Unit quiz: Sustaining the Patient and Closing the Case

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5 questions · 80% to pass · no timer. This quiz checks the lessons in this unit. These authored questions assess recognition and application of the taught distinctions, not professional qualification. You may review the lessons and retry. Repeat attempts reuse the question bank; a remembered answer is not proof of transfer to a new situation.

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Question 1

A fictional 4 kg cat with hepatic lipidosis has eaten nothing for nine days. The veterinarian orders enteral feeding. The technician is asked to describe the first day's plan. Which plan matches the evidence in this level?Begin at about one third of the resting energy requirement over the first 12 to 24 hours, reassess tolerance, and increase gradually toward the full requirement over two to three days while monitoring phosphate, potassium and magnesium.Begin at the full resting energy requirement immediately, because the deficit has accumulated for nine days and must be corrected quickly.

Question 2

A fictional 5 kg cat has had an indwelling urinary catheter for three days after relief of urethral obstruction. The overnight nurse reports 4 mL of urine in the last hour and a catheter that has been disconnected twice for flushing. Which response is most appropriate?Flush the catheter again and wait until the morning, since a blocked catheter is the most likely explanation and flushing solves it.Treat the low volume and the disconnections as two separate reportable problems: record the hourly volume against the expected 1 to 2 mL/kg/h, note each disconnection, and escalate both to the veterinarian because oliguria and breaks in the closed system carry different risks.

Question 3

A fictional 28 kg dog has been recumbent for two days after spinal surgery. The ward is short-staffed and the turn chart has entries at 08:00 and 20:00. The technician notices a non-blanching red area over the left greater trochanter. What is the best interpretation and action?Twelve-hourly turning is below the two-hourly repositioning described in the rehabilitation literature, the non-blanching area is early pressure injury rather than a cosmetic mark, so the technician should start a documented turn schedule, add pressure relief and escalate the skin finding.The red area is expected in a recumbent dog and will resolve once the patient walks again, so it should be left undisturbed to avoid further skin damage.

Question 4

A fictional client is being discharged with a diabetic cat and a new insulin pen. At the end of the appointment the technician says, 'Any questions?' and the client says no. Two weeks later the cat is hypoglycaemic and the record shows the client was using the wrong syringe scale. Which change to the discharge process would most likely have prevented this?Provide a longer written handout with the dose printed in bold, because the failure was one of information supply.Use a return demonstration with the client's own device, checking the syringe scale against the pen, and document what the client did rather than what the client said.

Question 5

A fictional 14-year-old dog with end-stage renal disease is euthanased in the practice. Ten minutes after the injection the veterinarian is called away, and the technician is asked to confirm death before the body is placed in the freezer. Which confirmation is adequate?A combination of absent pulse, absent breathing, absent corneal reflex, no response to a firm toe pinch, no audible heartbeat on auscultation and grey mucous membranes, documented as a set, because no single sign except rigor mortis is sufficient.Absence of a palpable femoral pulse for one minute is sufficient, because circulation stops before respiration in every species.

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