Клиническое сестринское дело: лист заданий с ответами

Что означает SBAR при клинической передаче пациента?

1. ASafety, Breathing, Alertness, Risk (безопасность, дыхание, бодрствование, риск)
2. BSummary, Bedside, Action, Review (резюме, у постели, действие, пересмотр)
3. CSituation, Background, Assessment, Recommendation (ситуация, предыстория, оценка, рекомендация)
4. DSymptoms, Blood pressure, Airway, Respiratory rate (симптомы, давление, дыхательные пути, частота дыхания)

Which of these is an open question?

1. A"Are you in any pain at the moment?"
2. B"How are you feeling about your operation?"
3. C"Have you taken your tablets?"
4. D"Did you sleep well in the ward last night?"

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AScoring the patient's pain
2. BChecking blood glucose control
3. CMeasuring the speed and volume of an infusion
4. DAssessing a cannula site for signs of phlebitis

Which side effect is common when a patient starts taking metformin?

1. ANausea, abdominal discomfort or diarrhoea
2. BHypoglycaemia in most patients who take it
3. CSevere headache
4. DRapid weight gain

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis can affect any part of the gut from mouth to anus
3. CUlcerative colitis always affects the full thickness of the bowel wall
4. DUlcerative colitis affects only the colon, continuously from the rectum

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

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

A nurse notices that a wrong dose of a drug was prepared but was caught before it was given. What should be done?

1. ASay nothing, because no harm reached the patient
2. BDiscipline the nurse who prepared it on the spot in front of colleagues
3. CTell only the patient's family
4. DReport it as a near miss through the incident reporting system

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"My output will be firm and formed like before."
2. B"My stoma should look pink or red and moist."
3. C"I will empty the bag when it is about a third to half full."
4. D"I will drink extra fluids when it is hot."