ใบงาน การพยาบาลทางคลินิก พร้อมเฉลย

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

1. ABilirubin
2. BAmylase
3. CD-dimer
4. DTroponin

สัญญาณใดบ่งชี้หลอดเลือดดำอักเสบ (phlebitis) ที่ตำแหน่งสายให้สารน้ำทางหลอดเลือดดำ?

1. Aแดง ปวด และบวมตามแนวหลอดเลือดดำ
2. Bผิวปกติไม่ปวด
3. Cผิวซีดและเย็นห่างจากตำแหน่งที่แทง
4. Dผู้ป่วยกระหายน้ำ

Which structure is the heart's natural pacemaker?

1. AThe mitral valve in the left side of the heart
2. BThe sinoatrial (SA) node
3. CThe left ventricle
4. DThe aorta

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. CA combination of antibiotics with a proton pump inhibitor
4. DAntacids alone, taken after every meal for a month

Which rule is essential for safe use of patient-controlled analgesia (PCA)?

1. AOnly the patient should press the button
2. BRelatives should press it while the patient sleeps
3. CThe button should be pressed before each meal
4. DThe nurse should press it every hour

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 a side effect or intolerance, not a true allergy
3. CAs a severe anaphylactic allergy to all opioids
4. DAs an allergy to all painkillers

A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?

1. AThe combination causes severe hyperkalaemia
2. BThe combination can cause a severe, dangerous fall in blood pressure
3. CSildenafil stops GTN from being absorbed under the tongue at all
4. DGTN makes sildenafil toxic to the liver

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will report it if I need more pillows to sleep."
2. B"I only need to weigh myself once a month."
3. C"I will take my water tablet in the morning."
4. D"I will weigh myself each morning after passing urine."