REGIONAL EXAMINATION FOR NURSE REGISTRATION

CARICOM COUNTRIES
 ITEM l

Goal/Aim 0.5

Objectives 4 Objects 0.5 each = 2

Methodology 0.5

Resources 0.5

Target Group 0.5

CONTENT

Definition: Inflammation of the mucous lining of stomach and intestines. 1 point

Actiology/Causes . . i. Infection mainly caused by poor hygienic practices

ii. Poor environmental conditions

iii. Poor food preparation.

Clinical Manifestations
 Frequent diarrhoea and vomiting

 Anorexia, Nausea
 Poor skin turgor/dry and flacid skin
 Severe dehydration/weight loss,
 Sunken eyes.
 Other
Any 4, 0.5 point each = 2 points
Preventive Measures
 *Personal Hygiene/Handwashing/daily bath

 ''Proper disposal of soiled napkins Environmental

Hygiene
 *Proper garbage disposal e.g. burning, burial, cover bins,
protection from animals.
 *Boil drinking water

 Food preparation eg. breast feeding/cup and spoon

 Well-baby Clinic/monitor growth pattern, nutritional status.

 Other

* 2 points each, any other 2 =1 point each = 10 points OVERALL TOTAL = 20 points
ITEM 2

A. Psycho-Social
 Allay anxiety by verifying /clarity of patients understanding for surgery.
 Reassure family
 Allow patient to express concerns and anxiety
 Spiritual aspect support
 Allow last minute visit by family before entry to operating theatre.
 Allow someone with successful similar surgery to talk with patient, if desired.
 Accompany patient to operating theatre.
 Other
Any 6, 1 point each = 6 points

B. Safety and Security

 *Get consent form signed
 *Skin preparation
 *Bladder emptied (catheterized)
 Bowel preparation
 Removal of prosthesis]
 Removal of nail polish
 Nil orally
 Monitoring of vital signs
 X-Ray and other investigations and reports.
 Group and cross match blood
 *Administration of pre-medication using precautionary measures.
 *Ensure patient is in bed after premeditation
 Apply bed rails
 Patient education re: coughing and deep breathing.
 *Patient identification
 Keep current and accurate records.
 Other ….Hygienic needs
1 point each, any other 6, 1 point each = 12 points

C. Nutrition/Fluid/Electrolytes

 Parenteral fluid

 Start fluid balance monitoring

 Weight
 N.P.O. from midnight
 Other
1 point each = 4 points
 D. Rest, Comfort and Activity
 Personal hygiene
 Subdued light/quiet area
 Ensure comfortable bed
 Sedative if required
 Practice breathing exercises Any 4, 1 point each = 4 points
 Other
OVERALL TOTAL = 26 points
ITEM 3
A. I. Effects on the Adolescent
• Physical
 Loss of function of body parts
 Immobility/disability
 Disfigurement
 Pain and discomfort
 Loss of life
 Other Any 3, 2 points each = 6 points

• Psychological

 Alteration of body image

 Separation from family and friends

 Frustration/aggression

 Low self-esteem

 Interruption in education Any 3, 2 points each = 6 points

Other
A (ii) Effects on Society
 Reduction in productive activity
 Increased cost of health care delivery
 Demand on health care resources
 Increased insurance costs
 Increased demands on law enforcement/legal resources
 Increased number of disabled persons
 Increased morbidity and mortality statistics
 Reduction in family income
 Increased expenditure on national budget
 Other
Any 5, 2 points each =10 points
B. Recommendations
 Safety ,
 Education
 Legislation
 Research
 Government policies
 Other
Any 4, 2 points each = 8 points
OVERALL. TOTAL = 30 points