ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

กฎเลขเก้า (rule of nines) ใช้ประมาณ:

1. Aจำนวนครั้งในการหายใจต่อนาที
2. Bความลึกของแผลไฟไหม้ วัดเป็นมิลลิเมตรของผิวหนัง
3. Cร้อยละของพื้นที่ผิวร่างกายที่ถูกไฟไหม้น้ำร้อนลวก
4. Dของเหลวที่สูญเสียจากการอาเจียน

Why are patients having chemotherapy at increased risk of infection?

1. AChemotherapy stops the patient from sweating
2. BChemotherapy suppresses the bone marrow and lowers the white cell count
3. CChemotherapy makes the skin thicker
4. DChemotherapy raises the white cell count too high for it to work properly

On a drug chart, "PRN" means a medicine is given:

1. AAt night
2. BOnce only
3. CWhen required
4. DEvery morning

Which rule is essential for safe use of patient-controlled analgesia (PCA)?

1. AThe button should be pressed before each meal
2. BThe nurse should press it every hour
3. CRelatives should press it while the patient sleeps
4. DOnly the patient should press the button

Which is a recognised risk factor for postoperative nausea and vomiting?

1. ABeing a smoker
2. BA short operation under local anaesthetic
3. CBeing male
4. DUse of opioids after surgery

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic alkalosis
2. BMetabolic acidosis
3. CRespiratory acidosis
4. DRespiratory alkalosis

A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?

1. AIgnore the result because the patient looks well and the ECG is normal
2. BStart a potassium supplement
3. CGive IV insulin and glucose straight away
4. DRepeat the blood test promptly, as haemolysis can falsely raise potassium

A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?

1. AIt stops the clot growing and prevents new clots while the body breaks it down
2. BIt thins the blood so that the lungs absorb more oxygen
3. CIt dissolves the clot completely within minutes of the first dose being given
4. DIt is mainly given to lower the blood pressure