DHA Nursing Critical Care and Emergency Nursing 2 — Questions and Answers
Question 1: What is the DHA nursing role in the management of sepsis?
- Only administer antibiotics
- Early recognition using screening tools, obtaining blood cultures, ensuring IV antibiotics within 1 hour, fluid resuscitation, and lactate monitoring (Correct answer)
- Sepsis management is only a physician responsibility
- Only monitor temperature
Correct answer: Early recognition using screening tools, obtaining blood cultures, ensuring IV antibiotics within 1 hour, fluid resuscitation, and lactate monitoring
DHA nurses play a critical role in sepsis management: screening for sepsis using validated tools, obtaining blood cultures before antibiotics, ensuring antibiotic administration within 1 hour, initiating fluid resuscitation, and monitoring lactate levels.
Question 2: What is the DHA protocol for managing acute respiratory distress syndrome (ARDS)?
- Only provide high-flow oxygen
- Lung-protective ventilation strategy, prone positioning, strict fluid management, and continuous monitoring of oxygenation and compliance (Correct answer)
- ARDS is not managed in Dubai
- Only increase oxygen to 100%
Correct answer: Lung-protective ventilation strategy, prone positioning, strict fluid management, and continuous monitoring of oxygenation and compliance
DHA ARDS management includes lung-protective ventilation (low tidal volumes 6ml/kg), prone positioning for 16+ hours, conservative fluid management, continuous SpO2/ABG monitoring, and sedation management.
Question 3: What is the DHA requirement for pain management in critically ill patients?
- Pain management is not a priority in ICU
- Regular pain assessment using appropriate tools, multimodal analgesia, sedation-analgesia protocols, and daily sedation interruption trials (Correct answer)
- Only administer morphine on request
- Pain assessment is only done once daily
Correct answer: Regular pain assessment using appropriate tools, multimodal analgesia, sedation-analgesia protocols, and daily sedation interruption trials
DHA requires systematic pain assessment using appropriate tools (CPOT, BPS for ventilated patients), multimodal analgesia approaches, protocol-guided sedation, and daily sedation vacation trials for ventilated patients.
Question 4: What is the DHA blood gas interpretation competency required for ICU nurses?
- Not a nursing competency
- Interpret pH, PaCO2, PaO2, HCO3, base excess, and identify respiratory/metabolic acidosis/alkalosis (Correct answer)
- Only monitor oxygen levels
- Only physicians interpret blood gases
Correct answer: Interpret pH, PaCO2, PaO2, HCO3, base excess, and identify respiratory/metabolic acidosis/alkalosis
DHA requires ICU nurses to competently interpret arterial blood gas results including pH, PaCO2, PaO2, HCO3, and base excess to identify acid-base disturbances and oxygenation status for timely intervention.
Question 5: What is the DHA protocol for delirium assessment and management in ICU?
- Delirium is not assessed in ICU
- Screen using validated tools (CAM-ICU), implement prevention bundles (ABCDEF), minimize sedation, and promote sleep-wake cycles (Correct answer)
- Only physical restraints are used
- Delirium resolves without intervention
Correct answer: Screen using validated tools (CAM-ICU), implement prevention bundles (ABCDEF), minimize sedation, and promote sleep-wake cycles
DHA requires regular delirium screening using validated tools like CAM-ICU, implementation of the ABCDEF bundle (assessment, breathing trials, coordination, delirium monitoring, early mobility, family engagement), and non-pharmacological prevention.
Question 6: What is the DHA nursing responsibility for organ donation management?
- Nurses have no role in organ donation
- Identify potential donors, notify the organ donation coordinator, maintain physiological stability of the donor, and support the family (Correct answer)
- Only physicians manage organ donation
- Organ donation does not occur in UAE
Correct answer: Identify potential donors, notify the organ donation coordinator, maintain physiological stability of the donor, and support the family
DHA nurses play key roles in organ donation: identifying potential donors through clinical triggers, notifying coordinators, maintaining donor physiological stability (hemodynamics, oxygenation, temperature), and providing family support.
DHA Nursing Critical Care and Emergency Nursing 2
What is the DHA nursing role in the management of sepsis?