ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Gout is caused by:

1. AA bacterial infection of the bone
2. BA lack of calcium in the diet
3. CWear and tear of the joint cartilage
4. DUric acid crystals forming in a joint

What is the normal pH range of arterial blood?

1. A7.35–7.45
2. B6.85–6.95
3. C7.00–7.10
4. D7.55–7.65

อาการใดเป็นอาการคลาสสิกของโรคหลอดเลือดหัวใจตีบเจ็บหน้าอก (angina pectoris)?

1. Aปวดน่องเมื่อเดินและหายเมื่อพัก
2. Bเจ็บหน้าอกเมื่อออกแรงและหายเมื่อพัก
3. Cปวดคงที่หลายวันโดยไม่ขึ้นกับกิจกรรม
4. Dเจ็บแปลบเฉพาะเมื่อกดที่ผนังทรวงอก

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. APeak flow readings
2. BFluid balance, regular weights and urea, creatinine and electrolytes
3. CWeekly temperature and a single blood glucose reading
4. DMonthly HbA1c

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt never interacts with other drugs
2. BIt is safe in all patients with severe kidney failure
3. CIt has no risk of bleeding
4. DIt does not need routine INR monitoring

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo reduce the risk of stroke from clots in the atria
2. BTo lower the blood pressure
3. CTo convert the rhythm back to normal
4. DTo slow the heart rate directly and prevent palpitations

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AA ruptured abdominal aortic aneurysm
2. BMusculoskeletal back pain
3. CAcute gastritis from anti-inflammatory drugs
4. DRenal colic from a kidney stone

A nurse teaches a patient with diabetes about foot care. Which statement shows a need for further teaching?

1. A"I will check my feet every day for cuts or blisters."
2. B"I will see the podiatrist about hard skin."
3. C"I will wear well-fitting shoes."
4. D"I will walk barefoot at home to toughen my feet."