exercise 7a:
choose the correct answer for each of the following questions:
1- on an assessment form there might be a section called prefers to be addressed as . this is asking about:
a. the patient surname
b. the patient s home.
c. the patient s nickname.
2- on an assessment form, family understanding of admission asks the question:
a. does the family understand why the patient is being admitted?
b. what does the family believe is the reason for admitting the patient?
c. is the family in favour of admitting the patient
3- on an assessment form the nurse s initial impression is:
a. the nurse s main impression of the patient.
b. the nurse s opinion about the admission.
c. the nurse s first thoughts about the patient.
4- according to the text, paul marston:
a. fell over his bicycle.
b. fell on his bicycle.
c. fell of his bicycle.
5- when the ambulance came, the patient:
a. was walking.
b. was able to walk.
c. refused to walk.
6- on admission, the patient:
a. had head pains.
b. made a complaint about his head.
c. had pains all over.
7- the laceration on the patient s head is:
a. vertical.
b. horizontal.
c. diagonal.
exercise 7b:
now complete paul marston s patient assessment form by making a choice from a, b or c for each entry on the form. sometimes when more than one choice is possible, you must choose the best.
patient assessment record
normal
0
false
false
false
en-us
x-none
ar-sa
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patient assessment record
patient
name: paul prefers to be addressed as: paul
reason for
admission:
a. involved in
road accident.
b. lacerated
forehead, headache + pta2 min.
c. minor head
injury, unconscious approx. 2min.
family s understanding
of admission: injured in accident
patient s
understanding of admission:
a. fell off
bike, cut on head.
b. confused
about accident.
c. feeling
sick. |
medical
diagnosis:
a. lacerated
head with pta of poss. 15 min.
b. injured head.
poss. pta 15 min.
c. poss. injury
to head with 15-min pta.
nurses s
initial impression (physical and social):
a. patient
active, alert, no apparent problems besides injury.
b. patient
disorientated but not traumatised.
c. patient
active, alert, no signs of any kind of injury.
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exercise 7c:
this is a list of some of the possible consequences of a blow to the head. use the information in the list to complete the text that follows the list. as you insert things from the list, you will have to make changes to the words.
effects of head injuries
physical
decrease of motor speed
poor co-ordination
cognitive
losing memory
speech slurring
losing sense of time and space
behavioural
irritability
verbal and physical aggressiveness
the paramedics at the scene of the accident noted that the patient, paul marston (age 10 years) had been unconscious for two minutes. when he regained consciousness, his ………. (meaning: speed of physical movement) ……….. had and for a time he was ……….. (meaning: couldn t accurately touch his nose with his finger).
when the paramedics asked him questions there were signs of ………. (meaning: couldn t remember) and the patient s speech was ………. (meaning: not clear). for a short time, the patient ………. (meaning: unaware of where he was and what time it was).
these effects were temporary and if there are any behavioural changes such as becoming ………. (meaning: spoken or physical violence) and ………. (meaning: easily gets angry) then these will appear over the next few days to family members and be reported to the family doctor.
exercise 7d:
paul marston s treatment includes sutures which will be removed later by the practice nurse. fill in the gaps in the following instructions for removing sutures.
remove ………. (some, the, a) dressing, expose the wound and clean……….(them, it, they) with antiseptic solution and a fresh swab. hold the knot of the first suture with forceps which………. (was, had been, have been) sterilized ………. (undo, start, open) the stitch cutter and slide the blade under the suture, close………. (to, by, at) where it meets………. (a, the, some) skin. cut the suture and then ………. (softly, quietly, gently) pull it out with………. (the, a, some) forceps. repeat this operation ………. (on, in, by) every other suture and when you……….(are removing, have removed, remove) half of the sutures, if the wound………. (remain, remaining, remains) intact, take out the rest.
exercise 7e:
which of these things are made and which are done ? which ones can be either made or done? use some version of make or do to complete each of the sentences:
a. an examination. a careful examination was ………. of the wound.
b. a wound. the boy s fall ………. a nasty wound in his forehead.
c. a hole. the doctor will ………. two tiny holes. here and here.
d. a test. the nurse will ………. a test for reflexes.
e. a measurement. we have……….a measurement of blood alcohol.
f. a recovery. we expect the patient ………. a full recovery.
g. an improvement. though still poorly he has ………. a dramatic improvement.
h. a diagnosis. when we ve got the test results back we can perhaps ………. a diagnosis.
i. surgery. we will have to ………. minor surgery on the patient s head.
j. an assessment. after ………. an assessment of the situation, we will be clearer about what to do next.
exercise 7f:
put single words into the spaces in these sentences:
a. the surgeon made a ………. incision with the scalpel. (meaning: a cut with three sides)
b. hold the dropingper………. (meaning: straight up)
c. ensure the patient sleeps as………. as possible. (meaning: flat)
d. set the equipment at……….to the floor. (meaning: at 90°)
e. use the catheter with the……….end. (meaning: round)
f. the………. bowl can be used for disposables. (meaning: not square but with four sides)
g. if the blue……….changes colour, the test is positive. (meaning: part of a circle)
المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .
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