Робочий аркуш «Клінічна сестринська справа» з відповідями

Which of these is one of the WHO "5 Moments for Hand Hygiene"?

1. ABefore entering the hospital building
2. BOnly after removing gloves at the end of a shift
3. CBefore touching a patient
4. DOnly when the hands look visibly dirty

The term "hemiplegia" means:

1. AParalysis of one side of the body
2. BParalysis of both legs
3. CWeakness of the facial muscles only
4. DParalysis of all four limbs

What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?

1. A3,5–5,0 mmol/L
2. B2,2–2,6 mmol/L
3. C95–105 mmol/L
4. D135–145 mmol/L

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AAn air leak, from the lung or from the drainage system
2. BThe drain is working normally for a fluid collection only
3. CThe drain is blocked
4. DThe lung has fully re-expanded

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AStop the infusion straight away and follow the extravasation protocol
2. BFlush the cannula hard with saline
3. CApply a warm pack and continue the infusion
4. DIncrease the rate so that the infusion finishes as quickly as possible

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AInserting a nasogastric tube for fluids
2. BLeaving the mouth alone to avoid disturbing them
3. CFrequent mouth care that keeps the lips and mouth moist
4. DStarting a fast intravenous infusion to correct the dryness

Яке сестринське оцінювання найкраще допомагає виявити раннє погіршення стану пацієнта після великої операції?

1. AЛише запитання пацієнта, чи добре він почувається
2. BВимірювання температури раз на день
3. CРегулярні повні набори показників зі шкалою раннього попередження та аналізом динаміки
4. DПеревірка рани лише під час виписки

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AAcute gastritis from anti-inflammatory drugs
2. BRenal colic from a kidney stone
3. CA ruptured abdominal aortic aneurysm
4. DMusculoskeletal back pain