Основы сестринского дела: лист заданий с ответами

What does serous wound exudate look like?

1. AThick, green or yellow and foul-smelling
2. BBright red and fresh, like blood from a cut
3. CPink and frothy
4. DClear and watery, sometimes pale yellow

What does "polyuria" mean?

1. APassing urine painfully or with a burning feeling
2. BPassing no urine at all
3. CPassing large amounts of urine
4. DPassing urine at night

What are passive range-of-motion exercises?

1. AThe nurse moves the patient's joints without the patient's effort
2. BThe patient lifts weights to build muscle strength
3. CThe patient walks a set distance each day
4. DThe patient moves their own joints through their full range without any help

When should blood cultures be taken in a patient with suspected sepsis?

1. AAfter the patient has recovered from the infection
2. BOnly after three days of antibiotics, to see if they are working
3. CBefore antibiotics are given, as long as this does not delay them
4. DOnly if the temperature rises above 40 °C

In the PQRST pain assessment, what does "Q" ask about?

1. AHow quickly the pain started
2. BWhether the pain is quieter at night
3. CThe quantity of analgesia the patient has already taken today
4. DThe quality of the pain, such as sharp, dull or burning

A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?

1. AThat they promise to keep it secret, so the patient keeps trusting them
2. BThat they cannot listen to this and the patient should tell a doctor
3. CThat they will tell everyone on the ward so the patient is safe
4. DThat they cannot promise secrecy if someone is at risk of harm

Целевое насыщение кислородом у пациента — 88–92%. Какое заболевание вероятнее всего объясняет такую более низкую цель?

1. AПневмония у ранее здорового пациента без хронического заболевания лёгких
2. BХОБЛ с риском гиперкапнии
3. CПриступ астмы у молодого взрослого
4. DОтравление угарным газом

У послеоперационного пациента массой 70 кг с катетером в последние три часа выделяется 20 mL мочи в час. Какова наилучшая интерпретация?

1. AНормальный диурез после операции
2. BОлигурия, о которой нужно сообщить, так как она ниже 0,5 mL/kg/h
3. CПолиурия, требующая ограничения жидкости
4. DЗаблокированный катетер, который можно спокойно оставить до осмотра утренней бригадой