Клиническое сестринское дело: лист заданий с ответами

A patient's care plan says "nil by mouth". What does this mean?

1. AThe patient may eat if they feel hungry
2. BFood is allowed, but drinks must be stopped until the next day
3. CNo food or drink by mouth unless specific exceptions are prescribed
4. DOnly clear fluids such as water and black tea are allowed

К какой категории пролежней относится неисчезающее при надавливании покраснение неповреждённой кожи над крестцом?

1. AКатегория 1
2. BКатегория 2
3. CКатегория 3
4. DКатегория 4

Hepatitis B is mainly transmitted by:

1. AInsect bites
2. BBlood and other body fluids
3. CTouching door handles
4. DCoughing and sneezing in a crowded room

What should the nurse regularly check for a patient with a syringe driver?

1. AThe infusion site, the rate and volume remaining, and the patient's symptoms
2. BOnly that the battery is charged and the device is switched on
3. CNothing, once the syringe driver is running
4. DOnly the patient's weight, measured once a week on the same scales

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AOnly after the unit has finished
2. BIn the first 15 minutes
3. CAfter the third unit only
4. DAbout 24 hours later

When a patient returns to the ward from theatre, what should the nurse assess first?

1. AThe discharge date
2. BWhether visitors are waiting to see the patient
3. CThe patient's dietary preferences for the next meal
4. DAirway, breathing, circulation and level of consciousness

How should pain be assessed in a patient with advanced dementia who cannot describe it?

1. ABy checking the blood pressure only
2. BBy asking the patient to rate their pain on a numerical scale from 0 to 10
3. CWith an observational pain tool that scores facial expression, behaviour and body language
4. DBy assuming the patient has no pain unless they are crying out or calling for help

A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?

1. AMassaging the calf
2. BChecking whether VTE prophylaxis was given
3. CMeasuring and comparing calf circumference
4. DReporting the findings to the doctor