Робочий аркуш «Основи сестринської справи» з відповідями

Артеріальний тиск 150/95 mmHg, виміряний кілька разів у спокої, є:

1. AЗниженим
2. BНормальним
3. CПідвищеним
4. DНормальним для будь-якого дорослого старше 40 років

What is extravasation?

1. ALeakage of plain saline from the cannula into the tissue around the vein
2. BBleeding from the site after the cannula is removed
3. CLeakage of an irritant (vesicant) drug into the tissue around the vein
4. DA cannula that has slipped deeper into the vein

Which IV fluid is isotonic?

1. A0,45% sodium chloride
2. BSterile water
3. C0,9% sodium chloride
4. D3% sodium chloride

Яку мету пацієнта сформульовано за принципом SMART?

1. AПацієнт незабаром почуватиметься краще
2. BПацієнт покращить мобільність
3. CПацієнт намагатиметься їсти більше
4. DПацієнт пройде 20 метрів із ходунками до п'ятниці

A caller says they are a patient's daughter and asks for details of the patient's condition. What should the nurse do?

1. AGive full details, as close family members have a right to know
2. BHang up without saying anything
3. CCheck the patient's wishes and the caller's identity first
4. DRead out the latest notes over the phone

A catheterised patient has had no urine in the bag for two hours. What should the nurse check first?

1. AThe tubing for kinks or blockage and where the bag is
2. BNothing, as two hours without urine is normal
3. CWhether the patient has eaten or drunk anything recently
4. DThe patient's blood glucose level and recent insulin doses

A pulse oximeter reads 82% on a patient with cold hands who is talking in full sentences with a normal respiratory rate. What is the best first action?

1. ARemove any oxygen because the reading must be wrong
2. BRecord the reading and recheck it at the next routine set of observations
3. CIgnore the reading because the patient looks well
4. DCheck the patient and probe, then warm the hand or move the probe

An 86-year-old has new confusion and a temperature of 37,1 °C. Why should infection still be considered?

1. AConfusion is always caused by infection in older adults
2. BOlder adults normally have a higher body temperature
3. COlder adults often have a weaker fever response to infection
4. DA temperature of 37,1 °C is a fever in older adults