Answers | A+ Score Assured
What is the MET call criteria for children? - 🧠 ANSWER ✔✔-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? - 🧠 ANSWER ✔✔Resps: 15-30
02: 93% and above
Temp: 35.5-37.5
Heart Rate: 80-130
What should you do if you patients ADDS score between 1-3? - 🧠
ANSWER ✔✔-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? - 🧠
ANSWER ✔✔-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? - 🧠
ANSWER ✔✔-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 - 🧠 ANSWER ✔✔-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? - 🧠 ANSWER
✔✔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 - 🧠 ANSWER ✔✔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.
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3
, List 6 contraindications to the application of anti-embolic stockings. - 🧠
ANSWER ✔✔-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
-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? - 🧠 ANSWER ✔✔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]