Клиническое сестринское дело: лист заданий с ответами

Как обычно подтверждают положение назогастрального зонда у постели пациента?

1. AПросьбой к пациенту покашлять
2. BПроверкой pH аспирированной жидкости
3. CВыслушиванием воздуха стетоскопом («тест вдувания»)
4. DОпусканием конца зонда в стакан с водой

A wheeze heard on chest auscultation is caused by:

1. AFluid in the alveoli
2. BThe pleural layers rubbing together
3. CAir flowing through narrowed airways
4. DFluid collecting in the pleural space

How should nursing records be written?

1. AAccurately and as soon as possible after the event, with date, time and signature
2. BUsing personal abbreviations that only the nurse who wrote them understands
3. CAt the end of the week, written from memory in one go to save time
4. DIn pencil so that mistakes can be rubbed out

Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?

1. AEat one very large meal a day rather than several small ones
2. BLie down straight after each meal to let the food settle
3. CWear tight belts to support the stomach
4. DAvoid large meals late in the evening and raise the head of the bed

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. AVenturi mask set to 24%
2. BSimple face mask at 5 L/min with the patient sitting up
3. CNon-rebreathe mask with reservoir bag at 15 L/min
4. DNasal cannula at 2 L/min

Which features suggest pyelonephritis rather than simple cystitis?

1. AFever, rigors and loin pain
2. BMild burning on passing urine only
3. CFrequency without any pain
4. DCloudy urine with no other symptoms

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe tube may be kinked or blocked, or the lung may have fully re-expanded
2. BThe patient's breathing has become normal and the drain can be pulled out by the nurse
3. CThe drain is working perfectly and needs no checks
4. DThe water seal has been set up correctly for the first time

Пациент с трахеостомой внезапно не может дышать, трубка кажется закупоренной. Каково первое действие?

1. AДавать кислород только через рот
2. BСдуть манжету и оставить пациента
3. CИзвлечь внутреннюю канюлю и проверить, не закупорена ли она
4. DЖдать врача, прежде чем что-либо делать