ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

สิ่งที่ต้องทำเป็นลำดับแรกสำหรับผู้ป่วยที่เพิ่งชักและตอนนี้ง่วงซึมคืออะไร?

1. Aจับกดไว้แน่นไม่ให้ขยับ
2. Bจัดท่านอนพักฟื้น (recovery position) และรักษาทางเดินหายใจให้โล่ง
3. Cปล่อยให้นอนหลับไปโดยไม่ต้องเฝ้าสังเกตเพิ่มเติม
4. Dให้อาหารและน้ำทันที

A pleural effusion is:

1. AA blood clot in the lung
2. BA collection of fluid in the pleural space
3. CAn infection of the bronchi
4. DAir in the pleural space after an injury

The MUST tool is used to screen adults for:

1. APressure ulcer risk
2. BDepression
3. CRisk of falls
4. DMalnutrition

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. ARaise the concern through the local safeguarding (adult protection) procedure
2. BKeep it secret because it is a family matter
3. CWait until the patient has been discharged
4. DConfront the relative directly at the bedside about it

After a needlestick injury from a patient known to have HIV, why must the nurse report it immediately?

1. AThe nurse must be tested for HIV the same day to confirm infection
2. BThe patient will need antibiotics
3. CThe needle must be sent for culture
4. DPost-exposure prophylaxis works best when started as soon as possible

How is Helicobacter pylori infection usually treated?

1. ASurgery to remove the stomach
2. BA single dose of paracetamol and a bland diet for a week
3. CAntacids alone, taken after every meal for a month
4. DA combination of antibiotics with a proton pump inhibitor

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes measure doses less accurately
2. BEnteral syringes keep the medicine sterile
3. CTo prevent accidental intravenous administration
4. DIV syringes cannot hold liquid medicines

Which patient should the nurse assess first?

1. AA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
2. BA patient with COPD whose SpO₂ is 89% and within their target range
3. CA patient with asthma who can only speak in single words
4. DA postoperative patient who rates their pain as 6/10