1.ง่าย
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey reduce the risk of injury if the patient falls out of bed
- BThey make it easier for staff to clean under and around the bed
- CThey stop the patient from ever leaving the bed
- DThey help the patient sleep more deeply
2.ง่าย
When is eye protection part of standard precautions?
- AOnly when the patient is on airborne precautions
- BWhen splashes or sprays of blood or body fluids are likely
- COnly when caring for a patient who has an eye infection such as conjunctivitis
- DOnly in the operating room
3.ง่าย
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AStandard precautions
- BAirborne precautions
- CContact precautions
- DDroplet precautions
4.ปานกลาง
A patient is booked for an MRI scan. What must the nurse check beforehand?
- AWhether the patient has had a hearing test this year
- BWhether the patient has eaten a large meal recently
- CWhether the patient’s blood glucose has been in the normal range today
- DWhether the patient has any metal implants or devices, such as a pacemaker
5.ปานกลาง
Why must visible dirt be removed from equipment before it is disinfected?
- AOrganic matter can shield organisms and weaken the disinfectant
- BDirt makes the disinfectant react and work too strongly on the surface
- CDisinfectants only work on wet surfaces
- DCleaning first is only needed for metal items
6.ปานกลาง
A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?
- AThe wipe is used on many pumps to save product
- BThe surface is dried with a clean towel right after wiping
- CThe surface stays wet for the contact time on the product label
- DThe surface is wiped once lightly without pressure
7.ยาก
A patient weighs 180 kg and needs to be moved from bed to chair. The standard ceiling lift on the unit has a lower weight limit. What should the nurse do?
- AUse bariatric-rated equipment and enough trained staff
- BAsk the patient to stand and pivot without help
- CHave two staff lift the patient by hand
- DUse the standard lift, because limits include a safety margin
8.ยาก
ผู้ป่วยสับสนดึงสายให้อาหารทางจมูก (nasogastric tube) อยู่เรื่อย ๆ ควรลองวิธีใดก่อน?
- Aมาตรการที่จำกัดน้อยกว่า เช่น การปรับทิศทางการรับรู้ (reorientation) และผู้เฝ้า
- Bผูกยึดข้อมือทันทีเพื่อปกป้องสาย
- Cถอดสายโดยไม่ปรึกษาทีม
- Dให้ยาระงับประสาทเพื่อให้ผู้ป่วยนอนหลับสงบตลอดคืน
เฉลย
- 1. A · They reduce the risk of injury if the patient falls out of bed
- 2. B · When splashes or sprays of blood or body fluids are likely
- 3. A · Standard precautions
- 4. D · Whether the patient has any metal implants or devices, such as a pacemaker
- 5. A · Organic matter can shield organisms and weaken the disinfectant
- 6. C · The surface stays wet for the contact time on the product label
- 7. A · Use bariatric-rated equipment and enough trained staff
- 8. A · มาตรการที่จำกัดน้อยกว่า เช่น การปรับทิศทางการรับรู้ (reorientation) และผู้เฝ้า
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