Lembar kerja Dasar-dasar keperawatan dengan jawaban

Which of these is subjective data?

1. AThe patient's temperature is 37,9 °C
2. BThe patient vomited 150 mL
3. CThe patient's skin is pale and moist
4. DThe patient says she feels sick

Which infection needs airborne precautions?

1. AA urinary tract infection with E. coli
2. BClostridioides difficile diarrhoea
3. CPulmonary tuberculosis
4. DAn MRSA wound infection

In the nursing process, which step comes straight after assessment?

1. AImplementation, carrying out the care
2. BNursing diagnosis, identifying the patient's problems
3. CDischarge planning, deciding when the patient goes home
4. DEvaluation, checking whether goals were met

A patient says, "I've never seen this tablet before," as the nurse offers it. What should the nurse do?

1. AReassure the patient that the tablet is correct and give it
2. BStop and recheck the prescription before giving it
3. CLeave the tablet on the table for the patient to take later
4. DGive half the tablet until the doctor visits

Why should insulin injection sites be rotated?

1. ATo make the insulin work more quickly with each injection
2. BTo prevent lumpy fatty swelling that affects absorption
3. CBecause each site can only be used once
4. DTo stop the patient getting used to the needle

A patient is found on the floor beside the bed. What should the nurse do first?

1. ACheck responsiveness and look for injuries before moving them
2. BAsk the patient to stand up on their own
3. CLift the patient straight back into bed
4. DComplete the incident report first, then go back to assess the patient fully

During medicines reconciliation, the patient says they take an anticoagulant at home, but it has not been prescribed in hospital. What should the nurse do?

1. AInform the prescriber so the omission can be reviewed
2. BGive the patient's own supply without telling anyone
3. CTell the patient to stop it for good
4. DIgnore it, as the hospital doctor knows best

Seorang pasien pascaoperasi 70 kg dengan kateter telah mengeluarkan 20 mL urine per jam selama tiga jam terakhir. Apa interpretasi terbaiknya?

1. AKateter tersumbat yang aman dibiarkan sampai ditinjau tim pagi
2. BPoliuria yang memerlukan pembatasan cairan
3. CProduksi normal setelah operasi
4. DOliguria yang harus dieskalasi, karena di bawah 0,5 mL/kg/jam