ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

In the chain of infection, hand hygiene mainly breaks which link?

1. AThe infectious agent's ability to grow
2. BThe susceptibility of the host
3. CThe mode of transmission
4. DThe reservoir of infection

Which group of findings suggests fluid overload?

1. ADry mouth, thirst, dark urine and a rapid weak pulse
2. BLow jugular venous pressure and cool skin
3. CWeight loss, sunken eyes and a dry mouth
4. DSwollen ankles, breathlessness, lung crackles and weight gain

Why must patients and visitors never smoke or use naked flames near oxygen therapy?

1. AOxygen makes things burn much more easily and fiercely
2. BOxygen turns cigarette smoke into a poisonous gas
3. CSmoke blocks the oxygen tubing and stops the flow
4. DFlames make the oxygen less effective

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. AWeigh the patient again in six months and review at that point
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CRefer to the dietitian and start a nutrition care plan with food charts
4. DEncourage a low-calorie diet

Which is the correct technique for using a metered-dose inhaler without a spacer?

1. APress the canister twice quickly, then breathe in fast and breathe straight out again
2. BPress the canister and wait one minute before breathing in
3. CBreathe out, then breathe in slowly and deeply while pressing the canister, then hold
4. DBreathe in quickly through the nose while pressing the canister

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

1. AConstipation
2. BA urinary tract infection
3. CPeritonitis
4. DNormal dialysis fluid

A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?

1. AThe heart rate falls, blood pressure rises and urine output improves
2. BThe respiratory rate rises and new lung crackles appear
3. CThe heart rate rises further and the patient becomes more confused
4. DThe capillary refill time becomes longer

A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?

1. AAddisonian crisis
2. BMyxoedema coma
3. CThyroid storm
4. DHypoglycaemia