Flashcards
OSCA and Ax prep quiz questions Stage 2
Cards in this deck (61)
- 1What is the acronym used for verbal handover?ISBAR
- 2Normal BP range?Systolic 100-140mmHg
Diastolic 60-90mmHg - 3Normal RR range?12-20/min
- 4Normal HR range?60-100bpm
- 5Normal temp range?36.1-37.4 degrees celcius
- 6Normal SpO2 range?95-100%
- 7Acceptable SpO2 range for most COPD patient's?88-92% but still score on QADDs unless Doctor has prescribed QADDs modifications
- 8What are the rights and checks of drug administration?Patient
Drug
Dose
Route
Time
Reason
Refuse
Response
Check expiry, allergies and documentation - 9What is the meaning of Stat?Immediately
- 10What is the meaning of XR?Extended release
- 11What is the meaning of Neb?Nebuliser
- 12What is the meaning of QID?4 times a day
- 13What is the meaning of 6/24?every 6 hours
- 14What is the meaning of OD?Once daily
- 15What is the meaning of 1/24?every 1 hour
- 16What is the meaning of TDS?3 times a day
- 17What is the meaning of Q12h?12 hourly
- 18Subcutaneous injection: needle colour size angle siteorange
25g
27g (insulin needle)
45 or 90 degrees
subcutaneous tissue - abdomen, thigh (there are other areas but try these first) - 19Intramuscular injection: needle colour size angle siteblue or green
blue - 23g, green 21g
90 degrees
deltoid (up to 1.5mL) or vastus lateralis - 20Drawing up needle: needle colour size angle sitepink
18g
sharp to pierce vial
blunt for non-vial use - 21What is one thing we do for IMI that we do not do for subcut and why?Aspirate and swab
Fat is less vascular than muscle so even less chance of hitting blood vessel
Change of infection less likely (note - do not inject into visibly soiled area)
Aspirate and/or swab if the facility policy states to do so - 22How would you perform a pain assessment on an unconscious patient or a patient with dementia?Abbey pain scale
Wong-baker faces - 23Where would you find medications if they are not in the patient's draw?Medication room / pharmacy
- 242 signs and symptoms a patient might show if suffering from chest painChest pain - could be localised or radiating
Pain radiating down arm, to jaw, retrosternal
Heavy and/or sharp pain
Diaphoresis
Vomiting - 25What 2 things must you check before giving GTN?Pain assessment
Blood pressure (must be above 100mmHg)
Medication rights and checks - 262 signs and symptoms of a patient experiencing acute respiratory distress and what medication you would administerIncreased work of breathing
Increased respiratory rate
Decreased SpO2
Nasal flaring
Pallor
Cyanosis
Change to breathing sound eg. wheezing, stridor, crackles
Medication - salbutamol and/or oxygen but check with RN and/or Doctor FIRST - 275 nursing actions if a patient has a reaction (rash) to an IV antibioticStop the infusion
Staff assist or if safe to leave, get RN
Primary survey (DRSABCDE) - this includes assessing the rash, you could also mark the rash with a surgical marker
Secondary survey (includes vitals) - 282 indicators that make it appropriate for a MET call / code?Non-responsive
Threatened airway
Respiratory rate < 8 / min
Seizure > 2 min
Chest pain patient with systolic BP <100mmHg and/or still with chest pain after 3 rounds GTN - 29Identify 2 signs and symptoms of fluid overload and what medication you would administerIncreased work of breathing
Increased respiratory rate
Decreased SpO2
Pallor
Cyanosis
Change to breathing sound eg. crackles (audible or with stethoscope)
Medication - frusemide and/or oxygen but check with RN and/or Doctor FIRST - 30List 3 things you would check when observing an IVC sitePain
Redness/erythema
Swelling
Palpable venous cord
Pyrexia
Infiltration
Extravasation
Dressing intact - 31Your patient's IV pump alarms saying occlusion downstream. What is the possible cause?Anything that has occluded the IV line -
Kink in the line
Clamp on
Patient bending (kinking site) - 32Normal BGL range?4-8mmol/L
- 333 components of neurological assessment?GCS
Motor strength
PUPIL response
Fontanelles (but only in infants / children up to approximately 18 months) - 343 components of neurovascular assessment?Pain
Colour
Warmth
Movement
Sensation
Pulse - 35What would you do if BGL 3.5mmol/LStaff assist > notify RN and Doctor
Follow hypoglycaemia algorhythm (back of BGL monitoring and subcutaneous insulin documentation)
Hypo kit / IM glucose or IV glucose but order per RN / Doctor FIRST - 362 signs and symptoms of a narcotised patient?Drowsiness
Confusion
Decreased level of consciousness
Decreased respiratory rate
Respiratory arrest - 37What drug will be administered for opioid overdose (narcotised patient)?Naloxone
- 38Define CVA.
- 39Define CAD.
- 40Define angina.
- 41Define angioplaty.
- 42Define bowel resection.
- 43Define COPD.
- 44Define epilepsy.
- 45Define hemiplegia.
- 46Define dysphagia.
- 47Define hypercholesterolemia.
- 48Define HTN.
- 49Define type 2 diabetes mellitus (T2DM).
- 50Define glaucoma.
- 51Define fluid overload.
- 52Define abbreviation N/SNormal saline
Unacceptable abbreviation - should be 0.9% sodium chloride - 53Define abbreviation: IVC PIVCIntravenous cannula
Peripheral intravenous cannula
^ (same thing) - 54Define abbreviation BGL'sBlood glucose level/s
- 55Define abbreviation HRHear rate
- 56Define abbreviation #NOFFractured neck of femur
- 57Define abbreviation NPNasal prongs
- 58Define abbreviation SOBShortness of breath
- 59Define abbreviation HTNHypertension
- 60Define abbreviation CADCoronary artery disease
- 61Define abbreviation PCAPatient-controlled analgesia
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- Stage 2 Flashcards on OSCA and Ax prep quiz questions Stage 2, created by Tafe Teachers SB on 26/05/2021.
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