ورقة عمل التمريض السريري مع الإجابات

Cellulitis is:

1. AA blocked sweat gland
2. BA fungal infection of the skin between the toes only
3. CAn allergic rash caused by a reaction to soap or washing powder
4. DA bacterial infection of the deeper skin and the tissue beneath it

Glaucoma is an eye condition in which:

1. ARaised pressure in the eye damages the optic nerve
2. BThe eyelids turn inwards and the lashes rub the eye
3. CThe lens becomes cloudy and vision is blurred
4. DThe tear glands stop working

Which of these intravenous fluids is isotonic?

1. A0,9% sodium chloride
2. B8,4% sodium bicarbonate
3. C10% glucose
4. D3% sodium chloride

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AThe epidural pump uses the blood pressure to set the rate
2. BBlood pressure readings show whether the catheter is infected
3. CEpidurals always cause severe hypertension that needs regular treatment
4. DThe local anaesthetic can block sympathetic nerves and cause hypotension

Why can a very low serum albumin contribute to oedema?

1. AIt makes the kidneys retain potassium
2. BIt raises the blood pressure in the capillaries and pushes fluid out
3. CIt increases the number of red cells
4. DIt lowers the oncotic pressure that holds fluid in the blood vessels

How should a nurse communicate with a patient who has impaired hearing?

1. ASpeak very quickly to save time
2. BFace the patient, speak clearly and reduce background noise
3. CShout loudly from the end of the bed so they can hear
4. DTalk to the patient's relative instead of to the patient directly

A patient on metformin with reduced kidney function is due a CT scan with IV contrast. Why might metformin be withheld?

1. AMetformin causes severe bleeding during scans
2. BThere is a risk of lactic acidosis if kidney function worsens
3. CMetformin makes the images blurry
4. DMetformin reacts with the contrast to cause severe hyperglycaemia

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. ANecrotising fasciitis
2. BA superficial bruise
3. CSimple cellulitis that will settle with oral antibiotics
4. DAn allergic reaction to the dressing