The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [301]
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Multiple choice questions
1 Dehydration is of particular concern in ill heath. If a patient is receiving intravenous (IV) fluid replacement and is having their fluid balance recorded, which of the following statements is true of someone said to be in a ‘positive fluid balance’?
a The fluid output has exceeded the input.
b The doctor may consider increasing the IV drip rate.
c The fluid balance chart can be stopped as ‘positive’ in this instance means ‘good’.
d The fluid input has exceeded the output.
2 What specifically do you need to monitor to avoid complications and ensure optimal nutritional status in patients being enterally fed?
a Blood glucose levels, full blood count, stoma site and bodyweight.
b Eye sight, hearing, full blood count, lung function and stoma site.
c Assess swallowing, patient choice, fluid balance, capillary refill time.
d Daily urinalysis, ECG, protein levels and arterial pressure.
3 A patient needs weighing, as he is due a drug that is calculated on bodyweight. He experiences a lot of pain on movement so is reluctant to move, particularly stand up. What would you do?
a Document clearly in the patient’s notes that a weight cannot be obtained.
b Offer the patient pain relief and either use bed scales or a hoist with scales built in.
c Discuss the case with your colleagues and agree to guess his bodyweight until he agrees to stand and use the chair scales.
d Omit the drug as it is not safe to give it without this information; inform the doctor and document your actions.
4 If the prescribed volume is taken, which of the following types of feed will provide all protein, vitamins, minerals and trace elements to meet a patient’s nutritional requirements?
a Protein shakes/supplements.
b Sip feeds.
c Energy drinks.
d Mixed fat and glucose polymer solutions/powders.
5 A patient has been