ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

Which pair of symptoms is typical of hyperglycaemia?

1. AIncreased thirst and passing large amounts of urine
2. BPinpoint pupils and slow breathing
3. CSweating, trembling hands and a sudden feeling of hunger
4. DSlow pulse and cold, pale skin

What is a typical SpO₂ in a healthy adult at rest breathing room air?

1. AAbout 85–88%
2. BAbout 60–70%
3. CAbout 75–80%
4. DAbout 95–100%

Which hormone made by the kidneys stimulates red blood cell production?

1. AInsulin
2. BAldosterone
3. CThyroxine
4. DErythropoietin

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

1. AStarting a fast intravenous infusion to correct the dryness
2. BFrequent mouth care that keeps the lips and mouth moist
3. CInserting a nasogastric tube for fluids
4. DLeaving the mouth alone to avoid disturbing them

ผู้ป่วยหลังผ่าตัดมีอัตราการเต้นของหัวใจ 125/นาที ความดันโลหิต 88/50 mmHg และผ้าปิดแผลชุ่มเลือด เกิดอะไรขึ้น?

1. Aภาวะช็อกจากปริมาตรเลือดต่ำ (hypovolaemic shock) เพราะเลือดออก
2. Bภาวะช็อกจากการติดเชื้อในกระแสเลือดจากการติดเชื้อทางเดินปัสสาวะ
3. Cการตอบสนองต่อความปวดตามปกติ
4. Dความวิตกกังวลเท่านั้น

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AIt should not be recorded at all
2. BAs an allergy to all painkillers
3. CAs a severe anaphylactic allergy to all opioids
4. DAs a side effect or intolerance, not a true allergy

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. AStopping all oxygen therapy
2. BSedation to slow the breathing
3. C15 L/min oxygen via a non-rebreathe mask
4. DNon-invasive ventilation

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. ASedate the patient so the transfusion can be given
2. BGive the transfusion while the patient is asleep, as it is in their best interests
3. CRespect the refusal, check it is informed and document it, and inform the team
4. DAsk a family member to consent instead