During a health symposium the nurse teaches the group how to prevent food poisoning

Dr Nick Coatsworth, Executive Director of Medical Services, Canberra Health Services

Dr Nick Coatsworth is a graduate of the University of Western Australia (Bachelor of Medicine and Bachelor of Surgery with Honours) and the University of Sydney (Master of International Public Health). He is a physician at Canberra Health Services (CHS), specialising in thoracic and infectious diseases medicine.

Dr Coatsworth was one of Australia’s Deputy Chief Medical Officers in 2020 and continues to assist with Australia’s response to the COVID-19 pandemic as an Infectious Diseases Clinical Adviser in the Department of Health. Bringing together his skills as an infectious disease physician, a respiratory physician, a practitioner of disaster and humanitarian medicine, and high-level experience in health administration, Dr Coatsworth’s contribution has provided a voice for frontline hospital staff in the national response to the pandemic.

Closer to home, Dr Coatsworth was appointed to the Executive Director of Medical Services at CHS in October 2020, which is the professional lead role for CHS medical staff. Before that, he was the CHS Director of Infectious Disease. Dr Coatsworth has a keen interest in ensuring that the implementation of digital technology in healthcare enhances safety and quality for patients and staff alike.

Anthony Dombkins, Chief Nursing and Midwifery Officer, ACT Health

Anthony Dombkins until appointed the ACT Health Chief Nursing and Midwifery Officer in January 2021 was the Director Nursing and Midwifery, Northern Sydney Local Health District. Anthony Dombkins graduated as a Registered Nurse in 1987 and holds postgraduate clinical certificates in Renal and Transplantation Nursing and Intensive Care Nursing, as well as a Masters, Health Management (UNE).

Anthony Dombkins has held a variety of senior health management positions within the public and private health sectors across NSW. In June 2014, Anthony Dombkins was appointed an Adjunct Professor – Nursing with the University of Sydney and the Australian Catholic University. Anthony Dombkins was a member of the Clinical Excellence Commission Advisory Board and a Board Director for Stewart House.

Jennifer Azurin, Director of Physiotherapy, Calvary and Principal Trainer, Digital Health Record

Jennifer Azurin has worked in clinical, administrative, management and leadership roles for over 16 years across ACT Health. For the past 10 years, she has worked at Calvary Public Hospital Bruce as the Director of Physiotherapy. She was appointed to represent Calvary and Allied Health on the Tender Evaluation Team for the Digital Health Record program. Jennifer was subsequently seconded to a Principal Trainer position on the Digital Health Record team and looks forward to improving efficiencies to ease the daily challenges experienced by staff across our public health facilities.

Dean Hewson, Vice-President, Health Care Consumers’ Association

Dean Hewson is a health consumer and passionate advocate for designing more digitally enabled health systems with people at their heart. He is currently Vice President of the Healthcare  Consumers’ ACT (HCCA) Executive Committee and is a Consumer Representative on ACT Health’s Digital Patient Flow Program Board. He has previously worked as the Digital Health Adviser at the Consumers Health Forum of Australia and has professional experience across policy, design, management and communications.

399. A client has symptoms associated with salmonellosis. Relevant data to gather from this clientinclude a historyof:1. Any rectal cancer in the family2. All foods eaten in the past 24 hours3. Any recent extreme emotional stress4. An upper respiratory infection in the past 10 daysAns: 22. The salmonella organism thrives in warm, most environments; washing, cooking, and refrigeration offood limits the growth of or eliminates the organism400. A client is admitted to the hospital with the diagnosis of acute salmonellosis. The nurse expects thatthe client will receive:1. Opioids2. Antacids3. Electrolytes4. AntidiarrhealsAns: 3

3. Fluids of dextrose and normal saline and electrolytes are administered to prevent profounddehydration caused by an excessive loss of water and electrolytes through diarrheal output.401. During a health symposium a nurse teaches the group how to prevent food poisoning. The nurseevaluates that the teaching is understood when one of the participants states:1. "Meats and cream-based foods need to be refrigerated."2. "Once most food is cooked it does not need to be refrigerated."3. "Poultry should be stuffed and then refrigerated before cooking."4. "Cooked food should be cooled before being put into the refrigerator."Ans: 11. A cold environment limits growth of microorganisms.402. The nurse teaches the client with gastroesophageal reflux disease that after meals the client should:1. Drink 8 ounces of water2. Take a walk for 30 minutes3. Lie down for at least 20 minutes4. Rest in a sitting position for 1 hourAns: 44. Gravity facilitates digestion and prevents reflux of stomach contents into the esophagus403. The laboratory values of a client with cancer of the esophagus show a hemoglobin of 7 g/dL,hematocrit of25%, and RBC count of 2.5 million/mm3. The outcome that takes priority at this time is, "The client will:1. be free of in injury."2. remain pain free."3. demonstrate improved nutrition."4. maintain an effective airway clearance."Ans: 33. Based on the presented data, improving nutritional status is the priority at this time. The decreasedhemoglobin and hematocrit levels and RBC count may be a result of malnutrition; also cancer of theesophagus can cause dysphagia and anorexia.404. Immediately after esophageal surgery the priority nursing assessment concerns the client's:1. Incision2. Respirations3. Level of pain4. Nasogastric tubeAns: 2

2. Because of the trauma of surgery and theproximity of the esophagus to the trachea,respiratory assessments become the priority.405. A client with achalasia is to have bougienage to dilate the lower esophagus and cardiac sphincter.After the procedure the nurse assesses the client for esophageal perforation, which is indicated by:1. Tachycardia and abdominal pain2. Faintness and feelings of fullness3. Diaphoresis and cardiac palpitations4. Increased blood pressure and urinary outputAns: 11. An increased heart rate is related to an autonomic nervous system response; pain is related to thetrauma of the perforation and possibly gastric reflux.

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Tags

Wound infection, Orthopedic surgery, Bone fracture, Hip fracture

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