Werkblad Klinische verpleegkunde met antwoorden

"Koffiedik"-braaksel wijst op:

1. AEen bloeding in het bovenste deel van het maag-darmkanaal
2. BEen darmobstructie laag in het colon
3. CVoedselvergiftiging met braken maar zonder bloeding
4. DNierfalen

Wat is de gebruikelijke streefwaarde voor de zuurstofsaturatie (SpO₂) bij de meeste acuut zieke volwassenen zonder risico op hypercapnie?

1. AAltijd 100%
2. B88–92% voor iedereen
3. C80–84%
4. D94–98%

How is body mass index (BMI) calculated?

1. AWeight in kilograms multiplied by height in metres
2. BHeight in metres divided by weight in kilograms, then squared
3. CWaist size divided by hip size
4. DWeight in kilograms divided by height in metres squared

What is the most common cause of hypernatraemia in frail older inpatients?

1. AToo much exercise
2. BTaking too many vitamins
3. CNot drinking enough water
4. DEating too much salt in one meal

A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?

1. AEncourage contact sports to keep fit
2. BUse a soft toothbrush and an electric razor
3. CTake temperatures rectally
4. DGive medicines by intramuscular injection

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis always affects the full thickness of the bowel wall
2. BUlcerative colitis affects only the colon, continuously from the rectum
3. CUlcerative colitis can affect any part of the gut from mouth to anus
4. DUlcerative colitis typically causes patchy "skip" lesions

A nurse realises she has given a patient a medicine prescribed for another patient. What should she do first?

1. AWait to see whether any side effects develop
2. BAsk a colleague not to mention it
3. CGive the patient's own medicine as well to balance it
4. DCheck the patient's condition and inform the doctor

Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?

1. AA rise in heart rate
2. BA fall in blood pressure
3. CCool peripheries
4. DA slightly raised respiratory rate