DHA Nursing Practice & Standards Flashcards
6 cards from real DHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 DHA Nursing Practice & Standards flashcards as text
A patient's urine output is 20 mL/hour for two consecutive hours. This finding is classified as:
Answer: Oliguria
Oliguria is defined as urine output less than 30 mL/hour in adults, indicating inadequate renal perfusion.
Which assessment finding is MOST indicative of deep vein thrombosis (DVT)?
Answer: Unilateral calf pain, warmth, and swelling
DVT classically presents with unilateral calf pain, warmth, redness, and swelling due to thrombus formation in the deep venous system.
The Braden Scale is used in nursing practice to assess:
Answer: Pressure injury risk
The Braden Scale evaluates six subscales — sensory perception, moisture, activity, mobility, nutrition, and friction/shear — to predict pressure injury risk.
A nurse is verifying placement of a newly inserted nasogastric (NG) tube. Which method is considered MOST reliable?
Answer: pH testing of aspirate (≤5.5) confirmed by chest X-ray
Current evidence supports pH testing of gastric aspirate (≤5.5) combined with radiographic confirmation as the most reliable NG tube placement verification.
A bedridden patient develops non-blanching erythema over the sacrum. This finding MOST likely represents:
Answer: Stage 1 pressure injury
Non-blanching erythema over a bony prominence is the hallmark of a Stage 1 pressure injury, indicating compromised tissue perfusion.
A nurse notes swelling, pallor, and coolness at a peripheral IV insertion site during infusion. This MOST likely indicates:
Answer: Infiltration
Infiltration occurs when IV fluid or medication leaks into surrounding tissue, causing coolness, pallor, and swelling at the site.