ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

In palliative care, a syringe driver is used to:

1. ADrain fluid from the lungs
2. BGive a single fast intravenous injection when symptoms flare up suddenly
3. CGive a continuous subcutaneous infusion of medicines, often over 24 hours
4. DMeasure blood glucose continuously

Which of these intravenous fluids is isotonic?

1. A0.9% sodium chloride
2. B3% sodium chloride
3. C8.4% sodium bicarbonate
4. D10% glucose

Pain from gallstones (biliary colic) is typically felt in which area?

1. ABehind the left knee
2. BThe right upper abdomen, often after a fatty meal
3. CThe left lower abdomen, usually after drinking water
4. DThe lower back on the left, when walking

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

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

ก่อนให้ยาปิดกั้นเบต้า (beta-blocker) การสังเกตใดสำคัญที่สุดที่ต้องตรวจ?

1. Aระดับกลูโคสในเลือดเท่านั้น
2. Bการขับถ่ายอุจจาระ
3. Cอัตราการเต้นของหัวใจและความดันโลหิต
4. Dอุณหภูมิเท่านั้น

A patient is prescribed two different eye drops at the same time. What is correct?

1. AGive both drops at once into the same eye
2. BWait about five minutes between the two drops
3. CMix the two drops in one bottle
4. DGive one drop now and the other the next day

A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?

1. ACushing's syndrome, managed with potassium
2. BDehydration, managed with an IV fluid bolus
3. CDiabetes insipidus, managed with extra fluids
4. DSIADH, often managed first with fluid restriction

A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?

1. AAcute angle-closure glaucoma
2. BSimple conjunctivitis from a viral infection
3. CA stye
4. DDry eye syndrome