ورقة عمل التمريض السريري مع الإجابات

تُراقب كمية بول المريض. أي حد أدنى للإخراج في الساعة يُستخدم عادةً هدفًا لدى البالغين؟

1. Aنحو 0,05 mL لكل كيلوغرام في الساعة
2. Bنحو 5 mL لكل كيلوغرام في الساعة
3. Cنحو 0,5 mL لكل كيلوغرام من وزن الجسم في الساعة
4. Dأي كمية، ما دام المريض يتبول قليلًا يوميًا

Stress urinary incontinence is leakage of urine:

1. AOnly when feeling anxious or upset
2. BCaused by a blocked catheter
3. COnly during sleep
4. DWhen coughing, sneezing or lifting

Who is responsible for obtaining a patient's informed consent for surgery?

1. AThe clinician doing the procedure, or a suitably trained delegate
2. BThe theatre porter
3. CThe patient's closest relative or the person named as next of kin
4. DThe ward nurse who admits the patient on the day of surgery

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A15 × 10⁹/L
2. B150 × 10⁹/L
3. C5 × 10⁹/L
4. D0,5 × 10⁹/L

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AA rise in blood pressure and a new cough
2. BA rise in weight and more lung crackles
3. CFalling urine output, new ankle swelling and a rise in weight
4. DIncreased urine output, less breathlessness and a falling weight

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo exclude significant arterial disease, as compression could cut off blood flow
2. BTo work out the patient's fluid needs
3. CTo measure how deep the ulcer is and how much exudate it produces
4. DTo check for a urinary tract infection that could delay ulcer healing

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo remove potassium from the body; urine output must be stopped for a time
2. BTo protect the heart muscle directly; the patient must be kept nil by mouth
3. CTo treat hidden diabetes; HbA1c must be checked daily
4. DTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers make the patient sleep through the night
2. BBeta-blockers can mask warning signs such as tremor and a fast heart rate
3. CBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
4. DBeta-blockers stop the liver from responding to insulin