1.ง่าย
เครื่องมือใดใช้ประเมินความเสี่ยงของผู้ป่วยต่อการเกิดแผลกดทับ?
- Aมาตรวัด Braden หรือ Waterlow
- BMini-Mental State Examination
- Cคะแนน Apgar
- DGlasgow Coma Scale
2.ง่าย
Which haemoglobin result in an adult man would be classed as anaemia?
- A165 g/L (16.5 g/dL)
- B140 g/L (14.0 g/dL)
- C95 g/L (9.5 g/dL)
- D155 g/L (15.5 g/dL)
3.ง่าย
Why is a platelet transfusion given?
- ATo prevent or treat bleeding in a patient with low or poorly working platelets
- BTo raise the haemoglobin level in a patient with anaemia
- CTo provide extra protein
- DTo treat a high white cell count in a patient with infection or leukaemia
4.ปานกลาง
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AGiving prompt, effective analgesia
- BApplying cold packs to the painful areas
- CRestricting oral fluids
- DDelaying pain relief until a diagnosis is confirmed
5.ปานกลาง
Why is it important to prevent hypothermia during and after surgery?
- AIt causes high blood glucose only
- BIt makes the patient wake up too quickly and become agitated in recovery
- CIt increases the risk of wound infection, bleeding and cardiac complications
- DIt makes the patient's pain disappear
6.ปานกลาง
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
- AAn allergic reaction to the dressing
- BA broken collarbone from being moved onto the table
- CA heart attack caused by the stress of surgery
- DGas used during the operation irritating the diaphragm
7.ยาก
A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?
- AInsulin is needed for the anaesthetic to work
- BWithout any insulin they can develop diabetic ketoacidosis
- CInsulin prevents wound infection on its own
- DStopping insulin causes immediate hypoglycaemia during the operation
8.ยาก
A patient with stress incontinence is taught self-care. Which statement shows a need for further teaching?
- A"I'll try to lose some weight if I can."
- B"I'll do my pelvic floor exercises every day."
- C"I'll cut down on caffeine."
- D"I'll drink as little as possible so I don't leak."
เฉลย
- 1. A · มาตรวัด Braden หรือ Waterlow
- 2. C · 95 g/L (9.5 g/dL)
- 3. A · To prevent or treat bleeding in a patient with low or poorly working platelets
- 4. A · Giving prompt, effective analgesia
- 5. C · It increases the risk of wound infection, bleeding and cardiac complications
- 6. D · Gas used during the operation irritating the diaphragm
- 7. B · Without any insulin they can develop diabetic ketoacidosis
- 8. D · "I'll drink as little as possible so I don't leak."
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