ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Which urine dipstick findings most suggest a urinary tract infection?

1. AGlucose and ketones
2. BNitrites and leucocytes
3. CA low specific gravity alone
4. DBilirubin and urobilinogen

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. ABilirubin
2. BD-dimer
3. CTroponin
4. DAmylase

How does omeprazole work?

1. AIt kills bacteria in the bowel
2. BIt neutralises acid already in the stomach
3. CIt reduces the production of stomach acid
4. DIt speeds up the emptying of the stomach

What should the nurse regularly check for a patient with a syringe driver?

1. ANothing, once the syringe driver is running
2. BOnly the patient's weight, measured once a week on the same scales
3. CThe infusion site, the rate and volume remaining, and the patient's symptoms
4. DOnly that the battery is charged and the device is switched on

What happens in third-degree (complete) heart block?

1. AThe ventricles beat very fast and regularly
2. BEvery impulse reaches the ventricles, but each one is slightly delayed
3. CThe atria beat chaotically with no P waves, and the ventricular rate is irregular
4. DNo impulses from the atria reach the ventricles, so they beat independently

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. AWalking short distances with a frame and a physiotherapist
2. BLying on their back
3. CBending the hip beyond 90 degrees or crossing the legs
4. DDoing gentle ankle exercises

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. AAnaphylaxis
2. BA febrile non-haemolytic reaction
3. CTransfusion-related acute lung injury with hypotension
4. DTransfusion-associated circulatory overload

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes keep the medicine sterile
2. BIV syringes cannot hold liquid medicines
3. CEnteral syringes measure doses less accurately
4. DTo prevent accidental intravenous administration