ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Why is a platelet transfusion given?

1. ATo raise the haemoglobin level in a patient with anaemia
2. BTo prevent or treat bleeding in a patient with low or poorly working platelets
3. CTo provide extra protein
4. DTo treat a high white cell count in a patient with infection or leukaemia

Why is jewellery removed or taped before surgery?

1. ATo make the patient's weight easier to measure
2. BBecause metal jewellery increases blood loss during the operation
3. CBecause metal raises the risk of postoperative nausea
4. DTo reduce the risk of diathermy burns and pressure injury

อัตราการหายใจขณะพักปกติของผู้ใหญ่คือเท่าใด?

1. Aประมาณ 40–50 ครั้งต่อนาที
2. Bประมาณ 25–35 ครั้งต่อนาที
3. Cประมาณ 4–8 ครั้งต่อนาที
4. Dประมาณ 12–20 ครั้งต่อนาที

When should discharge planning usually begin?

1. AOn the morning of discharge
2. BAfter the patient has been home for a week
3. COn or soon after admission
4. DOnly after the patient asks to go home

Which technique is correct when suctioning through a tracheostomy?

1. ASuction every 15 minutes whether or not secretions are present
2. BApply suction continuously while inserting the catheter as far as it will go
3. CKeep suctioning for at least a minute each time to clear all the secretions
4. DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APregnant women and immunocompromised people who have not had chickenpox
2. BPeople who have already had chickenpox in childhood and are now healthy
3. CNo one, because shingles cannot spread
4. DOnly people over 80 who have already had shingles themselves

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mrs Jones would like a cup of tea and her glasses cleaned."
2. B"Ms Ali has walked to the bathroom on her own."
3. C"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
4. D"Mr Chen's blood pressure is 128/80 as usual."

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AAnxiety about the new diagnosis that will settle with reassurance and rest alone
2. BA normal response to atrial fibrillation needing no action
3. CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
4. DA stable rhythm that can safely be reviewed at the next routine ward round