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Naam: ____________________ Datum: ____________
1.Makkelijk
A nurse sees a colleague giving care that puts a patient at risk. What should the nurse do?
AIgnore it to keep a good relationship with the colleague
BRaise the concern through the proper channels
CWait to see whether it happens again
DPost about it on social media
2.Makkelijk
Which position is commonly used for giving an enema?
AProne position
BRight side-lying position with both knees bent
CLeft side-lying (Sims') position
DHigh Fowler's position
3.Makkelijk
What is extravasation?
ALeakage of plain saline from the cannula into the tissue around the vein
BLeakage of an irritant (vesicant) drug into the tissue around the vein
CA cannula that has slipped deeper into the vein
DBleeding from the site after the cannula is removed
4.Gemiddeld
Which nursing record entry is the best example of objective documentation?
A"Seemed to enjoy the meal."
B"Had a good appetite today and enjoyed lunch."
C"Ate well, as usual."
D"Ate half of lunch; drank 200 mL of water."
5.Gemiddeld
In the PQRST pain assessment, what does "Q" ask about?
AThe quantity of analgesia the patient has already taken today
BWhether the pain is quieter at night
CThe quality of the pain, such as sharp, dull or burning
DHow quickly the pain started
6.Gemiddeld
A patient says, "I've never seen this tablet before," as the nurse offers it. What should the nurse do?
AGive half the tablet until the doctor visits
BLeave the tablet on the table for the patient to take later
CStop and recheck the prescription before giving it
DReassure the patient that the tablet is correct and give it
7.Moeilijk
Which feature suggests that a sore area is a moisture lesion rather than a pressure ulcer?
ADiffuse, irregular redness in a skin fold, not over a bone
BA dark area of necrotic tissue over the heel
CA deep wound with straight edges over the hip
DA circular area of damage directly over the sacral bone
8.Moeilijk
A small fire starts in a patient's room. What is the first action?
ATry to put out the fire with water
BMove the patient away from immediate danger
CGo and find the fire safety officer to ask what should be done
DOpen the windows to let out the smoke
Antwoordenblad
1. B · Raise the concern through the proper channels
2. C · Left side-lying (Sims') position
3. B · Leakage of an irritant (vesicant) drug into the tissue around the vein
4. D · "Ate half of lunch; drank 200 mL of water."
5. C · The quality of the pain, such as sharp, dull or burning
6. C · Stop and recheck the prescription before giving it
7. A · Diffuse, irregular redness in a skin fold, not over a bone
8. B · Move the patient away from immediate danger
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