Phiếu bài tập Điều dưỡng lâm sàng có đáp án

Dấu hiệu nào gợi ý viêm tĩnh mạch tại vị trí đặt catheter tĩnh mạch?

1. ADa bình thường, không đau
2. BBệnh nhân khát nước
3. CĐỏ, đau và sưng dọc theo tĩnh mạch
4. DDa nhợt và lạnh ở xa vị trí đặt

Which group of findings suggests fluid overload?

1. ASwollen ankles, breathlessness, lung crackles and weight gain
2. BWeight loss, sunken eyes and a dry mouth
3. CLow jugular venous pressure and cool skin
4. DDry mouth, thirst, dark urine and a rapid weak pulse

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AAssessing a cannula site for signs of phlebitis
2. BChecking blood glucose control
3. CScoring the patient's pain
4. DMeasuring the speed and volume of an infusion

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AEveryone over 75 is assumed to lack capacity
2. BCapacity is decided by the next of kin, who must sign a form for every decision
3. CA person must be assumed to have capacity unless it is shown that they lack it
4. DA diagnosis of dementia means the person lacks capacity for all decisions

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. AConfront the relative directly at the bedside about it
2. BKeep it secret because it is a family matter
3. CRaise the concern through the local safeguarding (adult protection) procedure
4. DWait until the patient has been discharged

Khi tiêm insulin, phát biểu nào đúng?

1. AInsulin cần được lắc mạnh trước khi dùng
2. BLuôn tiêm vào cùng một chỗ để hấp thu ổn định
3. CInsulin tác dụng nhanh chỉ được tiêm vào giờ đi ngủ
4. DLuân phiên vị trí tiêm để tránh phì đại mỡ

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. AA normal response to surgery
2. BMalignant hyperthermia
3. CNeuroleptic malignant syndrome from antipsychotics
4. DPostoperative infection

Four call bells ring at the same time. Which patient should the nurse see first?

1. AA patient who needs help to go to the toilet and has rung twice
2. BA patient asking for pain relief for chronic back pain that they rate as 3/10
3. CA patient asking what time they will be discharged
4. DA patient who has just become breathless after starting an IV antibiotic