Клиническое сестринское дело: лист заданий с ответами

The MUST tool is used to screen adults for:

1. AMalnutrition
2. BDepression
3. CRisk of falls
4. DPressure ulcer risk

Which type of pain is typical of a kidney stone?

1. AA tight band around the head
2. BSevere, colicky pain from the loin towards the groin
3. CA dull ache in both knees
4. DA burning pain behind the breastbone after meals

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

1. ASinus bradycardia
2. BFirst-degree heart block
3. CVentricular fibrillation
4. DAsystole

У пациента с нейтропенией после химиотерапии температура 38,3 °C. Что приоритетно?

1. AРасценивать как нейтропенический сепсис и срочно ввести внутривенные антибиотики
2. BПодождать 24 часа, не снизится ли температура
3. CПредложить пациенту прогуляться
4. DДать только парацетамол и снова перепроверить температуру завтра

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AWeekly temperature and a single blood glucose reading
2. BMonthly HbA1c
3. CPeak flow readings
4. DFluid balance, regular weights and urea, creatinine and electrolytes

Какой препарат используют для нейтрализации нефракционированного гепарина?

1. AФлумазенил
2. BВитамин K (фитоменадион)
3. CПротамина сульфат
4. DНалоксон

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. AGiving a dose of intravenous antibiotic
2. BMeasuring and recording vital signs on a stable patient
3. CTeaching a patient to inject insulin for the first time
4. DAssessing a patient who has just reported new chest pain

A patient with long-standing COPD has an arterial blood gas with pH 7,37, a raised PaCO₂ and a raised bicarbonate. How is this best described?

1. AUncompensated metabolic alkalosis
2. BMixed metabolic and respiratory alkalosis
3. CAcute respiratory acidosis
4. DCompensated respiratory acidosis