Užduočių lapas tema Klinikinė slauga su atsakymais

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Vardas: ____________________   Data: ____________

1.Lengvas

Kokia padėtis paprastai padeda dūstančiam ūminiu širdies nepakankamumu sergančiam pacientui?

  1. ASėdima padėtis tiesiai, kojos nuleistos žemyn
  2. BGulėjimas ant nugaros, pakėlus kojas
  3. CGulima padėtis ant pilvo
  4. DPadėtis galva žemyn
2.Lengvas

The term "hypernatraemia" means:

  1. AA high blood glucose level
  2. BA low serum sodium level
  3. CA high serum potassium level
  4. DA high serum sodium level
3.Lengvas

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

  1. A10 mL of retained fluid
  2. B1 litre of retained fluid
  3. C5 litres of retained fluid
  4. D100 mL of retained fluid
4.Vidutinis

After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?

  1. AThe needle must be sent for culture
  2. BPost-exposure prophylaxis works best when started as soon as possible
  3. CThe patient will need antibiotics
  4. DThe nurse must be tested for HIV the same day to confirm infection
5.Vidutinis

Which features suggest Cushing's syndrome?

  1. AWeight loss, heat intolerance, tremor and protruding eyes
  2. BWeight gain around the trunk, a rounded face and thin, easily bruised skin
  3. CCoarse facial features and very large hands and feet
  4. DDark skin, low blood pressure, salt craving and a low blood sodium level
6.Vidutinis

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

  1. AEncourage a low-calorie diet
  2. BRefer to the dietitian and start a nutrition care plan with food charts
  3. CRestrict fluids to encourage appetite and give a low-protein diet instead
  4. DWeigh the patient again in six months and review at that point
7.Sunkus

A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?

  1. ADiabetes insipidus, managed with extra fluids
  2. BSIADH, often managed first with fluid restriction
  3. CCushing's syndrome, managed with potassium
  4. DDehydration, managed with an IV fluid bolus
8.Sunkus

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

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

Atsakymai

  1. 1. A · Sėdima padėtis tiesiai, kojos nuleistos žemyn
  2. 2. D · A high serum sodium level
  3. 3. B · 1 litre of retained fluid
  4. 4. B · Post-exposure prophylaxis works best when started as soon as possible
  5. 5. B · Weight gain around the trunk, a rounded face and thin, easily bruised skin
  6. 6. B · Refer to the dietitian and start a nutrition care plan with food charts
  7. 7. B · SIADH, often managed first with fluid restriction
  8. 8. D · Beta-blockers can mask warning signs such as tremor and a fast heart rate

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