ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AAssessing a cannula site for signs of phlebitis
2. BChecking blood glucose control
3. CScoring the patient's pain
4. DMeasuring the speed and volume of an infusion

A wheeze heard on chest auscultation is caused by:

1. AAir flowing through narrowed airways
2. BFluid collecting in the pleural space
3. CThe pleural layers rubbing together
4. DFluid in the alveoli

A pleural effusion is:

1. AAir in the pleural space after an injury
2. BA collection of fluid in the pleural space
3. CAn infection of the bronchi
4. DA blood clot in the lung

Why is it important to prevent hypothermia during and after surgery?

1. AIt makes the patient's pain disappear
2. BIt causes high blood glucose only
3. CIt increases the risk of wound infection, bleeding and cardiac complications
4. DIt makes the patient wake up too quickly and become agitated in recovery

For a patient in skin traction on the leg, which is correct?

1. AThe weights hang freely and do not rest on the bed or floor
2. BThe weights are removed whenever the patient feels uncomfortable
3. CThe weights rest on the floor overnight
4. DThe rope is tied to the bed frame to keep it still

Which tool is commonly used at the bedside to screen for delirium?

1. AThe Confusion Assessment Method (CAM)
2. BThe Glasgow-Blatchford score
3. CThe Braden scale
4. DThe Malnutrition Universal Screening Tool

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AIsolation only after the patient has gone home
2. BNo precautions, because it is not contagious
3. CAirborne precautions with a negative-pressure room for the whole hospital stay
4. DDroplet precautions until 24 hours of effective antibiotics have been given

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AA ruptured abdominal aortic aneurysm
2. BMusculoskeletal back pain
3. CRenal colic from a kidney stone
4. DAcute gastritis from anti-inflammatory drugs