Local Policies
A cold chain breach occurs when the temperature deviates outside of the recommended ranges.
What is 2 and 8?
A child with suspected dehydration has dry mucous membranes, decreased urine output, tachycardia, and delayed capillary refill. This type of fluid is commonly used for initial treatment of significant hypovolaemia.
What is NaCl 0.9%?
This organ is responsible for pumping blood throughout the body and is located in the thoracic cavity between the lungs.
What is the heart?
This is the first-line medication used to treat postpartum hemorrhage caused by uterine atony.
What is Oxytocin?
A patient with symptomatic bradycardia remains hypotensive and confused despite initial pharmacological management. The pacing rate is set, but the monitor shows pacing spikes without a corresponding QRS complex. This indicates that the pacemaker has failed to achieve this.
What is electrical capture?
A patient with diabetes presents to the emergency department with nausea, vomiting, abdominal pain, and rapid breathing. Blood tests show a venous pH of 7.25, bicarbonate of 12 mmol/L, capillary ketones of 2.8 mmol/L, and blood glucose of 18 mmol/L. Based on these findings, the nurse should recognise this life-threatening metabolic emergency. What is it?
What is DKA?
A young child suddenly develops a barking cough, hoarse voice, and inspiratory stridor that worsens at night. This condition is commonly suspected.
What is croup?
During airway management, this structure prevents food and fluids from entering the trachea during swallowing.
What is the epiglottis?
In a pregnant patient experiencing seizures and severe hypertension, this medication is administered to prevent and control eclamptic seizures.
What is Magnesium Sulphate?
A patient with an unstable narrow-complex tachycardia and a pulse is hypotensive and confused. Before delivering the electrical shock, the nurse ensures the defibrillator is set to this mode so the shock is delivered in synchrony with the patient's cardiac cycle.
What is synchronised mode?
A patient is receiving continuous bladder irrigation. The nurse notices that the irrigation input is greater than the urinary output, and the patient is developing suprapubic discomfort and abdominal distension. What is the nurse's priority action?
What is stop the irrigation?
A child suddenly develops facial swelling, difficulty breathing, and hypotension after exposure to an allergen. This medication must be administered immediately.
What is adrenalin?
A patient presents with right lower abdominal pain and tenderness at McBurney's point. This anatomical structure is most likely involved.
What is the appendix?
A pregnant woman presents with painless, bright-red vaginal bleeding in the third trimester. This condition should be suspected.
What is placenta previa?
During cardiac arrest, the monitor displays pulseless ventricular tachycardia. After a shock is delivered, the rhythm remains shockable. While preparing for the next defibrillation, the team should immediately resume this intervention rather than pausing to repeatedly analyse the rhythm.
What is chest compressions?
A patient has a underwater seal drainage (UWSD) system following chest trauma. The nurse observes intermittent bubbling in the water-seal chamber that occurs when the patient coughs or exhales. This bubbling reflects what physiological change?
What is a change in intrathoracic pressure?
A child develops a prolonged generalised seizure lasting more than five minutes. This medication class is commonly used as first-line emergency treatment to terminate the seizure.
What is benzodiazepine?
Following a head injury, a patient develops unequal pupils. The cranial nerve responsible for controlling pupil constriction and most extraocular movements may be affected.
What is the cranial nerve III?
After delivery, a woman has heavy vaginal bleeding, a boggy uterus, and signs of hypovolemic shock. The nurse's priority intervention is to perform this action while preparing for further treatment.
What is fundal/uterine massage?
A patient with acute cardiogenic pulmonary oedema is conscious but severely dyspnoeic. BiPAP is commenced. The nurse understands that increasing this pressure primarily improves alveolar recruitment and oxygenation, while the higher inspiratory pressure assists ventilation and reduces the work of breathing.
What is PEEP and Pressure support?
A patient with severe hyperkalaemia develops muscle weakness and ECG changes, including widening of the QRS complex. The nurse prepares emergency treatment knowing that some therapies only temporarily shift potassium into the cells rather than removing it from the body. Which treatment has the fastest onset and is commonly administered with glucose to rapidly lower serum potassium?
A previously well infant becomes pale, lethargic, and difficult to rouse, with intermittent episodes of severe crying and drawing the legs toward the abdomen. The nurse should recognise this potentially life-threatening abdominal emergency.
What is intussusception?
A trauma patient has hypotension, distended neck veins, and muffled heart sounds. Blood accumulating in this anatomical space can cause cardiac tamponade.
What is the pericardial sac?
During labor, the fetal heart rate suddenly drops and the umbilical cord is visible at the vaginal opening. This obstetric emergency is called this.
What is umbilical cord prolapse?
A patient with severe mid-face trauma has profuse oral bleeding, facial swelling, and an altered level of consciousness. Oxygen saturation is falling despite basic airway manoeuvres. Because facial trauma can rapidly make conventional airway management difficult, the nurse should prioritise this intervention before the airway becomes completely obstructed.
What is early intubation?