ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

1. AAsystole
2. BSinus bradycardia
3. CFirst-degree heart block
4. DVentricular fibrillation

สัญญาณใดบ่งชี้ภาวะขาดน้ำในผู้ใหญ่?

1. Aปากชุ่มชื้น ปัสสาวะสีจาง และชีพจรปกติ
2. Bปากแห้ง ปัสสาวะเข้มข้นสีเข้ม และหัวใจเต้นเร็ว
3. Cน้ำหนักเพิ่มขึ้นในสองวัน
4. Dข้อเท้าบวม มีเสียงกรอบแกรบในปอด และ JVP สูงขึ้น

Which sign is typical of right-sided heart failure?

1. AA high fever with rigors
2. BSwollen ankles and a raised jugular venous pressure
3. CCrackles in both lungs and pink frothy sputum
4. DPinpoint pupils, drowsiness and a slow breathing rate

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ASitting the patient upright and supporting them to clear secretions
2. BLying the patient flat so that they can rest and conserve energy
3. CRestricting all oral fluids
4. DDiscouraging coughing to save energy

Which advice should be given to a patient with a new permanent pacemaker?

1. ANever raise the arm on that side again
2. BTell staff about the pacemaker before any MRI scan or procedure
3. CAvoid using all household electrical appliances such as kettles
4. DStop all heart medicines straight away

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

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

A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?

1. AThe patient has had a recent cold
2. BThe whole of one side of the face, including the forehead, is weak
3. CThe forehead can still be wrinkled on the affected side
4. DThe patient has pain behind the ear

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. ASedate the patient so the transfusion can be given
2. BAsk a family member to consent instead
3. CRespect the refusal, check it is informed and document it, and inform the team
4. DGive the transfusion while the patient is asleep, as it is in their best interests