Робочий аркуш «Медсестринство в терапії та хірургії: нервова, ендокринна та сечовидільна системи» з відповідями

Which equipment should be ready at the bedside of a patient on seizure precautions?

1. AA urinary catheter in case of incontinence
2. BA tongue depressor to place between the teeth
3. CWrist restraints to stop the limbs jerking
4. DWorking suction and oxygen

Чому важливо записати, коли пацієнт з інсультом востаннє був у нормальному стані?

1. AПацієнтів, яких оглянули після першої години, не можна госпіталізувати до інсультного відділення
2. BЦей час визначає, яка половина мозку уражена
3. CЦей час потрібен для обчислення оцінки за ШКГ у пацієнта
4. DЛікування, як-от тромболізис, залежить від часу від початку

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo warn staff that extra steroid is needed in illness or injury
2. BTo record the patient's blood glucose results
3. CTo let the patient buy steroids without a prescription
4. DTo show that the patient is allergic to all types of steroid medicine

A patient with a new ileal conduit has threads of mucus in their urine. What should the nurse explain?

1. AThe kidneys have stopped working properly after surgery
2. BThis is a sign that the stoma is dying
3. CThis proves a serious kidney infection
4. DThis is normal, because the conduit is made from bowel

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"A few drinks tonight will help me relax and sleep."
2. B"I will return if my headache gets steadily worse."
3. C"I will come back if I start vomiting again and again."
4. D"Someone will stay with me for the first night."

A conscious patient with a glucose of 3,1 mmol/L (56 mg/dL) can swallow safely. Which is the best first treatment?

1. AA dose of rapid-acting insulin with a sandwich
2. BA glass of milk and two plain biscuits
3. CA chocolate bar and a cup of tea with milk
4. DGlucose tablets or a small glass of fruit juice

Which patient on a stroke unit is most at risk of falling?

1. AA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
2. BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
3. CA patient with mild dysarthria who walks steadily with a frame
4. DA patient with a TIA whose symptoms resolved completely yesterday

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. AParalytic ileus, so keep nil by mouth and prepare for an NG tube
2. BNormal constipation, so give a large meal to stimulate the bowel
3. CAn allergic reaction to food, so give an antihistamine
4. DA full bladder, so encourage oral fluids