ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

มาตรวัดความปวดใดมักใช้กับผู้ใหญ่ที่สื่อสารได้?

1. Aมาตรวัดแผลกดทับ Braden
2. BGlasgow Coma Scale
3. Cมาตรประเมินเชิงตัวเลข 0–10 (numerical rating scale)
4. Dคะแนน Apgar

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. ATroponin
2. BD-dimer
3. CBilirubin
4. DAmylase

What is the Visual Infusion Phlebitis (VIP) score used for?

1. AScoring the patient's pain
2. BChecking blood glucose control
3. CMeasuring the speed and volume of an infusion
4. DAssessing a cannula site for signs of phlebitis

Long-term amiodarone treatment can affect which of the following?

1. AThyroid function, the lungs and the skin's sensitivity to sunlight
2. BHair colour and nail growth only, with no effect on organs
3. CThe sense of smell and taste only, with no other effects
4. DBlood glucose and cholesterol only

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHypoxia
2. BHyperthyroidism
3. CHyperventilation
4. DHypertension

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AFrequent mouth care that keeps the lips and mouth moist
2. BLeaving the mouth alone to avoid disturbing them
3. CStarting a fast intravenous infusion to correct the dryness
4. DInserting a nasogastric tube for fluids

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AA normal response to atrial fibrillation needing no action
2. BHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
3. CAnxiety about the new diagnosis that will settle with reassurance and rest alone
4. DA stable rhythm that can safely be reviewed at the next routine ward round

Which action is most important in protecting a patient with severe neutropenia from infection?

1. AKeeping fresh flowers and plants in the room to help the patient's mood
2. BStrict hand hygiene by everyone who has contact with the patient
3. CGiving routine intramuscular injections
4. DTaking rectal temperatures regularly