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Exam (elaborations)

NUR242 Questions and Correct Answers | Latest Update

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  • NUR 242
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  • NUR 242

What is the MET call criteria for children? → ~:- -Resp rate 5 or below → -Heart rate 50 or below → -Blood pressure 55 or below → -Unresponsive → -Airway threatened → -Apnea → -Seizure → -Bleeding → -You are worried about the patient What are normal vital signs for ...

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  • September 23, 2024
  • 41
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 242
  • NUR 242
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MASTER01
1 | P a g e | © copyright 2024/2025 | Grade A+




NUR242 Questions and Correct
Answers | Latest Update
What is the MET call criteria for children?


→ ~:- -Resp rate 5 or below

→ -Heart rate 50 or below

→ -Blood pressure 55 or below

→ -Unresponsive

→ -Airway threatened

→ -Apnea

→ -Seizure

→ -Bleeding

→ -You are worried about the patient




What are normal vital signs for children?


→ ~:- Resps: 15-30

02: 93% and above


Temp: 35.5-37.5


Heart Rate: 80-130




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


What should you do if you patients ADDS score between 1-3?


→ ~:- -Inform shift coordinator

-Increase obs to 4 hourly


-Manage, fever, pain distress


-Review 02 needs




What should you do if you patients ADDS score between 4-5?


→ ~:- -Request review

-RMO in 30 mins


-Obs increase to hourly


-Patient must have escort if they have to leave the ward




What should you do if you patients ADDS score between 6-7?


→ ~:- -Registrar must review in 30 mins

-Shift coordinator must review


-Half hourly observations


-Escort required




What should you do if you patients ADDS score of 8


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ~:- -MET call

-Continuous monitoring




It is recommended that patients fast for 6 hours from food and 2 hours from

clear fluids. List 5 possible side effects of prolonged fasting?


→ ~:- confusion, irritability, dehydration, headaches, hypoglycaemia,

electrolyte imbalance, nausea and vomiting




Venous thromboembolism (VTE) is a major risk factor for patients undergoing

surgical procedures. Explain why


→ ~:- DVT is common after an operation because patients will usually stay

in bed for long periods of time while they recover. When they stop

moving, blood flows more slowly in the deep veins, which can lead to

a clot.




List 6 contraindications to the application of anti-embolic stockings.


→ ~:- -Suspected or proven peripheral arterial disease, including history of

peripheral arterial bypass grafting

-Severe peripheral neuropathy or other cause of sensory impairment


-Allergy to stocking material


-Massive leg edema or pulmonary edema from congestive cardiac failure


Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


-Local skin or soft-tissue condition, including recent skin graft, fragile "tissue

paper" skin, gangrene, oozing dermatitis and severe cellulitis


-Extreme deformity of the leg, or unusual leg shape or size preventing correct

fit




When should jewellery be removed prior to a procedure and what are the

nursing actions to take?


→ ~:- Jewellery must be removed if it is likely to cause:




A risk of alternate site burns when using electrosurgery


Difficulty with intubation or a possibility of inhalation. Oral tissue piercing can

cause trauma to tongue and difficult airway management due to bleeding

and tongue oedema 3 [Level IV]


Interference to the operative site e.g. remove jewellery from operative limb


A pressure injury when positioning the patient


A risk of jewellery getting caught in surgical drapes, being pulled from skin or

mislaid Obstruction when inserting a urinary catheter




Prior to any procedure the Nurse must perform a urinalysis on all patients who

have not had one completed within 24 hours of admission. Why?



Master01 | September, 2024/2025 | Latest update

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