Werkblad Klinische verpleegkunde met antwoorden

De regel van negen schat:

1. ADe diepte van een brandwond, gemeten in millimeters huid
2. BHet percentage lichaamsoppervlak dat door een brandwond is aangedaan
3. CHet aantal ademhalingen per minuut
4. DHet vochtverlies door braken

What is the main purpose of a surgical wound drain?

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

Welk symptoom is typisch voor een hypoglykemie?

1. AVeel dorst en veel plassen
2. BZweten, trillen en verwardheid
3. CWarme, droge huid en trage pols
4. DDiepe, snelle ademhaling met fruitige adem

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. ABed rails are illegal in all hospitals and must never be used at all
2. BBed rails always make patients more confused, but only during the day
3. CPatients can be seriously injured climbing over or becoming trapped in rails
4. DBed rails stop staff from taking observations

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is put back in its sterile packet for the next patient
2. BThat the cannula is intact, and apply pressure until bleeding stops
3. CThat the site is left uncovered and bleeding freely
4. DThat the patient's blood glucose is normal before removal

A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?

1. AVisual acuity
2. BWeekly weight
3. CBreathing function, such as forced vital capacity
4. DBlood glucose, measured once a day before breakfast

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AWhether the patient has eaten breakfast
2. BThe patient's weight from last year
3. CThe patient's cholesterol level from the admission bloods
4. DThat the catheter and tubing are not kinked or blocked

A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?

1. ATo rule out septic arthritis, which can rapidly destroy the joint
2. BTo measure the patient's cholesterol
3. CTo prevent osteoporosis
4. DTo check for rheumatoid arthritis antibodies in the joint fluid