Pielęgniarstwo kliniczne: karta pracy z odpowiedziami

Co oznacza litera „A” w schemacie ABCDE oceny pacjenta w stanie ostrym?

1. AAlergie (Allergies)
2. BDrogi oddechowe (Airway)
3. CAnalgezję (Analgesia)
4. DOcenę (Assessment)

Which of these intravenous fluids is isotonic?

1. A10% glucose
2. B0,9% sodium chloride
3. C3% sodium chloride
4. D8,4% sodium bicarbonate

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left shoulder and moves to the back
2. BIt starts in the left lower abdomen and stays there
3. CIt starts around the umbilicus and moves to the right lower abdomen
4. DIt starts in the right upper abdomen and moves up to the centre of the chest

Which statement about storing insulin is correct?

1. AUnopened insulin is kept in the fridge and must not be frozen
2. BAll insulin should be stored in the freezer to keep it fresh
3. CInsulin never expires once opened
4. DInsulin should be kept in direct sunlight

Pacjent przyjmujący digoksynę ma nudności, tętno 48/min i skarży się, że wszystko widzi na żółto. Co należy podejrzewać?

1. ANadczynność tarczycy
2. BHipoglikemię
3. CZatrucie digoksyną
4. DTypowe działanie niepożądane niewymagające działań

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA blood glucose meter and a spare urinary catheter of the same size
2. BA peak flow meter and a nebuliser
3. CSpare tracheostomy tubes, including one a size smaller, and working suction
4. DA blood pressure cuff and a spare nasal cannula and oxygen mask only

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. APneumonia
2. BHyperkalaemia
3. CCardiac tamponade
4. DHypovolaemia from dehydration

Which patient should the nurse assess first?

1. AA patient with asthma who can only speak in single words
2. BA postoperative patient who rates their pain as 6/10
3. CA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
4. DA patient with COPD whose SpO₂ is 89% and within their target range