ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

The MUST tool is used to screen adults for:

1. APressure ulcer risk
2. BMalnutrition
3. CDepression
4. DRisk of falls

The term "hypoxaemia" means:

1. AA low red blood cell count
2. BA low level of glucose in the blood
3. CA low level of oxygen in the arterial blood
4. DA high level of carbon dioxide in the blood

How deep should chest compressions be during adult CPR?

1. A8–10 cm
2. B5–6 cm
3. C1–2 cm
4. D2–3 cm

What is the main benefit of pulmonary rehabilitation for patients with COPD?

1. AA cure for the disease within months
2. BNo further need for inhalers
3. CBetter exercise capacity and quality of life
4. DReversal of the lung damage caused by smoking

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. ARestrict fluids to encourage appetite and give a low-protein diet instead
2. BEncourage a low-calorie diet
3. CWeigh the patient again in six months and review at that point
4. DRefer to the dietitian and start a nutrition care plan with food charts

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. APatients can be seriously injured climbing over or becoming trapped in rails
2. BBed rails stop staff from taking observations
3. CBed rails are illegal in all hospitals and must never be used at all
4. DBed rails always make patients more confused, but only during the day

How should pain be assessed in a patient with advanced dementia who cannot describe it?

1. ABy assuming the patient has no pain unless they are crying out or calling for help
2. BWith an observational pain tool that scores facial expression, behaviour and body language
3. CBy checking the blood pressure only
4. DBy asking the patient to rate their pain on a numerical scale from 0 to 10

ผู้ป่วยที่ได้รับอาหารทางสายให้อาหารหลังอดอาหารเป็นเวลานานมีฟอสเฟตต่ำ โพแทสเซียมต่ำ และหัวใจเต้นผิดจังหวะ สิ่งใดน่าจะเป็นมากที่สุด?

1. Aภาวะคีโตแอซิโดซิสจากเบาหวาน
2. Bกลุ่มอาการ refeeding (refeeding syndrome)
3. Cไทรอยด์ทำงานเกิน
4. Dกลุ่มอาการ dumping