Phiếu bài tập Điều dưỡng lâm sàng có đáp án

Dấu hiệu nào trong quá trình lành vết thương gợi ý nhiễm trùng?

1. AHình thành vảy khô
2. BĐỏ, nóng, sưng và có mủ tăng dần
3. CNgứa nhẹ khi vết thương liền lại
4. DHơi hồng và ấm ở mép vết thương vào ngày thứ 2

Osteoporosis mainly increases the risk of:

1. AFractures from minor falls
2. BHigh blood calcium
3. CJoint infections
4. DMuscle cramps at night

Bệnh nhân dùng thuốc giảm đau opioid cần được theo dõi đặc biệt về:

1. AỨc chế hô hấp và an thần
2. BTăng cảm giác thèm ăn
3. CTiêu chảy
4. DHuyết áp cao

Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?

1. AStopping early greatly increases the risk of a clot forming in the stent
2. BThe stent will dissolve if the drugs are stopped before the course ends
3. CStopping causes severe low blood pressure
4. DStopping causes immediate kidney failure

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

1. AFrequent mouth care that keeps the lips and mouth moist
2. BStarting a fast intravenous infusion to correct the dryness
3. CInserting a nasogastric tube for fluids
4. DLeaving the mouth alone to avoid disturbing them

Which advice should be given to a patient with a new permanent pacemaker?

1. AStop all heart medicines straight away
2. BTell staff about the pacemaker before any MRI scan or procedure
3. CNever raise the arm on that side again
4. DAvoid using all household electrical appliances such as kettles

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. AA sudden drop can reduce blood flow to the brain, heart and kidneys
2. BBlood pressure cannot be lowered with drugs
3. CRapid lowering always causes the hypertension to come back much worse
4. DRapid lowering causes hyperglycaemia

An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?

1. ALubricating eye drops
2. BEmollient creams applied to the legs
3. CVitamin D supplements
4. DBenzodiazepine sleeping tablets