Клиническое сестринское дело: лист заданий с ответами

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1.Лёгкая

Which of these is considered a high-alert (high-risk) medicine?

  1. AEmollient cream
  2. BLactulose
  3. CSimple linctus
  4. DInsulin
2.Лёгкая

When removing personal protective equipment after patient care, which item is usually removed first?

  1. AFace mask
  2. BHair cover
  3. CEye protection
  4. DGloves
3.Лёгкая

What is the usual normal white cell count in adults?

  1. AAbout 50–80 × 109/L (50,000–80,000/mm3)
  2. BAbout 150–400 × 109/L (150,000–400,000/mm3)
  3. CAbout 0,1–0,5 × 109/L (100–500/mm3)
  4. DAbout 4–11 × 109/L (4,000–11,000/mm3)
4.Средняя

What is the most common cause of hypernatraemia in frail older inpatients?

  1. ATaking too many vitamins
  2. BEating too much salt in one meal
  3. CToo much exercise
  4. DNot drinking enough water
5.Средняя

A patient has a fentanyl patch for chronic pain. Which advice is correct?

  1. ACut the patch in half if the pain improves, to lower the dose
  2. BApply the patch to broken skin for faster effect
  3. CKeep using the old patch with the new one
  4. DAvoid heat sources such as hot water bottles over the patch
6.Средняя

An arterial blood gas shows a low pH, a high PaCO2 and a normal bicarbonate. What does this show?

  1. ARespiratory alkalosis
  2. BMetabolic acidosis
  3. CMetabolic alkalosis
  4. DRespiratory acidosis
7.Сложная

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

  1. AIntramuscular injection into the anterolateral thigh
  2. BSubcutaneous injection into the upper arm
  3. CIntravenous bolus given by the nurse without monitoring
  4. DOral tablet dissolved under the tongue
8.Сложная

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

  1. AConstipation from dehydration
  2. BRecovery from the colitis
  3. CToxic megacolon
  4. DCoeliac disease

Ответы

  1. 1. D · Insulin
  2. 2. D · Gloves
  3. 3. D · About 4–11 × 109/L (4,000–11,000/mm3)
  4. 4. D · Not drinking enough water
  5. 5. D · Avoid heat sources such as hot water bottles over the patch
  6. 6. D · Respiratory acidosis
  7. 7. A · Intramuscular injection into the anterolateral thigh
  8. 8. C · Toxic megacolon

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