Ortamda zararı önleyin: düşme önlemleri, kısıtlama yalnızca son çare olarak, yangın için RACE ve PASS.
İlaç uygulamanın doğrularını, iki tanımlayıcıyı ve yüksek riskli ilaçlar için ek güvenceleri kontrol edin; hataları ve ramak kalaları bildirin.
2Alıştırma soruları
1.Enfeksiyon kontrolü ve hasta güvenliğiOrta
Where is a gait belt placed when helping a patient to walk?
AAround the chest, under the arms
BAround the hips, directly on bare skin
CAround the patient’s waist, over clothing
DAround both thighs, just above the knees
2.Enfeksiyon kontrolü ve hasta güvenliğiZor
A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?
AGive the child an antipyretic and continue triage
BSend the child home to rest without an assessment
CAsk the family to wait in the main waiting room until the child is called in
DPut a mask on the child and move them into an airborne isolation room
3.Hemşirelik esaslarıOrta
When giving several medicines through a feeding tube, what is correct?
AMix them all together in the feed so they are given at the same time
BGive each medicine separately and flush with water between them
CGive them without flushing to save time
DCrush every tablet, including modified-release ones
4.Hemşirelik esaslarıZor
A colleague asks the nurse to countersign the controlled drug register for a dose the nurse did not see being prepared or given. What should the nurse do?
ASign, as the colleague is trustworthy
BRefuse, as they can only sign for what they have witnessed
CSign it later, at the end of the shift, once the colleague explains
DSign, but only if the colleague is senior
5.MikrobiyolojiOrta
Akut bakteriyel enfeksiyonda başlıca fagositler ve irinin ana bileşeni olan beyaz kan hücreleri hangileridir?
AB lenfositleri
BNötrofiller
CBazofiller
DEozinofiller
6.MikrobiyolojiZor
Bir gençte ateş, ense sertliği ve basmakla solmayan mor bir döküntü var. BOS'ta Gram negatif diplokoklar görülüyor. En olası organizma hangisidir?
AListeria monocytogenes
BNeisseria meningitidis
CStreptococcus pneumoniae
DEscherichia coli
3Çözeltiler
1.Enfeksiyon kontrolü ve hasta güvenliği
Cevap: C · Around the patient’s waist, over clothing
Cevap neden bu
The gait belt goes snugly around the waist over clothing, close to the center of gravity, with room for the nurse’s fingers underneath. Holding it gives control without pulling on the arms.
Cevap
C · Around the patient’s waist, over clothing
2.Enfeksiyon kontrolü ve hasta güvenliği
Cevap: D · Put a mask on the child and move them into an airborne isolation room
Cevap neden bu
Measles is highly contagious through airborne spread. The child is masked and placed in an airborne infection isolation room, or a closed single room if none is available, and exposed people may need follow-up.
Cevap
D · Put a mask on the child and move them into an airborne isolation room
3.Hemşirelik esasları
Cevap: B · Give each medicine separately and flush with water between them
Cevap neden bu
Each drug is prepared and given separately, with water flushes before, between and after, to prevent tube blockage and drug interactions. A pharmacist advises on suitable forms.
Cevap
B · Give each medicine separately and flush with water between them
4.Hemşirelik esasları
Cevap: B · Refuse, as they can only sign for what they have witnessed
Cevap neden bu
Countersigning means confirming that you witnessed the check and administration. Signing for something you did not see is dishonest and removes an important safety check.
Cevap
B · Refuse, as they can only sign for what they have witnessed
5.Mikrobiyoloji
Cevap: B · Nötrofiller
Cevap neden bu
Nötrofiller enfeksiyon bölgelerine hızla ulaşır ve bakterileri yutar. Ölü nötrofiller, bakteriler ve doku artıkları irini oluşturur.
Cevap
B · Nötrofiller
6.Mikrobiyoloji
Cevap: B · Neisseria meningitidis
Cevap neden bu
Neisseria meningitidis, menenjite ve peteşiyal veya purpurik döküntülü septisemiye neden olan Gram negatif bir diplokoktur. Acil antibiyotik gerektirir ve temaslılara profilaksi gerekebilir.