Aim of assessment

The purpose of this short answer test in-class assessment is to enable the student to demonstrate:

• An understanding of the principles of perioperative nursing care in relation to a person who has Crohn's disease (Learning outcome 1).

• An understanding of alterations in body fluid homeostasis and the management of fluid balance in the perioperative period (Learning outcome 1).

• An understanding of the role of the nurse in the perioperative period in relation to a person who has Crohn's disease (Learning outcome 2).

• An understanding of the pathophysiology of Crohn's disease (Learning outcome 5). • An understanding of pharmacological agents that may be used in the perioperative care of a person who has Crohn's disease (Learning outcome 6).

• An understanding of how safe and effective administration of pharmacological agents support people in perioperative care (Learning outcome 1, 6 & 7).

• An evaluation of relevant literature to support an understanding of the pathophysiology, pharmacological and nursing management of a person experiencing Crohn's disease and is able to express this in a clear and succinct writing style (Learning outcome 9).

Question 1. 10 marks (250 words)

Explain the pathogenesis of Crohn's disease that has led to the development of Lucy's obstruction of the proximal ascending colon.

(Learning outcome 5; NMBA competency standards 2.6, 3.1, 4.2)

Question 2. 10 marks (250 words)

Explain the pathophysiological processes that lead to Lucy's conscious perception of pain in her lower right abdominal quadrant.

(Learning outcomes 1, 5; NMBA competency standards 2.6, 4.2, 3.1) Question 3. 5 marks (165 words)

Describe the characteristics of the intravenous fluid that was ordered for Lucy, and the specific rationale, related to the details of the case study, for the administration of this intravenous fluid to Lucy.

(Learning outcome 1, 2; NMBA competency standards 2.6, 3.1, 4.2, 5.2, 5.3) Question 4. 5 marks (165 words)

Describe the mechanism of action of fentanyl in relation to its administration to Lucy. (Learning outcome 6; NMBA competency standards 1.1, 2.6, 3.1, 4.2)

Question 5. 5 marks (165 words) Prioritise the nursing responsibilities and associated rationales related to the administration of fentanyl to Lucy.

(Learning outcome 7; NMBA competency standards 1.1, 1.2, 1.3, 2.2, 2.5, 2.6, 5.2, 5.3, 6.1, 7.4)