Cevaplı Klinik hemşirelik çalışma kâğıdı

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 2
2. BCategory 4
3. CCategory 1
4. DCategory 3

İletişim kurabilen yetişkinlerde sık kullanılan ağrı ölçeği hangisidir?

1. A0–10 sayısal derecelendirme ölçeği
2. BGlasgow Koma Skalası
3. CBraden bası yarası skalası
4. DApgar skoru

Before giving the first dose of an antibiotic, what must the nurse check?

1. AThe patient's blood group
2. BThe patient's height
3. CThe patient's allergy status
4. DThe time of the patient's last meal

Bir hastanın sıvı dengesi çizelgesi 24 saatte 1,200 mL alım ve 2,300 mL çıkış gösteriyor. Bu neyi gösterir?

1. A1,100 mL negatif sıvı dengesini
2. B3,500 mL pozitif sıvı dengesini
3. CDengeli bir sıvı durumunu
4. D1,100 mL pozitif sıvı dengesini

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. ALying on the left side with the head down to help the feed drain
2. BWith the head of the bed raised to at least 30 degrees
3. CLying completely flat
4. DIn any position, as long as the feed runs slowly

Which side effect of regular opioids usually needs preventive treatment from the start?

1. AHigh blood pressure
2. BExcessive hunger
3. CConstipation
4. DDiarrhoea

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

1. AConstipation from dehydration
2. BToxic megacolon
3. CRecovery from the colitis
4. DCoeliac disease

Which nursing measure helps reduce raised intracranial pressure?

1. AFrequent suctioning and encouraging strong coughing
2. BTilting the patient head-down
3. CLying the patient flat with the neck flexed forward on two pillows
4. DRaising the head of the bed to about 30° with the head kept midline