DHA Nursing Critical Care and Emergency Nursing 2

Question 1

What is the DHA nursing role in the management of sepsis?

Accepted Answer

Early recognition using screening tools, obtaining blood cultures, ensuring IV antibiotics within 1 hour, fluid resuscitation, and lactate monitoring

Answer

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)?

Accepted Answer

Lung-protective ventilation strategy, prone positioning, strict fluid management, and continuous monitoring of oxygenation and compliance

Answer

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?

Accepted Answer

Regular pain assessment using appropriate tools, multimodal analgesia, sedation-analgesia protocols, and daily sedation interruption trials

Answer

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?

Accepted Answer

Interpret pH, PaCO2, PaO2, HCO3, base excess, and identify respiratory/metabolic acidosis/alkalosis

Answer

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?

Accepted Answer

Screen using validated tools (CAM-ICU), implement prevention bundles (ABCDEF), minimize sedation, and promote sleep-wake cycles

Answer

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.

DHA Nursing Practice Test

DHA Nursing Practice Test

DHA Nursing Critical Care and Emergency Nursing 2