ورقة عمل التمريض السريري مع الإجابات

A patient's care plan says "nil by mouth". What does this mean?

1. AThe patient may eat if they feel hungry
2. BOnly clear fluids such as water and black tea are allowed
3. CFood is allowed, but drinks must be stopped until the next day
4. DNo food or drink by mouth unless specific exceptions are prescribed

What are the two most common causes of peptic ulcers?

1. ASpicy food and emotional stress on their own
2. BLow fibre intake and lack of exercise
3. CViral infection of the stomach and dehydration
4. DHelicobacter pylori infection and NSAID use

أي علامة تشير إلى الجفاف لدى البالغ؟

1. Aفم رطب وبول فاتح ونبض طبيعي
2. Bتورم الكاحلين وخراخر في الرئتين وارتفاع الضغط الوريدي الوداجي
3. Cجفاف الفم وبول داكن مركّز وتسرّع القلب
4. Dزيادة الوزن خلال يومين

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. ACut the patch in half if the pain improves, to lower the dose
2. BAvoid heat sources such as hot water bottles over the patch
3. CKeep using the old patch with the new one
4. DApply the patch to broken skin for faster effect

ما الذي ينبغي عادة أن يحدّ منه مريض الكلى المزمن في نظامه الغذائي؟

1. Aالبوتاسيوم والفوسفات
2. Bفيتامين C والألياف
3. Cالفيتامينات الذائبة في الماء فقط
4. Dالكربوهيدرات تمامًا

Which side effect of regular opioids usually needs preventive treatment from the start?

1. AExcessive hunger
2. BDiarrhoea
3. CHigh blood pressure
4. DConstipation

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AIrregular breathing pauses
2. BA slow pulse with high blood pressure
3. CA fixed, dilated pupil on both sides
4. DA change in level of consciousness

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. APlatelet count for both drugs
2. BD-dimer for both drugs
3. CINR for heparin and APTT for warfarin
4. DAPTT for heparin and INR for warfarin