DHA Nursing Patient Assessment and Clinical Skills 2

Question 1

What is the DHA protocol for blood glucose monitoring in hospitalized patients?

Accepted Answer

Monitor before meals and at bedtime for diabetic patients, with additional checks for insulin drips or symptomatic patients

Answer

Only test fasting glucose on admission

Answer

Test only when symptoms appear

Answer

Once weekly for all patients

Question 2

How should a DHA nurse perform a pain assessment for a non-verbal patient?

Accepted Answer

Use behavioral pain assessment tools such as the FLACC scale or CPOT, observing facial expressions, body movements, and vital signs

Answer

Assume no pain if the patient is not crying

Answer

Only assess pain when family members are present

Answer

Ask the physician to assess pain

Question 3

What is the DHA standard for patient identification before medication administration?

Accepted Answer

Using at least two patient identifiers such as full name and medical record number, verified against the medication order and ID band

Answer

Asking the patient their name only

Answer

Checking the room number only

Answer

Verifying with the patient's family member

Question 4

What is the DHA nursing protocol for assessing a patient's fall risk?

Accepted Answer

Use a validated fall risk assessment tool on admission, after a fall, with any change in condition, and at regular intervals

Answer

Only assess patients over 65 years old

Answer

Only assess surgical patients

Answer

Fall risk assessment is optional

Question 5

How should a DHA nurse assess and document fluid balance?

Accepted Answer

Accurately measure and record all fluid intake and output including oral, IV, urine, drainage, and insensible losses

Answer

Estimate fluid intake visually

Answer

Only measure urine output

Answer

Documentation is only needed for ICU patients

Question 6

What is the DHA protocol for monitoring patients receiving blood transfusions?

Accepted Answer

Monitor vital signs at baseline, 15 minutes, 30 minutes, hourly during transfusion, and post-transfusion, watching for transfusion reactions

Answer

Check vital signs only before starting

Answer

Only monitor the drip rate

Answer

No monitoring is required for blood transfusions