ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

What is a normal capillary refill time in an adult?

1. AMore than 15 seconds
2. B8–10 seconds
3. C2 seconds or less
4. D5–6 seconds

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

Which type of pain is typical of a kidney stone?

1. AA tight band around the head
2. BSevere, colicky pain from the loin towards the groin
3. CA burning pain behind the breastbone after meals
4. DA dull ache in both knees

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. ARespiratory alkalosis
2. BMetabolic alkalosis
3. CRespiratory acidosis
4. DMetabolic acidosis

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AAn allergic reaction to the dressing
2. BA broken collarbone from being moved onto the table
3. CGas used during the operation irritating the diaphragm
4. DA heart attack caused by the stress of surgery

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

1. ANormal dialysis fluid
2. BPeritonitis
3. CA urinary tract infection
4. DConstipation

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"If I get a temperature, I'll take paracetamol and wait until my next clinic."
2. B"I will phone the helpline if I have a fever or shivering."
3. C"I will check my temperature if I feel unwell or shivery at home."
4. D"I will wash my hands well before eating and after using the toilet."

A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?

1. AEscalate urgently, as the patient may be bleeding
2. BRecheck the haemoglobin next week
3. CEncourage the patient to eat iron-rich foods
4. DDocument the result and take no further action