ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

What is the usual normal platelet count in adults?

1. A150–400 × 10⁹/L (150,000–400,000/mm³)
2. B1,000–2,000 × 10⁹/L (1–2 million/mm³)
3. C4–11 × 10⁹/L (4,000–11,000/mm³)
4. D1–2 × 10⁹/L (1,000–2,000/mm³)

What does "dysphagia" mean?

1. ADifficulty speaking
2. BDifficulty breathing
3. CPain when passing urine
4. DDifficulty swallowing

Why is a platelet transfusion given?

1. ATo treat a high white cell count in a patient with infection or leukaemia
2. BTo prevent or treat bleeding in a patient with low or poorly working platelets
3. CTo provide extra protein
4. DTo raise the haemoglobin level in a patient with anaemia

Which type of painkiller should a patient with liver cirrhosis usually avoid?

1. AParacetamol (acetaminophen), given in a carefully reduced and monitored dose
2. BLocal anaesthetic creams
3. CNon-steroidal anti-inflammatory drugs such as ibuprofen
4. DHot packs applied to a painful joint

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt has no risk of bleeding
2. BIt never interacts with other drugs
3. CIt does not need routine INR monitoring
4. DIt is safe in all patients with severe kidney failure

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AFluid balance, regular weights and urea, creatinine and electrolytes
2. BMonthly HbA1c
3. CWeekly temperature and a single blood glucose reading
4. DPeak flow readings

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AA base-of-skull fracture with a cerebrospinal fluid leak
2. BA normal and harmless response to head trauma
3. CAllergic rhinitis triggered by the hospital environment
4. DAcute sinusitis

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AHead tilt with chin lift
2. BJaw thrust
3. CHyperextending the neck
4. DTurning the head to one side