ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

What does "cyanosis" describe?

1. APale skin caused by fear or pain
2. BA yellow colour of the skin and eyes caused by raised bilirubin
3. CA bluish colour of the skin or lips from poorly oxygenated blood
4. DA red, flushed face from fever

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

1. ASinus bradycardia
2. BVentricular fibrillation
3. CAsystole
4. DFirst-degree heart block

Hepatitis A is mainly spread by:

1. ASexual contact only
2. BBlood transfusion
3. CThe faecal–oral route
4. DMosquito bites

Which side effect of regular opioids usually needs preventive treatment from the start?

1. ADiarrhoea
2. BHigh blood pressure
3. CConstipation
4. DExcessive hunger

ปากทวารเทียมที่ลำไส้ใหญ่ (colostomy stoma) ใหม่มีสีม่วงเข้มจนถึงดำในวันที่สองหลังผ่าตัด สิ่งนี้บ่งชี้อะไร?

1. Aรอยช้ำปกติหลังผ่าตัดของปากทวารเทียมที่ไม่ต้องทำอะไร
2. Bปากทวารเทียมปกติที่แข็งแรง
3. Cปากทวารเทียมอาจขาดเลือด ต้องได้รับการประเมินโดยด่วน
4. Dท้องผูก

When should discharge planning usually begin?

1. AOnly after the patient asks to go home
2. BOn or soon after admission
3. CAfter the patient has been home for a week
4. DOn the morning of discharge

A patient two days after abdominal surgery coughs and says something "gave way". The wound has opened and bowel is visible. What should the nurse do first?

1. AApply dry gauze tightly and ask the patient to keep coughing
2. BSit the patient fully upright and offer a hot drink
3. CGently push the bowel back into the abdomen and tape the wound edges firmly closed
4. DCover the wound with sterile, saline-moistened dressings and get urgent surgical help

A patient has a full-thickness burn all the way round the forearm. Which complication must be watched for closely?

1. AExcessive bleeding from the burn surface needing an urgent blood transfusion
2. BHypoglycaemia caused by the body using glucose to heal the burn
3. CLoss of circulation to the hand as swelling builds under tight burned skin
4. DDelayed hair growth on the arm