The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [661]
6 The correct answer is d, If peripheral circulation is impaired, collection of capillary blood is not advised as the results might not be a true reflection of the physiological blood glucose level.
7 The correct answer is b, This is a medical emergency. Basic airway, breathing and circulation should be attended to urgently and senior help should be sought.
8 The correct answer is b, Counting the number of respiratory cycles in 1 minute. One cycle is equal to the complete rise and fall of the patient’s chest.
9 The correct answer is c, Undertake a full set of observations to include oxygen saturations and respiratory rate. Administer humidified oxygen, bronchodilators, corticosteroids and antimicrobial therapy as prescribed.
Chapter 13 Medicines management
1 The correct answer is b, The safe handling and administration of all medicines to patients in their care. This includes making sure that patients understand the medicines they are taking, the reason they are taking them and the likely side effects.
2 The correct answer is b, As part of the process of diagnosing their illness, to prevent an illness, disease or side effect, to offer relief from symptoms or to treat a disease.
3 The correct answer is d, Administration of the wrong drug, in the wrong amount to the wrong patient, via the wrong route.
4 The correct answer is c, The patient will quickly find breathing very difficult because of compromise to their airway or circulation. This is accompanied by skin and mucosal changes.
5 The correct answer is b, It gives patients more control and allows them to take the medications on time, as well as giving them the opportunity to address any concerns with their medication before they are discharged home.
6 The correct answer is d, Check the cupboard, record book and order book and inform the registered nurse or person in charge of the clinical area. If the missing drugs are not found then inform the most senior nurse on duty. You will also complete an incident form.
7 The correct answer is c, Check the stock of oral morphine sulphate in the CD cupboard with another registered nurse and record this in the control drug book; together, check the correct prescription and the identity of the patient.
8 The correct answer is b, Check to see if the patient has vomited the tablets and, if so, document this on the prescription chart. If possible, the drugs may be given again after the administration of antiemetics or when the patient no longer feels nauseous. It may be necessary to discuss an alternative route of administration with the doctor.
9 The correct answer is d, The intravenous route provides an immediate therapeutic effect and gives better control of the rate of administration as a more precise dose can be calculated so treatment can be more reliable.
10 The correct answer is c, Her name, date of birth, hospital number, if she has any known allergies, the prescription for metronidazole: dose, route, time, date and that it is signed by the doctor, and when it was last given.
Chapter 14 Perioperative care
1 The correct answer is a, Identifies patients at risk of deterioration.
2 The correct answer is b, To reduce the risk of reflux and inhalation of gastric contents.
3 The correct answer is d, Gaining permission from a patient who is competent to give it, by providing information in understandable terms prior to surgery, allowing time for answering questions, and inviting voluntary participation.
4 The correct answer is c, 4 (1 each side, 1 at head, 1 at feet).
5 The correct answer is b, They promote venous blood flow.
6 The correct answer is a, The patient is showing symptoms of hypovolaemic shock. Investigate source of fluid loss, administer fluid replacement and get medical support.
Chapter 15 Wound management
1 The correct answer is a, High humidity, insulation, gaseous exchange, absorbent.
2 The correct answer is d, On every wound.
3 The correct answer is b, Debride and apply a hydrogel dressing.
4 The correct answer is