From OSCE Question papers

Question 1

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

1. Identify the diagnosis

Question 2

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

2. After identifying the diagnosis, motivate your answer. (2)

Question 3

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

3. Define the diagnosis you have given in question 1 (2)

Question 4

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

4. Describe the rationalised nursing management you will render to the man while under your care. (8)

Question 5

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

5. Outline 5 possible complications that he may expect if his condition is not successfully managed. (5)

Question 6

-An older man, 84 years old, was admitted to the ward in the morning. Complaints of difficulty breathing, slight cough with wheezing sounds. He noticed a decrease in his urine output despite taking adequate fluids on a daily basis. On examination, you noticed that his neck veins are distended, he has pittying oedema on his extremities, and his liver is enlarged on palpitaion. His parameters reads Bp: 149/98mmHg, Pulse 109bpm, Resp: 16bpm, SpO2: 78%

6. Explain two classifications of the condition. (4)