective tissue present in bone that
is the site of formation of blood cells is
The average blood volume for an adult is
approximately….. litres of blood.
Plasma constitutes …..% of total blood
volume
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HLTEN505A Contribute to the complex nursing care of clients
Activity 2
Using related text or the internet, complete the following table of diagnostic tests
for cardiovascular investigations.
Option Definition Letter
A. Arteriogram Ambulatory electrocardiographic monitoring.
B. Cardiac
catheterisation
X-ray of an artery made after injection of a
radio-opaque dye. Invasive procedure which
includes arterial puncture.
C. Electrocardiogram Insertion of catheter into the heart to assess the
status of the heart.
D. Echocardiograph Thallium scans.
E. Doppler Studies Exercise tolerance test. ECG is recorded whilst
exercising.
F. Exercise stress test Recording of the heart‘s electrical action.
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G. Nuclear studies Ultrasound imaging used to assess the
movement of blood within the blood vessels. Non
invasive and often used at ward level.
H. Cardiac Doppler These markers are released into the blood in large
quantities from necrotic heart muscle after a
myocardial infarction. Measured to indicate cardiac
damage and approximate extent of damage
I. Cardiac enzymes Doppler ultrasonography is used to evaluate the
direction and pattern of blood flow within the heart
J. Holter monitoring Use of ultra high frequency sound waves directed
through the chest wall. Cardiac structures return
echoes which are traced and recorded.
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