Основы сестринского дела: лист заданий с ответами

Which position is commonly used for giving an enema?

1. ALeft side-lying (Sims') position
2. BRight side-lying position with both knees bent
3. CProne position
4. DHigh Fowler's position

What is IV infiltration?

1. AA blood clot forming at the tip of the cannula
2. BAn infection of the blood from the cannula
3. CLeakage of a non-irritant fluid into the tissue around the vein
4. DInflammation of the vein wall caused by irritation from the cannula

Когда используют устойчивое боковое положение?

1. AТолько для пациента с подозрением на перелом ноги
2. BДля пациента без сознания, который нормально дышит
3. CДля пациента с остановкой сердца
4. DДля пациента в сознании с болью в груди

Какое положение рекомендуется для уменьшения давления на крестец и бёдра, когда пациент лежит на боку?

1. AМногочасовое сидение прямо в постели
2. BНаклон 30 градусов с поддержкой подушками
3. CЛёжа на спине с круто поднятым головным концом
4. DЛёжа прямо на бедре под углом 90 градусов

Why are patients with a new ileostomy at risk of dehydration?

1. AThey are not allowed to drink for several weeks after surgery
2. BThe stoma absorbs water from the body
3. CThe output is liquid and contains a lot of water and salt
4. DThe colon removes too much water from the stool

Teaching a patient how to inject insulin mainly involves which domain of learning?

1. AAffective
2. BSpiritual
3. CPsychomotor
4. DCognitive

Which postoperative finding should be reported most urgently?

1. ARespiratory rate 8/min and difficult to rouse
2. BPain score of 4/10 at the wound site when moving
3. CTemperature 37,4 °C on the first day
4. DUrine output of 50 mL in the last hour

At the start of a shift, which task should the nurse do first?

1. AOrder supplies for the ward store room
2. BUpdate the ward whiteboard with the names of all the new patients
3. CChange the bed linen of a patient who is going home
4. DGive the first IV antibiotic dose to a patient with suspected sepsis