SDLP Ange

Question 1

What are some of the reasons we give 02 to our patients?

Answer 1

Asthma, Respiratory distress, Fever, Anxiety, Decreased O2 levels & Post anaesthesia

Question 2

What are some of the patient safety considerations when administering 02 therapy?

Answer 2

Oxygen in use sign
Not use for long – 24 hours
Hudson mask  64 mins

Question 3

Does O2 therapy have to be prescribed?

Answer 3

Yes after 30 mins there should be a doctors prescription

Question 4

What are the different modalities that O2 therapy can be given and what are the reasons for this?

Answer 4

?

Question 5

What is the % of 02 in room air?

Answer 5

21%

Question 6

What is the % of 6L of 02 therapy and which device would you administer this with?

Answer 6

40 -44 % - Hudson mask

Question 7

When are the anti-embolic stockings applied?

Answer 7

Before surgery pre-op phase

Question 8

When is the consent form signed?

Answer 8

Prior to surgery

Question 9

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Colonoscopy:

Answer 9

It is an endoscopic examenation of the colon

Question 10

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Total Hip Replacement:

Answer 10

Surgical procedure on hip joint by degenrative disease

Question 11

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Appendicectomy:

Answer 11

surgical removal of the appendix.

Question 12

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Gastrectomy:

Answer 12

A gastrectomy is a partial or full surgical removal of the stomach.

Question 13

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Arthroscopy:

Answer 13

surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision.

Question 14

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Mastectomy:

Answer 14

surgical removal of one or both breasts, partially or completely.

Question 15

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Rhinoplasty:

Answer 15

plastic surgery procedure for reconstructing the form, restoring the functions, and aesthetically enhancing the nose.

Question 16

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Salpingectomy:

Answer 16

surgical removal of a Fallopian tube. It is often related to tubal pregnancies and is a procedure that is preferred over its ovarian tube-sparing counterparts due to the high rate of recurrence in said ectopic pregnancies.

Question 17

Define the following surgical procedures, and Identify specific pre-operative preparation for each.

Laparotomy:

Answer 17

surgical procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity. It is also known as celiotomy.

Question 18

What is the purpose of giving a pre-med?

Answer 18

Maintain the comfort of pt & prepare pt for op & sedation

less anesthetic required

Question 19

An 84 year old woman had an internal fixation for her fractured hip. She complains that her elastic stockings feel tight and hot and asks you to remove them. How would you respond to this request? What is the rationale for your action?

Answer 19

Assess the limb

Educate the patient

Question 20

With regard to skin traction, explain why the traction force (i) is applied over a wide area and (ii) applied distal to the fracture.

Answer 20

?

Question 21

The acronym RICE is used in nursing. Explain what this means and who would be the likely candidates to receive it.

Answer 21

Rest, Ice, Compression & Elevate

Likely patients are those with strains and sprains

Question 22

Falls and the consequences in the elderly population are becoming increasingly common. What interventions would you put in place to minimise the risk for an elderly patient in hospital?

Answer 22

Assessment with ambulation 
Ensure appropriate foot wear 
Keep all bells within reach as well as walking aids 
Hip protection 
Falls risk assessment  
bed alarms
call bell reminders

Question 23

Explain why bladder and bowel function and care is different for patients with spinal cord injury compared to the population at large.

Answer 23

no communication through spinal cord for voluntary muscles or sphincters to open.
If injury above T12 Bowel reflex will expel faeces automatically if bowel not voluntarily emptied.
If injury below T12 possible flaccid bowel

Question 24

What is the routine bladder and bowel care of patients with spinal cord injury?

Answer 24

intermittent catherter use

regular trips to toilet to bear down to remove faeces.

Question 25

Describe the nursing care of a person with a bowel obstruction.

Answer 25

Monitoring for signs & symptoms of deterioration. (Bowl sounds)
Admin of IV fluids & electrolytes
Pain & symptoms management
NA tube

Question 26

An ileus may occur post operatively. What is an ileus and how would you know if a patient has one?

Answer 26

Ileus is Obstruction of the small intestines

Anorexia, Bloating, Tender abdomen, early caesation fullness & Tinkling bowel sounds

Question 27

Following bowel surgery large amounts of fluid sequester in the bowel for a period of time. What are the nursing responsibilities in this situation and what would you be monitoring?

Answer 27

Monitoring signs & symptoms, hypolvolaemia, increased temperature& possible increase and distension
NG tube, Fluid balance monitoring
Admin IV fluids & electrolytes

Question 28

Which muscles are recruited for micturition and how do they work?

Answer 28

Pelvic floor muscles- activated via its micron reflex and within the sympathetic & parasympathetic nervous system which causes a co-ordinated cycle of events

Question 29

Describe the trajectory of deterioration if signs and symptoms of rising intracranial pressure are missed and there is a failure to act? What is the Monro-Kellie Hypothesis?

Answer 29

Decreased cerebral flow leading to tissue death
Cerebral oedema leading to increases in fluid in the intracellular or extracellular space due to increased brain tissue volume. As volume or pressure increases the brain ability

Question 30

Acute pancreatitis is particularly painful. What is happening to induce such pain? What interventions would you be implementing to diminish symptoms? Which medications would be used and how would they be administered? What advice can you give to patients being discharged from hospital?

Answer 30

• Acute pancreatic is caused by self’s digestion of the pancreas by its own proteolysis enzymes
• Pain management – pain relief may require opioids e.g. Morphine, fentanyl
• Intensive care
• Respiratory care
• Patient is educated to avoid high fat food, heavy meals and alcohol

Question 31

What are the main immune system disorders?

Answer 31

autoimmunity- the body attacks its own tissues & cells causing their death
Hypersensitivity- body produces inappropriate or exaggerated responses to specific antigens

Question 32

What is the difference betweem anapylaxis and an anaphylactoid reaction?

Answer 32

Anaphylaxis occurs after a patient has been previously exposed once to the antigen and is synthesized
Anaphylactic reaction occurs following a single first time exposure to certain agents in non-sensitized patient

Question 33

How long does adrenaline last for in a patient once an epipen has been administered?

Answer 33

20-25 minutes

Question 34

What are some of the reasons for an intermittent urinary catheter being inserted & used in patient care?

Answer 34

Enable bladder function tests to be performed
To measure urinary output accurately
spinal injury

Question 35

What are the main causes of mortality and morbidity among Australian adults?

Answer 35

Obesity, Smoking & Hypertension

Question 36

What are some of the legal issues you have heard of regarding documentation in nursing?

Answer 36

Any documentation is legal documents and can be used in court
Care not recorded is not given and can be used against you