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When positioning the pads it is important to: Circle the correct response/s

01 / 10 / 2021 coursework 2

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16. In what three circumstances can the SAED gel pads be placed on the patient?
1.
2.
3.
17. When positioning the pads it is important to:
Circle the correct response/s
a) Ensure pads are not placed over the sternum
b) Pads are placed in the anterior lateral position
c) That pads are applied using a rolling motion to avoid air trapping between skin and pads
d) wipe away any moisture, creams or ointments from the chest
e) do not place over ECG dots
f) Do not place over a pacemaker
g) do not place pads on if they are touching/overlapping
h) all of the above
18. Should oxygen be removed away from the patient and the electrodes prior to pushing the shock button?
YES NO
19. How can potential or possible causes of chest and other body burns be minimized/eliminated when using the life Pak 12/20?
Circle the correct response/s
a) pads must be applied in a rolling motion
b) chest wall must be clean, bare and dry
c) ensure that the patient is not touching any metal
d) Ensures air is not trapped under the electrodes
e) clip chest hair if the patient is hairy
f) Pads should not be touching or overlapping
g) All of the above
20. What is the ventilation to compression ratio for the following situations?
(Circle the correct response)
Single person CPR
a) 1 – 5
b) 1 – 10
c) 2 – 15
d) 2 – 30
Dual person CPR
a) 1 – 5
b) 1 – 10
c) 2 – 15
d) 2 – 30
21. What is the recommended depth of compressions for all ages?
(Please circle the correct response)

a) 5cm
b) 10cm
c) one third of the chest cavity to a max. of 4-5 cm in an adult
d) 2/3 of the chest cavity to a max. of 4-5 cm in an adult
22. How long should the first round of CPR continue before ROSC is checked?
(Please circle the correct response)

a) 1 minute
b) 2 minutes
c) 3 minutes
d) 30 seconds

23. What types of ventilation devices can be used in a code blue event?
(Please circle the 2 correct responses)
a) Pocket Face Mask
b) Air viva
c) Oxygen mask
d) Mouth to mouth resuscitation
24. List the common causes of unconsciousness under the following headings:
Blood Oxygenation Problems
Metabolic Problems
Blood Circulation Problems
Central Nervous problems
25. A MET call is used to identify a potentially deteriorating patient. Outline the changes to the patient’s condition that may indicate that they are deteriorating and that you need to call a MET call.

26. From the list below, place the appropriate roles that each of the emergency response team may be involved in during an emergency situation.
A. Basic Airway Management
B. Attach defibrillator Pads
C. Basic Life Support – CPR
D. Prepare 1st line – Advanced Life Support (ALS) Medications
E. Administer ALS medications
F. Defibrillate the patient
G. Scribing
H. Scout – gather or find equipment
I. Advanced airway management
Medical Officer
Anaesthetist
Senior RN (ALS)
Ward RN / EN
27. List the emergency equipment that must be checked on the resuscitation trolley
28. List the emergency equipment that must be checked at the bedside.

Musculoskeletal
1. Which of the following are common forms of traction?
Circle the correct response:
1. Simple Buck’s Traction
2. Manual Traction
3. Plaster of Paris
4. Hamilton Russell Traction
5. Skeletal Traction
6. All of the above
2. What are the indications for traction?
3. What equipment is necessary to apply non-adhesive skin traction?
4. How can counter traction be accomplished in the clinical setting?
Please circle the appropriate response:
? Trendelenberg tilt the foot of the bed upwards
? Raise the head of the bed only
? Raise the foot of the bed only
? Keep the bed flat
5. When applying non-adhesive skin traction should the bandage be applied above the knee?
YES NO

6. If the bandage supplied with the traction kit is soiled can a crepe bandage be substituted?
YES NO
7. When applying the traction apparatus should the footboard be placed very close or against the patient’s foot?
YES NO
8. You are caring for a patient with a fracture shaft of femur who is in 6 pounds of non-adhesive skin traction. Describe the necessary nursing observations under the following headings:
? Patient observations and assessment
? Skin integrity

9. When skin traction is applied the management of the apparatus is essential to maintain even, balanced traction. Answer the following by choosing the correct response/s:
a. Which of the following aspects should apply to the ropes connecting the traction to the weight bag?
? No weight applied directly onto the ropes
? Ropes free from knots and twists
? Frayed ropes should be discarded & changed
? All of the above
b. Which of the following aspects should apply to the weight bag?
? Weight bag should hang cleanly above the floor
?
? Water or sand can be used to fill the bag
?
? No more than 8 pounds should be applied
?
? If there is a hole in the bag it can be patched up with sleek
?
? All of the above
c. Which of the following aspects should apply to the pulleys?
? Pulley should run in a straight line from the leg to the bed
?
? Pulleys should allow the ropes to run freely
?
? All of the above
10. How frequently should skin traction be removed?
Circle the correct response:
? Once a day
?
? Once per shift
?
? Should remain intact
?
? Every 2 days

11. When applying skin traction what position should the patient be in?

? On their side
?
? Supine
?
? Semi upright
?
? With counter traction applied
12. When applying the bandage to secure skin traction how should it be applied?
Circle the correct response:
? Circular application
?
? Figure of eight application
?
? Requires more than one bandage
?
? Spiral application
13. When attending to neurovascular observations, should they be performed on the affected limb only or should they be performed on both the affected and non-affected limbs? Why?
14. What are the complications associated with the application of traction?
15. Is a medical order required to apply skin traction and should the exact weight to be applied be documented by the Medical Officer?
YES NO

16. The common perineal nerve is close to the surface in certain areas of the lower leg. Which particular areas should be covered with soft padding or avoided when bandaging? Circle the appropriate response/s:
? Malleoli
?
? Head of the fibula – lateral aspect
?
? Patella
?
? All of the above
17. Should the footboard of the traction apparatus always be clear from the foot of the bed?
YES NO

Pre &Post Operative Management
Your patient Mr Smith has been admitted electively to undergo an Open Cholecystectomy for impacted gallstones. You are the nurse that is responsible for admitting the patient and preparing them for theatre.
1. List all the requirements that must be undertaken to ensure that this patient is fully prepared for theatre. There are sub headings to help you to ensure all areas have been completed.
Forms
Patient Preparation
Things to send to Theatre
2. Another one of your patients is returning from theatre after having a spinal anaesthetic. What is a spinal anaesthetic and what nursing observations must be undertaken on your patient who has undergone a spinal anaesthetic?
3. What are your responsibilities to prepare the patient environment for your patient returning from theatre?
4. Before bringing your patient back to the ward you must receive handover of your patient from the recovery nurse. What information must you ensure that you receive during this handover?

5. On return to ward (RTW) – your patient is complaining of pain. What post-operative comfort strategies could you consider to provide adequate pain management for your patient?
6. Your patient Mr. Smith has returned from theatre after having the open cholecystectomy under general anesthetic. He will return with the following:
• Drain tube
• Abdominal dressing
• IV therapy with Hartman’s running 6 hourly
• Oxygen therapy via Hudson mask at 6 lit/min
• IDC in-situ
• Post operative orders
– nil by mouth – maintain oxygen therapy for 24 hours – rest in bed until fully awake
Using the table below to help you, outline all the post operative care and management that you will undertake for this patient on their return to the ward post operatively.
Nursing Care and/or
Systems Type of Assessment/s
Devices to Assess Nursing Care &Management Frequency Rationale
Patient Observations
Skin / Integument
Fluid management
Input & Output
Pain Management
VTE
Pressure Area management
Main Safe Environment
Respiratory / Airway
Hygiene
Mobility
6. List 5 common post-operative complications that you could be expected for Mr Smith in the immediate postoperative period?
7. Define the following surgical terms
A. Local Anaesthetic
B. Spinal Anaesthetic
C. Caudal Block



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