ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. ACPR will not be attempted if the heart stops, but other care continues
2. BAll treatment, including food, drink and pain relief, is stopped
3. CThe patient must be moved to a hospice
4. DThe patient cannot receive antibiotics, fluids or any other active treatment

Cellulitis is:

1. AA fungal infection of the skin between the toes only
2. BAn allergic rash caused by a reaction to soap or washing powder
3. CA bacterial infection of the deeper skin and the tissue beneath it
4. DA blocked sweat gland

What is oral mucositis, a common side effect of chemotherapy?

1. ASwelling of the salivary glands from dehydration
2. BA fungal infection of the toenails that spreads to the mouth
3. CPainful inflammation and ulceration of the lining of the mouth
4. DA loss of taste only

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis typically causes patchy "skip" lesions
2. BUlcerative colitis can affect any part of the gut from mouth to anus
3. CUlcerative colitis affects only the colon, continuously from the rectum
4. DUlcerative colitis always affects the full thickness of the bowel wall

How is Helicobacter pylori infection usually treated?

1. AAntacids alone, taken after every meal for a month
2. BSurgery to remove the stomach
3. CA combination of antibiotics with a proton pump inhibitor
4. DA single dose of paracetamol and a bland diet for a week

ระหว่างการให้สารน้ำทางหลอดเลือดดำ บริเวณรอบสายบวม เย็น และซีด และสารน้ำหยดช้าลง น่าจะเกิดอะไร?

1. Aภาวะน้ำเกินในระบบไหลเวียน
2. Bสารน้ำรั่วซึมเข้าสู่เนื้อเยื่อโดยรอบ (infiltration)
3. Cลิ่มอากาศอุดตัน
4. Dหลอดเลือดดำอักเสบจากการติดเชื้อแบคทีเรียที่ผนังหลอดเลือด

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. ABlood pressure cannot be lowered with drugs
2. BA sudden drop can reduce blood flow to the brain, heart and kidneys
3. CRapid lowering causes hyperglycaemia
4. DRapid lowering always causes the hypertension to come back much worse

Which finding suggests hypocalcaemia?

1. ASevere thirst with a large urine output and constipation
2. BSpasm of the hand when a blood pressure cuff is inflated on the arm
3. CA slow, irregular pulse with nausea and yellow-tinged vision
4. DA flapping tremor of the outstretched hands