Pielęgniarstwo kliniczne: karta pracy z odpowiedziami

An ileostomy is an opening onto the abdominal wall from the:

1. ABladder
2. BColon (large intestine)
3. CStomach
4. DIleum (small intestine)

Before moving or handling a patient, what should the nurse do first?

1. ABend at the waist and keep the knees straight
2. BAssess the risks and choose the right equipment and number of staff
3. CAsk the patient's relative to help lift them to save time
4. DLift the patient quickly before they become tired or anxious

Long-term uncontrolled high blood pressure increases the risk of:

1. AAnaemia and osteoporosis
2. BStroke, heart attack and kidney disease
3. CHypothyroidism, gout and hair loss
4. DAsthma, eczema and hay fever

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt is safe in all patients with severe kidney failure
2. BIt does not need routine INR monitoring
3. CIt has no risk of bleeding
4. DIt never interacts with other drugs

Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?

1. AThe drug only works if taken at midnight
2. BDelays can quickly worsen rigidity, immobility and swallowing
3. CEarly doses cause severe low blood glucose and sweating attacks
4. DLate doses cause dangerous high potassium

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. AA cloth face covering
2. BNo mask, as long as gloves are worn
3. CA standard fluid-repellent surgical mask with a visor
4. DA fit-tested respirator mask (such as FFP3 or N95)

U pacjenta otrzymującego wankomycynę dożylnie podczas szybkiego wlewu pojawia się zaczerwienienie i swędząca czerwona wysypka na twarzy i szyi. Jaka jest najbardziej prawdopodobna przyczyna i postępowanie?

1. AOparzenie słoneczne; nałożyć krem i kontynuować
2. BPrawidłowa reakcja; zwiększyć szybkość wlewu
3. CNiewydolność wątroby; na stałe odstawić wszystkie leki
4. DReakcja związana z wlewem; zatrzymać lub zwolnić wlew i poinformować lekarza zlecającego

A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?

1. AThe heart rate falls, blood pressure rises and urine output improves
2. BThe heart rate rises further and the patient becomes more confused
3. CThe respiratory rate rises and new lung crackles appear
4. DThe capillary refill time becomes longer