Cevaplı Klinik hemşirelik çalışma kâğıdı

A pneumothorax is:

1. AAir in the pleural space, causing the lung to collapse
2. BAn infection of the lung tissue, usually caused by bacteria
3. CFluid in the alveoli, usually from heart failure
4. DA blood clot in the lung arteries

What is a normal capillary refill time in an adult?

1. A2 seconds or less
2. B8–10 seconds
3. C5–6 seconds
4. DMore than 15 seconds

"Kahve telvesi" görünümünde kusmuk neyi düşündürür?

1. AKolonun alt kısmında bağırsak tıkanıklığını
2. BBöbrek yetmezliğini
3. CKanama olmayan, kusmanın eşlik ettiği besin zehirlenmesini
4. DÜst gastrointestinal kanalda kanamayı

Varfarin alan bir hastanın INR'si hedef aralığın çok üzerinde ve morlukları var. Etkiyi geri döndürmek için hangi ilaç order edilebilir?

1. ANalokson
2. BAspirin
3. CProtamin sülfat
4. DK vitamini

A rising serum creatinine most often indicates:

1. AReduced kidney function
2. BDehydration of the skin only
3. CImproved liver function
4. DIncreased muscle strength

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AAs a severe anaphylactic allergy to all opioids
2. BAs a side effect or intolerance, not a true allergy
3. CAs an allergy to all painkillers
4. DIt should not be recorded at all

After a high spinal cord injury, a patient has low blood pressure with a slow heart rate and warm, dry skin. What is most likely?

1. ACardiac tamponade
2. BHypovolaemic shock
3. CSeptic shock
4. DNeurogenic shock

Which feature suggests moisture-associated skin damage rather than a pressure ulcer?

1. ADiffuse, superficial redness in a skin fold, not over a bony prominence
2. BA deep wound over the sacrum with exposed bone and a dark base
3. CNon-blanching redness directly over the hip bone after lying on one side
4. DA round area of necrosis over the heel