ورقة عمل التمريض السريري مع الإجابات

Long-term uncontrolled high blood pressure increases the risk of:

1. AAnaemia and osteoporosis
2. BStroke, heart attack and kidney disease
3. CAsthma, eczema and hay fever
4. DHypothyroidism, gout and hair loss

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

1. ANo food or drink by mouth unless specific exceptions are prescribed
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. DThe patient may eat if they feel hungry

What is the main purpose of a surgical wound drain?

1. ATo measure the patient's temperature
2. BTo remove blood or fluid so it does not collect in the wound
3. CTo give antibiotics directly into the wound bed
4. DTo keep the wound open permanently so that it can be cleaned

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHyperthyroidism
2. BHyperventilation
3. CHypertension
4. DHypoxia

Which technique is correct when suctioning through a tracheostomy?

1. AApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
2. BKeep suctioning for at least a minute each time to clear all the secretions
3. CApply suction continuously while inserting the catheter as far as it will go
4. DSuction every 15 minutes whether or not secretions are present

What should a patient starting oral iron tablets be told?

1. AThe tablets will cause weight loss
2. BTheir stools may turn dark or black
3. CTheir urine will turn bright green
4. DThey must take the tablets with strong tea

انخفض عدد الصفائح فجأة لدى مريض يتلقى تسريب الهيبارين بعد خمسة أيام من بدئه. بماذا يجب أن تشتبه؟

1. Aفقر الدم بعوز الحديد
2. Bنقص فيتامين K بسبب ضعف الاستهلاك
3. Cاستجابة طبيعية للهيبارين
4. Dقلة الصفائح المحرَّضة بالهيبارين

Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?

1. ATumour lysis syndrome
2. BRefeeding syndrome
3. CSyndrome of inappropriate ADH secretion
4. DAdrenal insufficiency