Pielęgniarstwo kliniczne: karta pracy z odpowiedziami

Co jest priorytetem u pacjenta, który właśnie miał napad drgawek i jest teraz senny?

1. AMocne przytrzymanie, żeby się nie ruszał
2. BUłożenie w pozycji bocznej ustalonej i utrzymanie drożności dróg oddechowych
3. CZostawienie go, by się wyspał, bez dalszej obserwacji
4. DNatychmiastowe podanie jedzenia i picia

What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?

1. A3,5–5,0 mmol/L
2. B2,2–2,6 mmol/L
3. C135–145 mmol/L
4. D95–105 mmol/L

Why are patients having chemotherapy at increased risk of infection?

1. AChemotherapy makes the skin thicker
2. BChemotherapy suppresses the bone marrow and lowers the white cell count
3. CChemotherapy stops the patient from sweating
4. DChemotherapy raises the white cell count too high for it to work properly

Which advice should be given to a patient with a new permanent pacemaker?

1. ATell staff about the pacemaker before any MRI scan or procedure
2. BStop all heart medicines straight away
3. CAvoid using all household electrical appliances such as kettles
4. DNever raise the arm on that side again

Which measure helps prevent delirium in older inpatients?

1. AKeeping the lights on all night
2. BMoving the patient to a different bed each night to give them a change of scene
3. CReorientation, glasses and hearing aids in use, and good sleep and hydration
4. DRestricting fluids to avoid incontinence

Why should a urinary catheter drainage bag be kept below the level of the bladder?

1. ATo prevent urine flowing back into the bladder
2. BTo keep the urine warm
3. CTo stop the catheter from falling out
4. DTo make the bag easier for the nurse to empty

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AA superficial bruise
2. BAn allergic reaction to the dressing
3. CSimple cellulitis that will settle with oral antibiotics
4. DNecrotising fasciitis

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

1. AMassaging the calf
2. BReporting the findings to the doctor
3. CChecking whether VTE prophylaxis was given
4. DMeasuring and comparing calf circumference