ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

A patient's care plan says "nil by mouth". What does this mean?

1. AOnly clear fluids such as water and black tea are allowed
2. BThe patient may eat if they feel hungry
3. CNo food or drink by mouth unless specific exceptions are prescribed
4. DFood is allowed, but drinks must be stopped until the next day

Which description is typical of neuropathic pain?

1. AA pain that only occurs after meals
2. BA dull ache that is only present during exercise
3. CBurning, shooting or tingling pain
4. DA sharp pain only when the skin is cut

Which haemoglobin result in an adult man would be classed as anaemia?

1. A165 g/L (16.5 g/dL)
2. B95 g/L (9.5 g/dL)
3. C155 g/L (15.5 g/dL)
4. D140 g/L (14.0 g/dL)

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ASodium
2. BUrea (blood urea nitrogen)
3. CCalcium
4. DGlucose

Which advice is correct for a patient taking levothyroxine?

1. ATake it only on days when feeling tired
2. BStop taking it once the symptoms improve
3. CTake it on an empty stomach, usually before breakfast
4. DTake it with a large meal to avoid nausea and stomach upset

Which examination findings suggest a large pleural effusion on one side?

1. AWheeze heard over both lungs
2. BDull percussion and reduced breath sounds over the lung base
3. CA hyper-resonant chest with the trachea pulled towards that side
4. DNormal breath sounds and normal percussion

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. AHypovolaemia from dehydration
2. BHyperkalaemia
3. CPneumonia
4. DCardiac tamponade

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo protect the heart muscle directly; the patient must be kept nil by mouth
2. BTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
3. CTo remove potassium from the body; urine output must be stopped for a time
4. DTo treat hidden diabetes; HbA1c must be checked daily