NPU2303 VIVA questions with correct answers

NPU2303 VIVA questions with correct answers Q1 What is the rationale for obtaining an ECG from Mrs Firth? And name two other indications for obtaining an ECG (Standard 1 & 6) - Ans:-Rationale - Appears short of breath - Complained 8/10 central chest pain - Maintaining saturations of 88-92 - ^symptoms of conditions affecting the heart, ECG can diagnose Indications - Any change in pathophysiology: o Dizziness o Heart palpitations Q2 What are the nursing considerations before and after recording an ECG, and what would you communicate to your patient? Demonstrate how you would document your actions (Standard 1, 6 & 7) - Ans:-Nursing Considerations before ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/10 - obtain informed consent from the patient - Clean, hair free skin - place the patient in a semi-recumbent position - are the electrodes in full contact with the patient's skin - And all are in the correct location, or the reading will be incorrect - patient privacy and keeping dignity Nursing considerations after - The chest should not be left exposed and can be covered back up with blankets or allow the patient to re-dress as necessary. - The ECG electrodes should be removed if the patient is not likely to require further or serial ECGs, but otherwise can be left in place for up to 24 hours before needing to be replaced - record a set of obs to go along with the ECG and read the ECG to look if it is normal Q3 You have obtained the ECG. The patient is in sinus rhythm. What are the characteristics of a sinus rhythm ECG tracing? What actions would you take if your patients ECG was not in sinus rhythm? (Standard 2, 5, 6) - Ans:-- P Wave- depolarisation and contraction - QRS complex- depolarisation & contraction of ventricles ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/10 - T wave- repolarisation of ventricles - Rate should be 60-100 - Rhythm should be regular - QRS narrow - P waves present and normal (upright in leads I and II, inverted in aVR) Every P wave should be followed by a QRS Q4 Can you please identify the ECG electrodes and where they are placed on the body when performing an ECG? (Standard 1 & 4) - Ans:- Q1 Why are you commencing Mrs Barbra Firth on IV therapy? Discuss the process of checking viability of the normal saline bag, and what is the rationale for maintaining an accurate FBC? (Standard 1 & 6) - Ans:-- To replace fluids and electrolytes and maintain fluid and electrolyte balance - Checking viability would be checking expiry dates, holding up towards to light to ensure no products in the bag and putting slight pressure on it to ensure no holes in bag= - A fluid balance chart monitors intakes and outputs of fluid, any deficits can be investigated and show hydration status of a patient ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/10 Q2 Using the patients' medication chart, and assuming the drop factor of the giving set is 20, calculate the drop rate for Barbra receiving IV therapy. Demonstrate how you would sign the medication chart? (Standard 1, 6 & 7) - Ans:-500mls of normal saline over three hours. 500 x 20 = 10000 = 55.5 approximately 56 drops per minute 3 x 60 180 Q3 Demonstrate on the mannequin how you would check patency of a canulated vein, and discuss what questions you could ask the patient, and what actions would you take if you noticed any abnormalities? (Standard 2, 5, 6) - Ans:-To check for patency, the nurse inserts a syringe filled with saline solution, which is a mixture of salt and water, into the cannula. She gently injects a small amount of the saline solution into the cannula, checking for appropriate flow. Q4 Your patient's surgery has now been delayed until tomorrow evening at 1800. What actions would you take after receiving this information? (Standard 1 & 4) - Ans:-Ens