Pielęgniarstwo kliniczne: karta pracy z odpowiedziami

Cellulitis is:

1. AA bacterial infection of the deeper skin and the tissue beneath it
2. BAn allergic rash caused by a reaction to soap or washing powder
3. CA fungal infection of the skin between the toes only
4. DA blocked sweat gland

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

1. AAfter eating a large meal
2. BOn standing up from lying or sitting
3. COnly during heavy exercise or climbing stairs
4. DOnly during deep sleep

Jaki jest najważniejszy sposób zapobiegania odleżynom u pacjenta leżącego?

1. ARegularna zmiana pozycji w celu odciążenia ucisku
2. BOgraniczanie płynów
3. CUtrzymywanie pacjenta w jednej pozycji przez cały dzień
4. DMocne masowanie zaczerwienionych miejsc

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. CBlood glucose, measured once a day before breakfast
4. DBreathing function, such as forced vital capacity

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AAn allergic reaction to the dressing
2. BA broken collarbone from being moved onto the table
3. CA heart attack caused by the stress of surgery
4. DGas used during the operation irritating the diaphragm

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

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

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. AChange the subject quickly to keep them cheerful and avoid upsetting them
2. BTell the patient not to think about such things and to stay positive
3. CLeave and send the doctor without saying anything
4. DGently explore what the patient understands and what has prompted the question

A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?

1. AMetastatic spinal cord compression
2. BA urinary tract infection spreading to the back
3. CSimple mechanical back pain
4. DHypokalaemia