1.简单
Which three responses make up the Glasgow Coma Scale?
- APupil size, pulse and blood pressure
- BOrientation to time, place and person, plus memory
- CEye opening, verbal response and motor response
- DReflexes, muscle tone and sensation
2.简单
Why should insulin injection sites be rotated?
- ATo prevent fatty lumps that absorb insulin unevenly
- BTo make the insulin work faster each time
- CTo avoid building up an immune response to the insulin
- DTo stop the insulin from spreading to other organs
3.简单
What is the most common cause of a high sodium in a frail older adult?
- ATaking too much insulin
- BNot drinking enough water
- CEating too much fruit
- DDrinking too much water
4.中等
A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?
- ARub the eyes firmly each morning to reduce the swelling
- BStay in bright sunlight to dry the eyes
- CSmoking more will not affect the eyes
- DUse lubricating drops and sleep with the head raised
5.中等
Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?
- ABulk-forming laxatives
- BSSRI antidepressants
- CPenicillin antibiotics
- DProton pump inhibitors
6.中等
A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?
- AAvoid it, because it can raise the drug levels
- BDrink it with each dose to improve the absorption
- CDrink it daily to protect the kidney
- DIt has no effect on these drugs
7.困难
A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?
- AMassage the lump firmly after every injection
- BKeep injecting into the lump, because it hurts less there
- CUse healthy sites and check glucose often, as less insulin may be needed
- DDouble the insulin dose because the lump blocks the insulin
8.困难
Which task for a stroke patient can a registered nurse safely delegate to a healthcare assistant (nursing assistant)?
- AAssessing a new weakness the patient reports in the leg
- BRepositioning the patient every two hours as set out in the care plan
- CTeaching the patient how to take a new anticoagulant
- DCarrying out the first bedside water swallow screen after admission
答案
- 1. C · Eye opening, verbal response and motor response
- 2. A · To prevent fatty lumps that absorb insulin unevenly
- 3. B · Not drinking enough water
- 4. D · Use lubricating drops and sleep with the head raised
- 5. B · SSRI antidepressants
- 6. A · Avoid it, because it can raise the drug levels
- 7. C · Use healthy sites and check glucose often, as less insulin may be needed
- 8. B · Repositioning the patient every two hours as set out in the care plan
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