ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:

1. AImpossible to obtain
2. BAccurate
3. CFalsely high
4. DFalsely low

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

1. A100 mL of retained fluid
2. B1 litre of retained fluid
3. C5 litres of retained fluid
4. D10 mL of retained fluid

A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?

1. ACategory 2
2. BCategory 3
3. CCategory 1
4. DCategory 4

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AFrequent mouth care that keeps the lips and mouth moist
2. BInserting a nasogastric tube for fluids
3. CStarting a fast intravenous infusion to correct the dryness
4. DLeaving the mouth alone to avoid disturbing them

Which ECG change is typical of hypokalaemia?

1. AFlattened T waves and prominent U waves
2. BA very short PR interval with a delta wave
3. CST elevation in leads II, III and aVF
4. DTall, peaked T waves

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AA diagnosis of dementia means the person lacks capacity for all decisions
2. BA person must be assumed to have capacity unless it is shown that they lack it
3. CCapacity is decided by the next of kin, who must sign a form for every decision
4. DEveryone over 75 is assumed to lack capacity

A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?

1. AIndigestion that will settle with antacids
2. BA perforated peptic ulcer
3. CConstipation
4. DIrritable bowel syndrome

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. AThe drug makes glucose tablets and drinks ineffective
2. BThe drug causes rebound hyperglycaemia later the same day
3. CSulfonylureas act for a long time, so hypoglycaemia can recur
4. DSulfonylureas only work at night