Werkblad Klinische verpleegkunde met antwoorden

Before giving the first dose of an antibiotic, what must the nurse check?

1. AThe patient's blood group
2. BThe patient's height
3. CThe patient's allergy status
4. DThe time of the patient's last meal

How should nursing records be written?

1. AIn pencil so that mistakes can be rubbed out
2. BAt the end of the week, written from memory in one go to save time
3. CUsing personal abbreviations that only the nurse who wrote them understands
4. DAccurately and as soon as possible after the event, with date, time and signature

Why should insulin injection sites be rotated?

1. ATo stop the insulin from freezing under the skin
2. BTo prevent lumpy fatty areas that make absorption unpredictable
3. CBecause insulin causes the skin to bleed if one site is used often
4. DTo make the insulin work more slowly and evenly every time

Which advice is correct for a patient taking levothyroxine?

1. AStop taking it once the symptoms improve
2. BTake it only on days when feeling tired
3. CTake it with a large meal to avoid nausea and stomach upset
4. DTake it on an empty stomach, usually before breakfast

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

1. ASodium
2. BMagnesium
3. CChloride
4. DPhosphate

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

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

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

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

A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?

1. AMeasuring and comparing calf circumference
2. BMassaging the calf
3. CChecking whether VTE prophylaxis was given
4. DReporting the findings to the doctor