ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

In the chain of infection, hand hygiene mainly breaks which link?

1. AThe infectious agent's ability to grow
2. BThe reservoir of infection
3. CThe mode of transmission
4. DThe susceptibility of the host

What is a PEG tube?

1. AA feeding tube placed through the abdominal wall into the stomach
2. BA tube placed through the skin into the bladder to drain urine
3. CA tube placed in the chest to drain air
4. DA tube passed through the nose and down into the stomach

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left lower abdomen and stays there
2. BIt starts in the right upper abdomen and moves up to the centre of the chest
3. CIt starts in the left shoulder and moves to the back
4. DIt starts around the umbilicus and moves to the right lower abdomen

Which measure helps prevent delirium in older inpatients?

1. AReorientation, glasses and hearing aids in use, and good sleep and hydration
2. BRestricting fluids to avoid incontinence
3. CMoving the patient to a different bed each night to give them a change of scene
4. DKeeping the lights on all night

Which blood results are typical of Addison's disease (primary adrenal insufficiency)?

1. ALow sodium and high potassium
2. BLow haemoglobin and high platelets
3. CHigh glucose and high calcium
4. DHigh sodium and low potassium

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. ALift the patient straight back into bed so they are comfortable
2. BComplete the incident report form
3. CPhone the patient's family
4. DCheck the patient for injuries before moving them

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. ATell the patient not to think about such things and to stay positive
2. BLeave and send the doctor without saying anything
3. CChange the subject quickly to keep them cheerful and avoid upsetting them
4. DGently explore what the patient understands and what has prompted the question

A drowsy patient in recovery is making snoring sounds and the SpO₂ is falling. What is the first action?

1. AOpen the airway with a head tilt–chin lift or jaw thrust
2. BGive sips of oral fluid to clear the throat and wake them
3. CWait for the patient to wake up fully
4. DLie the patient face down