Клиническое сестринское дело: лист заданий с ответами

Какой частый ранний признак инсульта?

1. AЗуд кожи на обеих руках
2. BВнезапное опущение половины лица или слабость руки с одной стороны
3. CПостепенная потеря памяти, развивающаяся в течение нескольких лет
4. DЛихорадка с влажным кашлем

Which haemoglobin result in an adult man would be classed as anaemia?

1. A140 g/L (14,0 g/dL)
2. B95 g/L (9,5 g/dL)
3. C155 g/L (15,5 g/dL)
4. D165 g/L (16,5 g/dL)

While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?

1. AHold the patient's hand
2. BKeep doing chest compressions without pausing
3. CGive rescue breaths
4. DStand clear and not touch the patient

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AMassage the heels firmly several times a day to help circulation
2. BOffload the heels so they do not touch the mattress
3. CApply a tight bandage to the heels
4. DRest the heels on a rolled-up towel

Which features suggest Cushing's syndrome?

1. ADark skin, low blood pressure, salt craving and a low blood sodium level
2. BWeight gain around the trunk, a rounded face and thin, easily bruised skin
3. CWeight loss, heat intolerance, tremor and protruding eyes
4. DCoarse facial features and very large hands and feet

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AWith the head of the bed raised to at least 30 degrees
2. BLying on the left side with the head down to help the feed drain
3. CLying completely flat
4. DIn any position, as long as the feed runs slowly

A patient due a blood transfusion is not wearing an identity band. What should the nurse do?

1. AAsk another patient to confirm who the patient is
2. BNot start until a correct identity band is in place and identity is confirmed
3. CCheck the name on the bed and proceed
4. DAsk the patient to state their name and date of birth, then start straight away

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AA stable rhythm that can safely be reviewed at the next routine ward round
2. BAnxiety about the new diagnosis that will settle with reassurance and rest alone
3. CA normal response to atrial fibrillation needing no action
4. DHaemodynamic instability needing urgent treatment, possibly electrical cardioversion