Lembar kerja Dasar-dasar keperawatan dengan jawaban

What is IV infiltration?

1. AA blood clot forming at the tip of the cannula
2. BInflammation of the vein wall caused by irritation from the cannula
3. CAn infection of the blood from the cannula
4. DLeakage of a non-irritant fluid into the tissue around the vein

What does "ambulate" mean?

1. ATo eat
2. BTo sleep
3. CTo walk
4. DTo sit up in bed

In which position is the patient's head lower than their feet?

1. ASims' position
2. BSemi-Fowler's position
3. CLithotomy position
4. DTrendelenburg position

In adult basic life support, how long should the rescuer take to check for normal breathing?

1. AAt least one minute
2. BAbout 30 seconds
3. CNo more than 10 seconds
4. DAs long as it takes to be certain

Why do nurses often count the respiratory rate while still appearing to take the pulse?

1. AThe pulse and breathing rates are always the same number
2. BPatients who know their breathing is watched tend to change it
3. CIt is not allowed to tell patients that breathing is measured
4. DCounting breaths is only accurate when the wrist is held

A dying patient asks to see a chaplain or religious leader. What should the nurse do?

1. AAsk the patient's doctor if a visit is allowed
2. BTell the patient to wait until visiting hours tomorrow
3. CExplain that religious matters are not part of care
4. DArrange the visit as soon as possible

A patient has a platelet count of 40 × 10⁹/L (40,000/mm³). Which nursing measure is appropriate?

1. AUse a soft toothbrush and avoid IM injections where possible
2. BEncourage contact sports to raise the count
3. CGive aspirin for any headaches
4. DUse a firm toothbrush and floss hard to keep the gums healthy

An 82-year-old takes nine regular medicines and has had two falls this month. What is the most useful next step?

1. AStop all the medicines straight away
2. BAdvise the patient to stay in bed
3. CAsk for a full medication review
4. DAdd a sedative to help them rest