ใบงาน พื้นฐานการพยาบาล พร้อมเฉลย

What is a healthcare-associated infection?

1. AAn infection that is passed on only through food
2. BAn infection that develops as a result of care and was not present on admission
3. CAn infection that only affects healthcare workers
4. DAn infection that the patient already had or was incubating when admitted to hospital

What does healthy granulation tissue look like?

1. ABlack, dry and hard
2. BWhite, shiny and swollen
3. CRed, moist and slightly bumpy
4. DYellow, soft and stringy, like wet threads

Which body temperature is within the normal range for an adult?

1. A38.4 °C
2. B36.8 °C
3. C39.2 °C
4. D34.6 °C

When should blood cultures be taken in a patient with suspected sepsis?

1. AAfter the patient has recovered from the infection
2. BOnly after three days of antibiotics, to see if they are working
3. CBefore antibiotics are given, as long as this does not delay them
4. DOnly if the temperature rises above 40 °C

วัดเวลาการเติมเต็มของเส้นเลือดฝอย (capillary refill time) อย่างไร?

1. Aวัดเวลาระหว่างการเต้นของหัวใจสองครั้งบนจอมอนิเตอร์หัวใจ แล้วเทียบกับชีพจรที่ข้อมือ
2. Bนับชีพจรที่ข้อมือเป็นเวลา 15 วินาที
3. Cส่องไฟเข้าตาและดูรูม่านตา
4. Dกดผิวหนังประมาณ 5 วินาที ปล่อย และจับเวลาที่สีผิวกลับคืน

Which care best protects the skin of a patient with frequent urinary incontinence?

1. AGentle cleansing after each episode and a barrier product
2. BScrubbing the area with soap and hot water twice a day
3. CApplying talcum powder thickly after each episode
4. DLeaving the skin wet so it does not dry out

A patient with a new colostomy has been taught stoma care. Which statement shows a need for further teaching?

1. A"I'll cut the opening much bigger than my stoma so it doesn't rub."
2. B"I'll check the skin around my stoma when I change the bag."
3. C"I'll measure the stoma again as it shrinks over the next weeks."
4. D"I'll dry the skin well before putting on a new bag."

A stable patient is woken every hour for observations and is becoming tired and confused. What is the best nursing action?

1. AKeep the same plan, as observations matter more than sleep for patients
2. BAsk the doctor for a sedative to help the patient sleep
3. CStop all observations so the patient can sleep
4. DAsk the team whether the observations can safely be done less often