Основы сестринского дела: лист заданий с ответами

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Имя: ____________________   Дата: ____________

1.Лёгкая

A nurse sees a colleague giving care that puts a patient at risk. What should the nurse do?

  1. AIgnore it to keep a good relationship with the colleague
  2. BRaise the concern through the proper channels
  3. CWait to see whether it happens again
  4. DPost about it on social media
2.Лёгкая

What is the 4AT used for?

  1. ARapid screening for delirium
  2. BScoring pain in children
  3. CMeasuring the risk of malnutrition
  4. DAssessing the risk of pressure ulcers
3.Лёгкая

What is eschar?

  1. APink new skin growing in from the wound edge
  2. BSoft, yellow, stringy dead tissue in a wound
  3. CHealthy red, bumpy new tissue in a wound
  4. DThick, dry, black or brown dead tissue in a wound
4.Средняя

Why do nurses often count the respiratory rate while still appearing to take the pulse?

  1. ACounting breaths is only accurate when the wrist is held
  2. BPatients who know their breathing is watched tend to change it
  3. CIt is not allowed to tell patients that breathing is measured
  4. DThe pulse and breathing rates are always the same number
5.Средняя

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

  1. AThe doctor has confirmed the diagnosis with tests and a scan
  2. BThe fall has not happened yet, but risk factors are present
  3. CThe patient has already fallen several times
  4. DThe problem can never be prevented
6.Средняя

When washing a patient's eyes, how should each eye be wiped?

  1. AFrom the outer corner inwards, using the same part of the cloth for both
  2. BFrom the inner corner outwards, using a clean part of the cloth for each eye
  3. CIn small circles over the closed eyelid of both eyes
  4. DOnly the eye that looks dirty needs cleaning
7.Сложная

У пациента, спасённого из горящего дома, пульсоксиметр показывает 99%, но пациент сонлив и жалуется на головную боль. Почему показание может ложно успокаивать?

  1. AУгарный газ, связанный с гемоглобином, оксиметр воспринимает как кислород
  2. BДым заставляет оксиметр показывать слишком низкие значения
  3. CЧастота сердечных сокращений слишком высока, чтобы прибор мог дать точное показание
  4. DОжоги делают кожу более проводящей для света
8.Сложная

A patient receiving chemotherapy develops a temperature of 38,3 °C. Why is this treated as an emergency?

  1. AThey may have neutropenic sepsis, which can quickly become fatal
  2. BThe fever means the chemotherapy has stopped working on the cancer
  3. CChemotherapy always causes a fever that needs no action
  4. DA fever shows the cancer has spread

Ответы

  1. 1. B · Raise the concern through the proper channels
  2. 2. A · Rapid screening for delirium
  3. 3. D · Thick, dry, black or brown dead tissue in a wound
  4. 4. B · Patients who know their breathing is watched tend to change it
  5. 5. B · The fall has not happened yet, but risk factors are present
  6. 6. B · From the inner corner outwards, using a clean part of the cloth for each eye
  7. 7. A · Угарный газ, связанный с гемоглобином, оксиметр воспринимает как кислород
  8. 8. A · They may have neutropenic sepsis, which can quickly become fatal

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